Common use of Major Medical Benefits Clause in Contracts

Major Medical Benefits. The City shall provide eligible CSU 52 members, that are participating in the Supplementary Health Care Plan and the Dental Plan, with a Direct Xxxx Card. The Card shall be consistent with that provided to other City of Edmonton employees. 02.01 Eligible Expense % Reimbursement Maximum Benefit DRUGS Charges for drugs, medicines, allergy serums, allergy serum extracts and insulin which are purchased on a written prescription of a physician or dentist and dispensed by a licensed pharmacist, except that proprietary or patent medicines or drugs which can be purchased without a prescription will not be covered. 80% No maximum Smoking cessation products requiring a prescription by law. 80% One treatment plan per lifetime, per covered person. Oral contraceptives 80% $250 per calendar year Drugs for the management of obesity or weight loss, sexual dysfunction, fertility and hair replacement are not eligible for reimbursement. Reimbursement under this article will be made on the following basis: Least cost alternative$5.00 dispensing fee cap Recognized third party drug formulary. New drugs that become available will be reviewed to determine if they will be added to the formulary.

Major Medical Benefits. ‌ The City shall provide eligible CSU 52 members, that are participating in the Supplementary Health Care Plan and the Dental Plan, with a Direct Xxxx Card. The Card shall be consistent with that provided to other City of Edmonton employees. 02.01 . Eligible Expense % Reimbursement Maximum Benefit DRUGS Charges for drugs, medicines, allergy serums, allergy serum extracts and insulin which are purchased on a written prescription of a physician or dentist and dispensed by a licensed pharmacist, except that proprietary or patent medicines or drugs which can be purchased without a prescription will not be covered. 80% No maximum Smoking cessation products requiring a prescription by law. 80% One treatment plan per lifetime, per covered person. Oral contraceptives 80% $250 per calendar year Drugs for the management of obesity or weight loss, sexual dysfunction, fertility and hair replacement are not eligible for reimbursement. Reimbursement under this article will be made on the following basis: ▪ Least cost alternative$5.00 dispensing fee cap Recognized third party drug formulary. New drugs that become available alternative The plan will be reviewed to determine if they will be added to pay in such calendar year in accordance with the formulary.following schedule of benefits: 6.02.01 6.02.02 6.02.03