Major Medical Benefit Plan. 25.01 The Employer agrees, during the term of this Agreement to continue to pay the full cost of premiums towards coverage of all eligible full-time employees under the Major Medical Benefit Plan with Great West Life (or to provide comparable coverage with another carrier) subject to the terms and conditions of the plan. Premiums payable by the Employer shall be prorated in the proportion of the permanent part-time employee’s scheduled hours. The permanent part-time employee shall be responsible for their portion of the premium. This amount shall be deducted from the permanent part-time employee’s pay.
25.02 The Employer agrees to the provision of a pay direct prescription drug card for employees and eligible dependants with no annual deductible with reimbursement at eighty per cent (80%) on the first two thousand dollars ($2000) of eligible expenses per insured per calendar year and then one hundred percent (100%) for eligible expenses greater than two thousand dollars ($2000) per insured per calendar year. It is agreed that the employee or their eligible dependants will use their pay direct prescription drug card at the time of purchase provided the drug dispenser accepts the card.
Major Medical Benefit Plan a) The premium shall be paid 90% by the Board and 10% by the teachers.
b) The rate for reimbursement for frames, lenses, and the fitting of prescription glasses including prescription sunglasses and contact lenses will be:
i. up to a maximum of $250 in any calendar year for insured persons under the age of 18; and,
ii. for insured persons 18 years of age and over, up to a maximum every two consecutive calendar years as follows:
a) effective September 1, 2010 - $500 One (1) eye exam every 24 months shall be reimbursed for insured persons 18 years of age and over. One (1) eye exam every 12 months shall be reimbursed for insured persons under 18 years of age. The rate of reimbursement for laser eye surgery for insured persons will be a one-time payment of $725. The rate of reimbursement for hearing aids for insured persons will be $1500 within a five-year consecutive period. The claims assessment criteria in use by the insurer for orthopaedic shoes, orthopaedic modifications to shoes, and orthotics will be implemented upon ratification by the parties. The rate of reimbursement for orthopaedic shoes, orthopaedic modifications to shoes, and orthotics shall be one pair per calendar year.
c) The total yearly maximum payable per person for professional services as outlined by the insurer being that of a psychologist, speech therapist, podiatrist, osteopath, naturopath, registered massage therapist, chiropractor and/or physiotherapist shall be $450 for each type of professional practitioner. The limit per visit established in the Plan shall be $50 per visit.
d) On behalf of each covered individual or family, the Major Medical Benefit Plan will pay all eligible expenses which are in excess of the deductible of $10 for an individual or $20 for a family with no one member of the family contributing more than $10.
e) Semi-private and private hospital room insurance is part of the Major Medical Benefit Plan.
Major Medical Benefit Plan. (1) The premium shall be paid 90% by the Board and 10% by the Teachers.
(2) A one-time reimbursement of $1000 shall be provided for laser eye surgery for insured persons 18 years of age or older. The rate for reimbursement for frames, lenses, and the fitting of prescription glasses, including prescription sun glasses and contact lenses shall be up to an overall maximum of $500 in any two consecutive calendar years for insured persons 18 years of age and over, and $250 in any calendar year for insured persons under age 18.
(3) The total yearly maximum payable per person for professional services as outlined by the insurer being that of a licensed psychologist or social worker, speech therapist, podiatrist or chiropodist, osteopath, naturopath, massage therapist, chiropractor and physiotherapist shall be $500 for each type of professional practitioner. The limit per visit established in the Plan shall be $50 per visit.
(4) The limit for orthopaedic shoes, orthopaedic modifications to shoes and orthotics shall be two (2) in any two (2) calendar years.
(5) On behalf of each covered individual or family, the Major Medical Benefit Plan will pay all eligible expenses which are in excess of the deductible of $10 for an individual or $20 for a family with no one member of the family contributing more than $10.
(6) Hearing aids shall be reimbursed at the rate of $500 every 60 months. Payment for hearing tests done by an audiologist will be paid by the Major Medical Plan.
(7) The Major Medical Benefit Plan shall provide both semi-private and private hospital insurance coverage.
(8) The Major Medical Benefit Plan shall provide Out-of-Province insurance coverage.
Major Medical Benefit Plan. (1) The premium shall be paid 90% by the Board and 10% by the Teachers.
(2) The rate for reimbursement for frames, lenses, and the fitting of prescription glasses, including prescription sun glasses and contact lenses, shall be up to an overall maximum of $200 in any two consecutive calendar years for insured persons 18 years of age and over, and $200 in any calendar year for insured persons under age 18. A one time reimbursement of $300 shall be provided for laser eye surgery for insured persons 18 years of age or older. Effective September 1, 2007, the rate for reimbursement for frames, lenses, and the fitting of prescription glasses, including prescription sun glasses and contact lenses shall be up to an overall maximum of $400 in any two consecutive calendar years for insured persons 18 years of age and over, and $200 in any calendar year for insured persons under age 18.
(3) The total yearly maximum payable per person for professional services as outlined by the insurer being that of a psychologist, speech therapist, podiatrist, osteopath, naturopath, masseur, chiropractor and/or physiotherapist shall be $450 for each type of professional practitioner. The limit per visit established in the Plan shall be $30 per visit.
(4) The limit for orthopaedic shoes, orthopaedic modifications to shoes and orthotics shall be two (2) in any two (2) calendar years.
(5) On behalf of each covered individual or family, the Major Medical Benefit Plan will pay all eligible expenses which are in excess of the deductible of $10 for an individual or $20 for a family with no one member of the family contributing more than $10.
(6) Hearing aids shall be reimbursed at the rate of $500 every 60 months. Payment for hearing tests done by an audiologist will be paid by the Major Medical Plan.
(7) The Major Medical Benefit Plan shall provide both semi-private and private hospital insurance coverage.
(8) The Major Medical Benefit Plan shall provide Out-of-Province insurance coverage.
Major Medical Benefit Plan. (a) The premium shall be paid 90% by the Board and 10% by the Member
(b) The rate for reimbursement for frames, lenses, and the fitting of prescription glasses, including prescription sun glasses and contact lenses, shall be up to an overall maximum of $200 in any two consecutive calendar years for insured persons 18 years of age and over, and $200 in any calendar year for insured persons under the age 18.
(c) The total yearly maximum payable per person for professional services as outlined by the insurer being that of a psychologist, speech therapist, podiatrist, osteopath, naturopath, massage therapist, chiropractor and/or physiotherapist shall be $450 for each type of professional practitioner. The limit per visit established in the Plan shall be $30 per visit.
(d) On behalf of each covered individual or family, the Major Medical Benefit Plan will pay all eligible expenses which are in excess of the deductible of $10 for an individual or $20 for a family with no one member of the family contributing more than $10.
(e) The Board shall include a semi-private hospital room insurance plan as part of the major Medical Benefit Plan.
Major Medical Benefit Plan. (a) The premium shall be paid 95% by the Board and 5% by the teachers. Effective December 1, 2000, the premium shall be paid 90% by the Board and 10% by the teachers.
(b) The rate for reimbursement for frames, lenses, and the fitting of prescription glasses including prescription sunglasses and contact lenses will be:
i) up to a maximum of $200 in any calendar year for insured persons under the age of 18; and,
ii) for insured persons 18 years of age and over, up to a maximum every two consecutive calendar years as follows:
a. effective September 1, 2005 - $250
b. effective September 1, 2006 - $275; and,
c. effective September 1, 2007 - $300 The rate of reimbursement for laser eye surgery for insured persons will be a one- time payment of $300 effective September 1, 2005. The rate of reimbursement for hearing aids for insured persons will be $300 within a five-year consecutive period effective September 1, 2005. The claims assessment criteria in use by the insurer for orthopaedic shoes, orthopaedic modifications to shoes, and orthotics will be implemented upon ratification by the parties. The rate of reimbursement for orthopaedic shoes, orthopaedic modifications to shoes, and orthotics shall be one pair per calendar year.
(c) The total yearly maximum payable per person for professional services as outlined by the insurer being that of a psychologist, speech therapist, podiatrist, osteopath, naturopath, masseur, chiropractor and/or physiotherapist shall be $450 for each type of professional practitioner. The limit per visit established in the Plan shall be $30 per visit.
(d) On behalf of each covered individual or family, the Major Medical Benefit Plan will pay all eligible expenses which are in excess of the deductible of $10 for an individual or $20 for a family with no one member of the family contributing more than $10.
(e) The Board shall make available semi-private and private hospital room insurance as part of the Major Medical Benefit Plan.
Major Medical Benefit Plan. 25.01 The Society agrees, during the term of this Agreement to continue to pay the full cost of premiums towards coverage of all eligible full-time employees under the Major Medical Benefit Plan with Great West Life (or to provide comparable coverage with another carrier) subject to the terms and conditions of the plan. Premiums payable by the Society shall be prorated in the proportion of the permanent part-time employee’s scheduled hours. The permanent part-time employee shall be responsible for their portion of the premium. This amount shall be deducted from the permanent part-time employee’s pay.
25.02 The Society agrees to the provision of a pay direct prescription drug card for employees and eligible dependants with no annual deductible with reimbursement at eighty per cent (80%) on the first two thousand dollars ($2000) of eligible expenses per insured per calendar year and then one hundred percent (100%) for eligible expenses greater than two thousand dollars ($2000) per insured per calendar year. It is agreed that the employee or their eligible dependants will use their pay direct prescription drug card at the time of purchase provided the drug dispenser accepts the card.
Major Medical Benefit Plan. (1) The premium shall be paid 85% by the Board and 15% by the Teachers. Effective January 1, 2004, the premium shall be paid 90% by the Board and 10% by the Teachers.
(2) The rate for reimbursement for frames, lenses, and the fitting of prescription glasses, including prescription sun glasses and contact lenses, shall be up to an overall maximum of $200 in any two consecutive calendar years for insured persons 18 years of age and over, and $200 in any calendar year for insured persons under age 18.
(3) The total yearly maximum payable per person for professional services as outlined by the insurer being that of a psychologist, speech therapist, podiatrist, osteopath, naturopath, masseur, chiropractor and/or physiotherapist shall be $450 for each type of professional practitioner. The limit per visit established in the Plan shall be $30 per visit.
(4) As of January 1, 2004, the annual limit for orthopaedic shoes, orthopaedic modifications to shoes and orthotics shall be one (1) pair per calendar year.
(5) On behalf of each covered individual or family, the Major Medical Benefit Plan will pay all eligible expenses which are in excess of the deductible of $10 for an individual or $20 for a family with no one member of the family contributing more than $10.
(6) The Major Medical Benefit Plan shall provide both semi-private and private hospital insurance coverage.
(7) The Major Medical Benefit Plan shall provide Out-of-Province insurance coverage.
(a) This Plan shall be at the teacher’s expense when the teacher elects to enrol in the Plan.
Major Medical Benefit Plan. (a) The premium shall be paid 90% by the Board and 10% by the Member
(b) The rate for reimbursement for frames, lenses, and the fitting of prescription glasses, including prescription sun glasses and contact lenses, shall be up to an overall maximum of $200 in any two consecutive calendar years for insured persons 18 years of age and over, and $200 in any calendar year for insured persons under the age 18. Effective January 1, 2007, the rate for reimbursement for frames, lenses, and the fitting of prescription glasses, including prescription sun glasses and contract lenses shall be up to an overall maximum of $400 in any two consecutive years for insured persons 18 years of age and over, and $200 in any calendar year for insured persons under age 18.
(c) The total yearly maximum payable per person for professional services as outlined by the insurer being that of a psychologist, speech therapist, podiatrist, osteopath, naturopath, massage therapist, chiropractor and/or physiotherapist shall be $450 for each type of professional practitioner. The limit per visit established in the Plan shall be $30 per visit.
(d) On behalf of each covered individual or family, the Major Medical Benefit Plan will pay all eligible expenses which are in excess of the deductible of $10 for an individual or $20 for a family with no one member of the family contributing more than $10.
(e) The Board shall include a semi-private hospital room insurance plan as part of the major Medical Benefit Plan.
(f) Effective September 1, 2005, the limit for orthopaedic shoes, orthopaedic modifications to shoes and orthotics shall be two (2) in any two (2) calendar years. The protocal or claims assessment criteria in use by the insurer for orthopaedic shoes, orthopaedic modifications to shoes, and orthotics shall be implemented upon ratification by the parties.
(g) Effective September 1, 2005, a one time reimbursement of $300 shall be provided for laser eye surgery for insured persons 18 years of age or older.
(h) Effective September 1, 2005, hearing aids shall be reimbursed at the rate of $500 every 60 months following proof of claim to the Assistive Devices grant program. Payment for hearing tests done by an audiologist will be paid by the Major Medical Plan.
Major Medical Benefit Plan. The Society agrees, during the term of this Agreement to continue to pay the full cost of premiums towards coverage of all eligible full-time employees under the Major Medical Benefit Plan with Great West Life (or to provide comparable coverage with another carrier) subject to the terms and conditions of the plan. Premiums payable by the Society shall be pro-rated in the proportion of the permanent part-time employee’s scheduled hours. The permanent part-time employee shall be responsiblefor their portion of the premium. This amount shall be deducted from the part-time employee’s pay. The Society agrees to the provision of a pay direct prescription drug card for employees and eligible dependants with no annual deductible with reimbursementat eighty percent (80%) on the first two thousand dollars ($2000)of eligible expenses per insured per calendar year and then one hundred percent (100%) for eligible expenses greater than two thousand dollars ($2,000) per insured per calendar year starting April
