Major Medical Benefit a) Annual Deductible Applicable N/A (except for chiropractic services for Ontario residents)
b) Co-payment 90%
c) Schedule of Benefits **Requires Physician Referral pre- dating the service** **Psychologist 🗹 Yes □ No **$1,000 per calendar year Chiropractor 🗹 Yes □ No $200 per calendar year (Ontario residents pay first $450) **Naturopath 🗹 Yes □ No **$200 per calendar year **Podiatrist or Chiropodist 🗹 Yes □ No **$200 per calendar year **Nutritionist/Dietician 🗹 Yes □ No **$400 per calendar year **Speech Therapist 🗹 Yes □ No **$200 per calendar year **Physiotherapy 🗹 Yes □ No **$200 per calendar year **Osteopaths 🗹 Yes □ No **$200 per calendar year **Massage Therapy 🗹 Yes □ No **$200 per calendar year **Private Duty Nursing 🗹 Yes □ No $10,000 per calendar year Medical Equipment 🗹 Yes □ No $5,000 lifetime Medical Prosthesis 🗹 Yes □ No covered Medical Supplies 🗹 Yes □ No covered Ambulance Services 🗹 Yes □ No covered Hearing Aids 🗹 Yes □ No $500 every 5 years **Orthotics �� Yes □ No $300 per year Orthopedic shoes Custom made 🗹 Yes □ No Combined with Orthotics maximum Orthopedic Modifications 🗹 Yes □ No Combined with Orthotics maximum Eye Exams 🗹 Yes □ No $60 in provinces where eye exams are not covered
d) Survivor Benefit 🗹 Yes □ No 2 years
e) Benefit Maximum Age (Termination) Age 99
f) Dependent Age 21
g) Student Age 26
h) Overall Lifetime Health Maximum (includes Drugs, Hospital and Vision) unlimited
Major Medical Benefit. The Major Medical Benefit portion of the plan is subject to a deductible of $25.00 per family, per calendar year. . This benefit is subject to a lifetime maximum amount of $40,000. per individual. . The Major Medical expenses are subject to 80% reimbursement for the following covered expenses: . Services of a licensed physiotherapist . Services of a registered nurse - charges for home nursing care, by a registered nurse (R.N.) or when unavailable a registered nursing assistant (R.N.A.) who: - is not a member of your family; and - does not normally live in your home; - when ordered by a licensed doctor (M.D.) as medically necessary for a disability that requires the specialized training of an R.N. or R.N.A. - charges for nursing care in a hospital if such charges are not covered under the insured person’s Provincial Health Plan, by a Registered Nurse (R.N.) or when unavailable a Registered Nursing Assistant (R.N.A.) who: - is not a member of your family; and - does not normally live in your home. . Diagnostic and x-ray services, blood and blood plasma, oxygen and rental of equipment for its administration . Purchase of durable medical equipment, crutches, artificial limbs, etc., including elastic support stockings and orthopaedic shoes . Rental or purchase of a wheelchair, hospital bed or iron lung . Licensed ambulance, including air ambulance to and from the nearest hospital . Dental treatment for accidental injury to natural teeth No payment is made for the following expenses: . Cost of the difference between a semi-private and a private hospital room . Convalescent or nursing home care . Cost of treatment by chiropractors, osteopaths, podiatrists, speech therapists and psychologists . Hearing aid expenses . Drugs which can be purchased without prescription (with certain exceptions). For example: patent medicines, vitamins, health foods, cough and cold preparations, aspirin and similar products are ineligible. The plan does not cover services and supplies in the following situations: . injury sustained by employees while working for pay or profit other than with their employer . injury of a dependent while working for pay or profit, any portion of medical expense covered under Workers' Compensation or similar program . services to which the patient is entitled without charge, or for which there would be no charge if there were no coverage . services, or portions thereof, provided under government sponsored programs In the event that a service covered by a...
Major Medical Benefit. Eligibility: After twelve (12) months of service with the Employer • Portion payable - 90% • Benefit maximum age (termination)- retirement • Dependent age coverage until 21 years • Student Age coverage until 26 if in school full-time
Major Medical Benefit. The Major Medical Benefit portion of the plan is subject to a deductible of $25.00 per family, per calendar year. The Major Medical expenses are subject to 80% reimbursement for the following covered expenses: Services of a licensed physiotherapist Services of a registered nurse -charges for home nursing care, by a registered nurse (R.N.) or when unavailable a registered nursing assistant (R.N.A.) who: -is not a member of your family; and -does not normally live in your home; -when ordered by a licensed doctor (M.D.) as medically necessary for a disability that requires the specialized training of an R.N. or R.N.A. -charges for nursing care in a hospital if such charges are not covered under the insured person’s Provincial Health Plan, by a Registered Nurse (R.N.) or when unavailable a Registered Nursing Assistant (R.N.A.) who: -is not a member of your family; and -does not normally live in your home. Diagnostic and x-ray services, blood and blood plasma, oxygen and rental of equipment for its administration Purchase of durable medical equipment, crutches, artificial limbs, etc., including elastic support stockings and orthopaedic shoes Rental or purchase of a wheelchair, hospital bed or iron lung Licensed ambulance, including air ambulance to and from the nearest hospital Dental treatment for accidental injury to natural teeth No payment is made for the following expenses: Cost of a semi-private and a private hospital room Convalescent or nursing home care Drugs which can be purchased without prescription (with certain exceptions). For example: patent medicines, vitamins, health foods, cough and cold preparations, aspirin and similar products are ineligible. The plan does not cover services and supplies in the following situations: injury sustained by employees while working for pay or profit other than with their employer injury of a dependent while working for pay or profit, any portion of medical expense covered under Workers' Compensation or similar program services to which the patient is entitled without charge, or for which there would be no charge if there were no coverage services, or portions thereof, provided under government sponsored programs In the event that a service covered by a government sponsored program is suspended, the Extended Health Care Plan will not assume coverage of such service. Some employees and their dependants are eligible for benefits from other group type plans. In these cases, the benefits payable under all plans will ...
Major Medical Benefit a) Annual Deductible Applicable N/A b) Co-payment 90%
Major Medical Benefit. □ Yes
a) Annual Deductible Applicable No
Major Medical Benefit. The Major Medical Benefit portion of the plan is subject to a deductible of $25.00 per family, per calendar year. This benefit is subject to a lifetime maximum amount of $40,000. per individual. The Major Medical expenses are subject to 80% reimbursement for the following covered expenses: • Services of a licensed physiotherapist • Services of a registered nurse • charges for home nursing care, by a registered nurse (R.N.) or when unavailable a registered nursing assistant (R.N.A.) who: • is not a member of your family; and • does not normally live in your home; • when ordered by a licensed doctor (M.D.) as medically necessary for a disability that requires the specialized training of an R.N. or R.N.A. • charges for nursing care in a hospital if such charges are not covered under the insured person’s Provincial Health Plan, by a Registered Nurse (R.N.) or when unavailable a Registered Nursing Assistant (R.N.A.) who: • is not a member of your family; and • does not normally live in your home. • Diagnostic and x-ray services, blood and blood plasma, oxygen and rental of equipment for its administration • Purchase of durable medical equipment, crutches, artificial limbs, etc., including elastic support stockings and orthopaedic shoes • Rental or purchase of a wheelchair, hospital bed or iron lung • Licensed ambulance, including air ambulance to and from the nearest hospital • Dental treatment for accidental injury to natural teeth No payment is made for the following expenses: · Cost of the difference between a semi-private and a private hospital room · Convalescent or nursing home care · Cost of treatment by chiropractors, osteopaths, podiatrists, speech therapists and psychologists · Hearing aid expenses · Drugs which can be purchased without prescription (with certain exceptions). For example: patent medicines, vitamins, health foods, cough and cold preparations, aspirin and similar products are ineligible. The plan does not cover services and supplies in the following situations: · injury sustained by employees while working for pay or profit other than with their employer · injury of a dependent while working for pay or profit, any portion of medical expense covered under Workers' Compensation or similar program · services to which the patient is entitled without charge, or for which there would be no charge if there were no coverage · services, or portions thereof, provided under government sponsored programs In the event that a service covered by a gov...
Major Medical Benefit. (i) The Company will provide an Extended Health Care Plan based on Blue Cross Plan "C". Prescription drugs and other allowable medical expenses will be reimbursed at 80% of cost to the employee.
(ii) A vision care plan will be in effect providing a benefit of one hundred and thirty-five dollars every two years from the date of last purchase.
Major Medical Benefit. Annual Deductible Applicable n/a (except for chiropractic services)
Major Medical Benefit a) Annual Deductible Applicable
b) Co-payment
c) Schedule of Benefits Psychologist Yes No $500 Chiropractor Yes No $500 Naturopath Yes No $500 Podiatrist or Chiropodist Yes No $500 Acupuncture Yes No $500 Speech Therapist Yes No $500 Physiotherapy Yes No $500 Osteopaths Yes No $500 Massage Therapy Yes No $500 Ophthalmologist/optometrist Yes No Private Duty Nursing Yes No $10,000 Orthotics Yes No $400 every 36 months – referral required Orthopedic shoes Yes No $500 – referral required Hearing aids Yes No $500 every 60 months Eye Exams Yes No $50 per person per 24 months
d) Overall Lifetime Health Maximum (includes Drugs, Hospital and Vision)
e) Benefit Maximum Age (Termination) 70 or earlier retirement
f) Dependent Age 21
g) Student Age 25
