Common use of Major Medical Clause in Contracts

Major Medical. The Employer will provide a Major Medical Plan providing for a Drug Card with a seven dollar and fifty cent ($7.50) dispensing cap fee and a one dollar ($1.00) deductible per prescription for employees covered by this Agreement who have completed their probationary period. The Employer agrees to pay one hundred percent (100%) of the billed single/family rate, whichever is applicable, for employees who participate in the plan. a. Amend the generic drug substitution provision to provide for: • Lowest cost interchangeable drug • Enhanced generic – requires medical evidence for drugs where physician indicates “no substitution” • Lowest priced drug in a therapeutic class b. The Plan will include a paramedical coverage bank which covers the following services from paramedical providers who are licensed or registered in the province of Canada in which the services are provided: • Osteopath • Chiropractor • Podiatrist or Chiropodist • Naturopath or Homeopath • Audiologist • Physiotherapist • Psychologist • Speech Therapist • Acupuncturist • Massage therapist • Ophthalmologist or optometrist to a maximum of seven hundred and fifty dollars ($750.00) insured person/year. Coverage for any and all paramedical services as set out above requires a written referral from the employee’s physician.

Major Medical. The Employer will provide a Major Medical Plan providing for a Drug Card with a seven dollar and fifty cent ($7.50) dispensing cap fee and a one dollar ($1.00) deductible per prescription for employees covered by this Agreement who have completed their probationary period. The Employer agrees to pay one hundred percent (100%) of the billed single/family rate, whichever is applicable, for employees who participate in the plan. a. Amend the generic drug substitution provision to provide for: •  Lowest cost interchangeable drug •  Enhanced generic – requires medical evidence for drugs where physician indicates “no substitution” •  Lowest priced drug in a therapeutic class b. The Plan will include a paramedical coverage bank which covers the following services from paramedical providers who are licensed or registered in the province of Canada in which the services are provided: •  Osteopath •  Chiropractor •  Podiatrist or Chiropodist •  Naturopath or Homeopath •  Audiologist •  Physiotherapist •  Psychologist •  Speech Therapist •  Acupuncturist •  Massage therapist •  Ophthalmologist or optometrist to a maximum of seven hundred and fifty dollars ($750.00) insured person/year. Coverage for any and all paramedical services as set out above requires a written referral from the employee’s physician.

Major Medical. The Employer will provide a Major Medical Plan providing for a Drug Card with a seven dollar and fifty cent ($7.50) dispensing cap fee and a one dollar ($1.00) deductible per prescription for employees covered by this Agreement who have completed their probationary period. The Employer agrees to pay one hundred percent (100%) of the billed single/family rate, whichever is applicable, for employees who participate in the plan. a. Amend the generic drug substitution provision to provide for: • Lowest cost interchangeable drug • Enhanced generic – requires medical evidence for drugs where physician indicates “no substitution” • Lowest priced drug in a therapeutic class b. The Plan will include a paramedical coverage bank which covers for the following services from paramedical providers who are licensed or registered in the province of Canada Ontario in which the services are provided: • Osteopath • Chiropractor • Podiatrist or Chiropodist • Naturopath or Homeopath • Audiologist • Physiotherapist • Psychologist • Speech Therapist • Acupuncturist • Massage therapist • Ophthalmologist or optometrist to a maximum of seven four hundred and fifty dollars ($750.00400.00) per insured person/yearyear for each of the services listed above. Coverage for any and all paramedical services as set out above requires a written referral from the employee’s physician.