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Out of Province Coverage Sample Clauses

Out of Province Coverage. Retirees age 65 to 75
Out of Province CoverageThe Employer shall pay 100% of the premiums of the existing Green Shield Deluxe Travel Plan QX, or its equivalent.
Out of Province Coverage. The following benefits provide protection when traveling (for other than health reasons) or vacationing outside your province of residence. Refer to the Summary of Benefits for information regarding reimbursement of this benefit. Note: These benefits will not be paid for any condition resulting from a psychiatric disorder; or to patients in chronic care hospitals, chronic units of general hospitals, or nursing homes.
Out of Province CoverageCharges for out-of-province hospital room and board up to the semi- private rate, hospital services and supplies, and doctor services necessitated by (1) an emergency or (2) referral by a physician due to lack of availability of treatment in the province of residence provided the applicable Provincial Medicare Plan has agreed to pay benefits as a result of the referral.
Out of Province Coverage. Deductible – Nil.
Out of Province Coverage. The following benefits provide protection when travelling (for other than health reasons) or vacationing outside your province of residence. Refer to the Summary of Benefits for information regarding reimbursement of this benefit. a) Payment for the cost of hospital accommodation up to the xxxx level which is in excess of the amount paid by a provincial health plan or any other group plan. b) Hospital services and supplies not normally provided in a) above. c) Payment for charges made by a physician or surgeon (including diagnosis and treatment) when such charges are over and above the allowance made by provincial health plan. d) Round trip economy air fare for a qualified medical attendant (not a relative) and the extra costs for the number of economy seats required to return the covered person, by most direct route, to the air terminal nearest the departure point in Canada, in the event that illness or injury is such that you must fly home and the attending physician or commercial airline stipulates in writing that you must be accompanied by a qualified medical attendant. e) Payment for charges made by chiropractors, chiropodists and podiatrists to a maximum of $10 Canadian per treatment date, subject to payment by a provincial health plan. Note: These benefits will not be paid for any condition resulting from a psychiatric disorder; or to patients in chronic care hospitals, chronic units of general hospitals, or nursing homes.
Out of Province Coverage. Out of Province medical expenses shall be the event of a medical emergency under the same terms as is present in the current CAW Lab X-ray Benefit Plan (Group Contract Effective Date: October Contract Number: 37089). This plan provides that major medical expenses incurred outside Canada are subject to an overall lifetime maximum of per person combined with the Hospital benefit.
Out of Province Coverage. See below.
Out of Province Coverage. Out of Province medical expenses shall be covered in the event of a medical emergency under the same terms as is present in the current OPSEU Local 101 (billing division 204) Green Shield plan. This plan provide that major medical expenses incurred outside Canada are subject to an overall annual maximum of a million dollars ($1,000,000.00) per person combined with the Hospital benefit.
Out of Province CoverageThe Company shall continue its arrangement to provide Coverage to pay physicians, or to reimburse subscribers, for Covered Hospital and Medical Expenses incurred under certain circumstances outside the patient's province of residence. Benefits are provided under such Coverage upon submission of proof satisfactory to the insurer that a covered person received Covered Services out of the province of the covered person’s residence because of (i) accidental injury or emergency medical services or (ii) referral for medical care by the covered person’s attending physician. The benefit payment for Covered Medical Expenses incurred equals the fee charged for such services less the fee scheduled under the applicable provincial medical plan for the Covered Services received, but only to the extent that the fee charged is reasonable and customary in the area where covered services are received. The benefit payment for Covered Hospital Expenses incurred equals the hospital's charge for Covered Services in semi-private accommodations less the sum of the payments made by the applicable provincial and supplementary hospital plans. (a) those medical services for which a fee is scheduled under the fee schedule of the applicable provincial medical plan and those hospital services for which a benefit is provided under the xxxx coverage of the applicable provincial hospital plan; (b) emergency air ambulance services, when it is medically necessary for a covered patient to travel by an air ambulance from a location in North America to the patient's province of residence, the subscriber will be reimbursed for the amount charged to the patient which exceeds the coverage of any applicable government plans and, when necessary, for the air fare of an accompanying medical attendant as well as the air fare of an accompanying spouse provided that: (1) there is a medical need for the patient to be confined to a stretcher or for a medical attendant to accompany the patient during the journey, (2) the patient is admitted directly to a hospital in the patient's province of residence, (3) medical reports or certificates from both the dispatching and receiving physicians are submitted, and (4) proof of payment including air ticket vouchers or air charter invoices are submitted.