Common use of Paramedical Practitioners Clause in Contracts

Paramedical Practitioners. The following expenses are reimbursed one-hundred percent (100%) subject to the specified per visit maximums. Referral to these services by a licensed physician is not required for reimbursement. Professional services of the following licensed, certified or registered paramedical practitioners (when operating within their recognized fields of expertise) up to $275 for each covered person per benefit plan year for each practitioner: Chiropractor*, Massage Therapy, Naturopath, Chiropodist, Osteopath*, Physiotherapist, Podiatrist, Psychologist, Speech Therapist, Audiologist, Social Worker, Dietician and Occupational Therapist. * includes a maximum of $15 for one x-ray examination ordered by a licensed chiropractor or osteopath. ** an additional $100 per benefit plan year may be paid per covered person for the surgical removal of toenails or the excision of plantar warts. Note: Under some circumstances, benefits may not be payable until the government plan, where applicable, has paid its yearly maximum. Where a practitioner is charging over and above the government fee schedule, the difference between the government fee and the practitioner charge may be claimed. Professional services of a Registered Nurse (RN), only while the patient is not confined to a hospital, up to a maximum of $15,000 during any period of three (3) consecutive benefit plan years. The Registered Nurse (RN) or practitioners noted above may not be someone normally residing in the patient’s home. Hearing Aids up to a maximum benefit of $500 for each covered person, every five (5) benefit years.

Paramedical Practitioners. The following expenses are reimbursed one-hundred percent (100%) subject to the specified per visit maximums. Referral to these services by a licensed physician is not required for reimbursement. Professional services of the following licensed, certified or registered paramedical practitioners (when operating within their recognized fields of expertise) up to $275 for each covered person per benefit plan year for each practitioner: Chiropractor*, Massage Therapy, Naturopath, Chiropodist, Osteopath*, Physiotherapist, Podiatrist, Psychologist, Speech Therapist, Audiologist, Social Worker, Dietician and Occupational Therapist. * *includes a maximum of $15 for one x-ray examination ordered by a licensed chiropractor or osteopath. ** *an additional $100 per benefit plan year may be paid per covered person for the surgical removal of toenails or the excision of plantar warts. Note: Under some circumstances, benefits may not be payable until the government plan, where applicable, has paid its yearly maximum. Where a practitioner is charging over and above the government fee schedule, the difference between the government fee and the practitioner charge may be claimed. Professional services of a Registered Nurse (RN), only while the patient is not confined to a hospital, up to a maximum of $15,000 during any period of three (3) consecutive benefit plan years. The Registered Nurse (RN) or practitioners noted above may not be someone normally residing in the patient’s home. Hearing Aids up to a maximum benefit of $500 for each covered person, every five (5) benefit years.