MEDICAL, HOSPITAL AND DRUG INSURANCE Sample Clauses
MEDICAL, HOSPITAL AND DRUG INSURANCE. 12.1 With the exception of Article 12.5, the Board shall pay one hundred percent (100%) of the current premium costs to provide each member covered by this Agreement with the following:
12.2 Supplementary Manulife for hospital care for semi-private coverage or equivalent.
12.3 Effective June 1, 1997, drug prescription coverage pursuant to the Manulife Formulary 3 Plan, subject to a maximum dispensing fee of $7.50 per prescription, and subject to the condition that members use generic drugs unless the specific generic drug is not effective.
12.4 Extended Health Benefits under the Service’s Group Insurance Plan or equivalent with prosthetic appliances and durable medical equipment to a maximum of twenty thousand dollars ($20,000.00) per person per year and Private Duty Nursing to a maximum of thirty-five thousand dollars ($35,000.00) per person per year, chronic care coverage in the amount of three dollars ($3.00) maximum per day to a maximum of 120 days per person per year and for all other hospital stays private hospital room coverage to a maximum of 120 days per person per year. This Extended Health Benefit shall also provide para-medical coverage which includes the following:
12.4.1 Chiropractor, Osteopath, Podiatrist, Chiropodist, Acupuncturist and Naturopath effective January 1, 2011 to a maximum of four hundred and fifty dollars ($450.00) per benefit year increasing to five hundred dollars ($500.00) per benefit year effective May 29, 2013, increasing to five hundred and fifty dollars ($550.00) per benefit year effective January 1, 2015:
12.4.2 Psychologist, psychotherapist and psychoanalyst to a maximum of one thousand dollars ($1,000.00) per benefit year, increasing to one thousand two hundred and fifty dollars ($1,250.00) per benefit year effective May 29, 2013, increasing to one thousand five hundred dollars ($1,500.00) per benefit year effective January 1, 2016 with no hourly fee cap or fee limitation for the first visit.
12.4.3 Audio-Hearing Aids to a maximum of three hundred dollars ($300.00) every two years, increasing to three hundred and thirty dollars ($330.00) per twenty-four (24) months effective May 29, 2013, increasing to three hundred and fifty dollars ($350.00) per twenty-four (24) months effective January 1, 2014. .
MEDICAL, HOSPITAL AND DRUG INSURANCE. 15.1 The Board shall pay one hundred percent (100%) of the current premium costs to provide each member covered by this Agreement with the following:
15.2 Supplementary Manulife for hospital care or semi-private coverage or equivalent.
15.3 Effective June 1, 1997, drug prescription coverage pursuant to the Manulife Formulary 3 Plan, subject to a maximum dispensing fee of $7.50 per prescription, and subject to the condition that members use generic drugs unless the specific generic drug is not effective.
15.4 Extended Health Benefits under the Service’s Group Insurance Plan or equivalent with prosthetic appliances and durable medical equipment to a maximum of twenty thousand dollars ($20,000.00) per person per year, Private Duty Nursing to a maximum of thirty-five thousand dollars ($35,000.00) per person per year, chronic care coverage in the amount of three dollars ($3.00) maximum per day to a maximum of 120 days per person per year and for all other hospital stays private hospital room coverage to a maximum of 120 days per person per year. This Extended Health Benefit shall also provide for para-medical coverage which includes the following:
15.4.1 Chiropractor, Osteopath, Podiatrist, Chiropodist :
15.4.1.1 Effective January 1, 2009, to a maximum of three hundred and fifty dollars ($350.00) per benefit year;
15.4.1.2 Effective January 1, 2010 to a maximum of four hundred dollars ($400.00) per benefit year;
15.4.1.3 Effective January 1, 2011 to a maximum of four hundred and fifty dollars ($450.00) per benefit year.
15.4.2 Psychologist to a maximum of one thousand dollars ($1,000.00) per benefit year, with no hourly fee cap or fee limitation for the first visit.
15.4.3 Audio-Hearing Aids to a maximum of three hundred dollars ($300.00) every two years.
MEDICAL, HOSPITAL AND DRUG INSURANCE. Board pays 100%
16.01 The Board shall pay 100% of the current premium costs to provide each member and dependents with the benefits under this article.
MEDICAL, HOSPITAL AND DRUG INSURANCE. The Board shall pay of the current premium costs to provide each member and dependents with the benefits under this article. Dependents shall include:
MEDICAL, HOSPITAL AND DRUG INSURANCE. The Board shall pay of the current premium costs to provide each member and dependents with the benefits under this article. Dependents shall include: Unmarried, unemployed children under the age of years including newborns; Unmarried, unemployed dependent children to any age who are incapable of self sustaining support or employment by reason of mental or physical disability; Unmarried, unemployed dependent children over but under years of age in full time attendance at a school, college or university. Medical insurance under the Ontario Health Insurance Plan.
MEDICAL, HOSPITAL AND DRUG INSURANCE.
11.01 The Board shall pay 100% of the premium costs to provide each member and dependents with the benefits under this article. Dependents as defined by Manulife Financial shall include:
(a) Your spouse;
(b) Unmarried, unemployed children under the age of 21 years including newborns;
(c) Unmarried, unemployed dependent children to any age who are incapable of self-sustaining support or employment by reason of mental or physical disability;
(d) Unmarried, unemployed dependent children over 21 but under 25 years of age in full time attendance at a school, college or university.
11.02 Medical insurance under the Ontario Health Insurance Plan.
11.03 Hospitalization under the Ontario Health Insurance Plan and supplementary Manulife Financial Health Plan or equivalent carrier for hospital care for semi-private coverage.
MEDICAL, HOSPITAL AND DRUG INSURANCE. 16.01 The Board shall pay 100% of the current premium costs to provide each member and dependents with the benefits under this article.
16.02 Medical insurance under the Ontario Health Insurance Plan.
16.03 Benefit entitlement under this Article comes into effect on the first day of the first month following date of hire.
16.04 Dependents shall include:
(i) Your spouse or common-law spouse
(ii) Unmarried, unemployed children under the age of 21 years including newborns;
(iii) Unmarried, unemployed dependent children to any age who are incapable of self sustaining support or employment by reason of mental or physical disability;
(iv) Unmarried, unemployed dependent children over 21 but under 25 years of age in full time attendance at a school, college or university.
(a) Manulife Extended Health Care or equivalent carrier, including eyeglasses (maximum subsidy - $400/ every two years), eye examinations (maximum $65 every two years) and hearing aids (maximum subsidy - $1000 / every five years).
(b) The Extended Health Care Plan shall include the following paramedical services: Physiotherapist maximum $500 per calendar year Clinical Psychologist maximum $350 per calendar year Speech Pathologist maximum $350 per calendar year Chiropractor maximum $500 per calendar year Massage with Dr. note Effective Jan 01, 2013 Massage without Dr. Note (must be a Certified Registered or Licenced Massage Therapist) maximum $350 per calendar year maximum $350 per calendar year Osteopath maximum $350 per calendar year Podiatrist maximum $350 per calendar year Chiropodist maximum $350 per calendar year Naturopath maximum $350 per calendar year In addition, the insurance carrier will be instructed to modify the existing policy to provide for the mandatory dispensing of a generic substitution whenever a generic drug is available unless the prescribing doctor indicates no generic substitution. The carrier will be advised to instruct pharmacists to ignore pre-printed statements on doctor’s scripts stating no generic substitution.
(c) Coverage shall include Deluxe Travel Benefit Insurance - maximum for 60 days per trip.
(d) Effective January 01, 2013, the Board shall pay 100% the cost of semi- private health care.
(a) Manulife Dental Plan No.9, or equivalent. The O.D.A. fee schedule will be updated to the 2009 level and will be updated in each year of the agreement as new fee schedules are published by the Ontario Dental Association.
(b) Manulife Dental Rider #3 (orthodontic) or equiv...
MEDICAL, HOSPITAL AND DRUG INSURANCE. 15.01 The Board shall pay 100% of the current premium costs to provide each member and dependents with the benefits under this article. Dependents shall include:
(I) Your spouse or common-law spouse of the opposite sex;
(II) Unmarried, unemployed children under the age of 21 years including newborns;
(III) Unmarried, unemployed dependent children to any age who are incapable of self sustaining support or employment by reason of mental or physical disability;
(IV) Unmarried, unemployed dependent children over 21 but under 25 years of age in full time attendance at a school, college or university.
15.02 Medical insurance under the Ontario Health Insurance Plan.
15.03 Hospitalization under the Ontario Health Insurance Plan and supplementary Liberty Health Plan or equivalent carrier for hospital care for semi-private coverage.
15.04 Effective the first day of the first month following execution of the Collective Agreement, Liberty Health Extended Health Care or equivalent carrier, including eyeglasses (maximum subsidy - $250.00) and hearing aids (maximum subsidy - $500.00). In addition, the insurance carrier will be instructed to modify the existing policy to provide for the mandatory dispensing of a generic substitution whenever a generic drug is available unless the prescribing doctor indicates no generic substitution. The carrier will be advised to instruct pharmacists to ignore pre-printed statements on doctor’s scripts stating no generic substitution.
15.05 Liberty Health Dental Plan No.9, or equivalent, with an orthodontic rider. The rider shall provide a $1,500.00 maximum lifetime benefit per person, 50/50 shared risk. The Board shall deduct 50% of the additional cost of the premium, for the rider only, from participating employees. The O.D.A. fee schedule will be updated to the 1999 level, effective the first of the month following ratification and will be updated in each year of the agreement as new fee schedules are published by the Association.
15.06 The parties agree to effect a positive enrollment program with benefits. Positive enrollment ensures that only clearly identified plan members and their dependents are covered by the plan. All employees covered by the agreement will be provided with a form indicating current information on record in this regard within three months of ratification and asked to update/complete the coverage form. Liberty Health will be instructed to conduct a random audit of completed forms for accuracy.
MEDICAL, HOSPITAL AND DRUG INSURANCE. With the exception of Article the Board shall pay hundred percent (100%) of current premium costs to provide each covered by this Agreement with the following: Supplementary Liberty Health for hospital care for semi-private coverage or equivalent, Effective June drug prescription coverage pursuant to the Liberty Health Formulary Plan, subject to a maximum dispensing fee of per prescription, and subject to the condition that members use drugs unless the specific generic drug is not effective. Extended Health Benefits under the Service’s Group Insurance Plan or equivalent with prosthetic appliances and durable medical equipment to a maximum of twenty thousand dollars ($20,000.00) per person par and Private Duty Nursing to a maximum of thirty-five thousand dollars per person per year, chronic care coverage in the amount of dollars maximum per day to a maximum of days per person per year and for all hospital stays private hospital room coverage to a maximum of days per person per year. This Extended Health Benefit shall also providepara-medical coverage which includesthe following: Chiropractor, Osteopath, Podiatrist, Chiropodist, to a maximum of three hundred dollars ($300.00) per benefit year and Chiropractor, Osteopath, Podiatrist, Chiropodist, and Naturopath to a maximum of three hundred and fifty dollars ($350.00) per benefit year commencing January Psychologistto a maximum of one thousand dollars ($1,000.00)per benefit year, with no hourly fee cap or fee limitation for the first visit. Audio-Hearing Aids to a maximum of three hundred dollars ($300.00) every two years. Back Supports. Liberty Health Deluxe Out-of-Province coverage. The lesser of twenty-five percent (25%) of the purchase price of a continuous positive air pressure respirator, or that portion of the purchase price of such respirator not paid pursuant to Provincial, Federal or other grant programs. Two (2) pairs of orthotics in the first year of a claim for Members and spouses, and one (Ip)air per year thereafter. For dependants under age two (2) pairs of orthotics each year. Each pair is capped at a maximum fee of Speech Pathologist to a maximum of one thousand dollars ($1,000.00) per benefit year. Massage Therapy to a maximum of three hundred dollars ($300.00) per benefityear with a fifty dollar ($50.00) per visit maximum. Bras and Wigs to a maximum of five hundred dollars ($500.00) lifetime allowance. Insulin Pumps to a maximum of thousand dollars Members will be fully reimbursed for the f...
MEDICAL, HOSPITAL AND DRUG INSURANCE. 16.01 The Board shall pay 100% of the current premium costs to provide each member and dependents with the benefits under this article. Dependents shall include:
(I) Your spouse or common-law spouse of the opposite sex;
(II) Unmarried, unemployed children under the age of 21 years including newborns;
(III) Unmarried, unemployed dependent children to any age who are incapable of self sustaining support or employment by reason of mental or physical disability;
(IV) Unmarried, unemployed dependent children over 21 but under 25 years of age in full time attendance at a school, college or university.
16.02 Medical insurance under the Ontario Health Insurance Plan.
16.03 Hospitalization under the Ontario Health Insurance Plan and supplementary Maritime Life Plan or equivalent carrier for hospital care for semi-private coverage.
16.04 Effective the first day of the first month following execution of the Collective Agreement, Maritime Life Extended Health Care or equivalent carrier, including eyeglasses (maximum subsidy - $250.00/ every two years) and hearing aids (maximum subsidy - $500.00 / every five years). In addition, the insurance carrier will be instructed to modify the existing policy to provide for the mandatory dispensing of a generic substitution whenever a generic drug is available unless the prescribing doctor indicates no generic substitution. The carrier will be advised to instruct pharmacists to ignore pre-printed statements on doctor’s scripts stating no generic substitution.