Common use of Pharmacy Listing Clause in Contracts

Pharmacy Listing. You do have the choice of purchasing your drugs anywhere you like. However, in order to assist you in choosing a lower cost pharmacy a list of pharmacies and their current dispensing fees is available. Simply click on xxx.xxxxxxxxxxxxx.xxx, then click on Managed Health Care, choose your province, then your city and you will find the names and addresses of the pharmacies in your city indicating the maximum, minimum and average level of their dispensing fees charged. This list is updated on a quarterly basis. This information is also available by contacting the Plan Administrator’s Contact Centre. Health Practitioners charges, including x-ray charges, by any of the following practitioners who are registered and legally practising within the scope of their professions, up to the following maximums: - a chiropractor, osteopath, naturopath, podiatrist/chiropodist, audiologist, registered clinical psychologist, physiotherapist or speech therapist up to a maximum of $400 per type of practitioner, per calendar year, per covered person to a maximum of $1,000 per calendar year per family, for all practitioners combined; and No amount will be paid for any visit for which any amount is payable under the insured person's Provincial Health Plan, unless permitted by law. Orthopaedic shoes/orthotics: $200 per shoe or up to a maximum of $400 per calendar year. To be covered under the plan, orthopedic shoes and orthotics must be recommended by a licensed doctor (M.D.), podiatrist or chiropodist, custom made and specifically designed and molded for the covered person, dispensed by a certified podiatrist, chiropodist, pedorthist or orthotist and required to correct a diagnosed physical impairment. Recommendation must include the diagnosis, symptoms and chief complaints. No benefit will be provided if the orthopedic shoes or orthotics are prescribed or dispensed by a practitioner other than those listed above. Important Note: To avoid misinterpretation of what is eligible and what may or may not qualify as a covered expense, it is strongly recommended that you submit an estimate to the Plan Administrator for confirmation prior to the purchase. Breast prosthesis: $150 in any 5 year period Artificial limbs, eyes, back and neck braces: $750 per appliance, per lifetime Hearing Aids: $500 every five years Support Hose And Surgical Stockings up to a maximum of 2 pairs per calendar year. To be eligible elastic support stockings must be recommended by a licensed doctor (M.D.) or podiatrist, provided they have a compression value of at least 20 to 30 mmHg pressure and are required to treat a diagnosed medical condition. Out-Of-Hospital nursing charges, paid at 80%, for private duty nursing care to a maximum of $25,000 every 3 years, by a registered nurse (R.N.) who: - is not a member of your family; and. - does not normally live in your home; when ordered by a licensed doctor (M.D.) as medically necessary for a disability that requires the specialised training of an R.N.

Pharmacy Listing. You do have the choice of purchasing your drugs anywhere you like. However, in order to assist you in choosing a lower cost pharmacy a list of pharmacies and their current dispensing fees is available. Simply click on xxx.xxxxxxxxxxxxx.xxx, then click on Managed Health Care, choose your province, then your city and you will find the names and addresses of the pharmacies in your city indicating the maximum, minimum and average level of their dispensing fees charged. This list is updated on a quarterly basis. This information is also available by contacting the Plan Administrator’s Contact Centre. Health Practitioners charges, including x-ray chargescharges (one x-ray per practitioner per family member), by any of the following practitioners who are registered and legally practising practicing within the scope of their professions, up to the following maximumsa maximum of $1,500 per calendar year per family for all practitioners combined: - • a chiropractor, chiropodist, podiatrist, osteopath, naturopath, podiatrist/chiropodist, audiologistor occupational therapist; or • a registered massage therapist, registered clinical psychologist, physiotherapist physiotherapist, or speech therapist up therapist, when treatment is prescribed by a licensed doctor (M.D.) as to a maximum of $400 per type of practitioner, per calendar year, per covered person to a maximum of $1,000 per calendar year per family, for all practitioners combined; duration and type. No amount will be paid for any visit for which any amount is payable under the insured covered person's ’s Provincial Health Plan, unless permitted by law. Orthopaedic shoes/orthoticsCardiac Rehabilitation: $200 500 per shoe or up to a maximum calendar year Foot Care Limits: • Orthopedic Shoes – one pair of $400 custom-made shoes per calendar year. , but not more than $200 • Orthotics – one pair per calendar year, but not more than $300 To be covered under the plan, orthopedic shoes and orthotics must be recommended by a licensed doctor (M.D.), podiatrist or chiropodist, custom made and specifically designed and molded for the covered person, dispensed by a certified podiatrist, chiropodist, pedorthist or orthotist and required to correct a diagnosed physical impairment. Recommendation must include the diagnosis, symptoms and chief complaints. No benefit will be provided if the orthopedic shoes or orthotics are prescribed or dispensed by a practitioner other than those listed above. Important Note: To avoid misinterpretation of what is eligible and what may or may not qualify as a covered expense, it is strongly recommended that you submit an estimate to the Plan Administrator for confirmation prior to the purchase. Breast prosthesis: $150 in any 5 year period Artificial limbs, eyes, back and neck braces: $750 per appliance, per lifetime Hearing Aids: $500 every five years Support Hose And Surgical Stockings up to a maximum of 2 pairs per calendar year. To be eligible elastic support stockings must be recommended by a licensed doctor (M.D.) or podiatrist, provided they have a compression value of at least 20 to 30 mmHg pressure and are required to treat a diagnosed medical condition. Out-Of-Hospital nursing charges, paid at 80%, for private duty nursing care to a maximum of $25,000 every 3 years, by a registered nurse (R.N.) who: - is not a member of your family; and. - does not normally live in your home; when ordered by a licensed doctor (M.D.) as medically necessary for a disability that requires the specialised training of an R.N..

Pharmacy Listing. You do have the choice of purchasing your drugs anywhere you like. However, in order to assist you in choosing a lower cost pharmacy a list of pharmacies and their current dispensing fees is available. Simply click on xxx.xxxxxxxxxxxxx.xxx, then click on Managed Health Care, choose your province, then your city and you will find the names and addresses of the pharmacies in your city indicating the maximum, minimum and average level of their dispensing fees charged. This list is updated on a quarterly basis. This information is also available by contacting the Plan Administrator’s Contact Centre. Health Practitioners charges, including x-ray charges, by any of the following practitioners who are registered and legally practising within the scope of their professions, up to the following maximums: - a chiropractor, osteopath, naturopath, podiatrist/chiropodist, audiologistacupuncturist, registered clinical psychologist, physiotherapist or physiotherapist, registered massage therapist orthophonist/speech therapist up to a maximum of $400 per type of practitioner, per calendar year, per covered person to a maximum of $1,000 per calendar year per family, for all practitioners combined; and No amount will be paid for any visit for which any amount is payable under the insured person's Provincial Health Plan, unless permitted by law. Orthopaedic shoes/orthotics: $200 per shoe or up to a maximum of $400 per calendar year. To be covered under the plan, orthopedic shoes and orthotics must be recommended by a licensed doctor (M.D.), podiatrist or chiropodist, custom made and specifically designed and molded for the covered person, dispensed by a certified podiatrist, chiropodist, pedorthist or orthotist and required to correct a diagnosed physical impairment. Recommendation must include the diagnosis, symptoms and chief complaints. No benefit will be provided if the orthopedic shoes or orthotics are prescribed or dispensed by a practitioner other than those listed above. Important Note: To avoid misinterpretation of what is eligible and what may or may not qualify as a covered expense, it is strongly recommended that you submit an estimate to the Plan Administrator for confirmation prior to the purchase. Breast prosthesis: $150 in any 5 year period Artificial limbs, eyes, back and neck braces: $750 per appliance, per lifetime Hearing Aids: $500 every five years Support Hose And Surgical Stockings up to a maximum of 2 pairs per calendar year. To be eligible elastic support stockings must be recommended by a licensed doctor (M.D.) or podiatrist, provided they have a compression value of at least 20 to 30 mmHg pressure and are required to treat a diagnosed medical condition. Out-Of-Hospital nursing charges, paid at 80%, for private duty nursing care to a maximum of $25,000 every 3 years, by a registered nurse (R.N.) who: - is not a member of your family; and. - does not normally live in your home; when ordered by a licensed doctor (M.D.) as medically necessary for a disability that requires the specialised training of an R.N.prescribed

Pharmacy Listing. You do have the choice of purchasing your drugs anywhere you like. However, in order to assist you in choosing a lower cost pharmacy a list of pharmacies and their current dispensing fees is available. Simply click on xxx.xxxxxxxxxxxxx.xxx, then click on Managed Health Care, choose your province, then your city and you will find the names and addresses of the pharmacies in your city indicating the maximum, minimum and average level of their dispensing fees charged. This list is updated on a quarterly basis. This information is also available by contacting the Plan Administrator’s Contact Centre. Health Practitioners charges, including x-ray charges, by any of the following practitioners who are registered and legally practising within the scope of their professions, up to the following maximums: - a chiropractor, osteopath, naturopath, podiatrist/chiropodist, audiologistacupuncturist, registered clinical psychologist, physiotherapist or physiotherapist, registered massage therapist orthophonist/speech therapist up to a maximum of $400 per type of practitioner, per calendar year, per covered person to a maximum of $1,000 per calendar year per family, for all practitioners combined; and No amount will be paid for any visit for which any amount is payable under the insured person's Provincial Health Plan, unless permitted by law. Orthopaedic shoes/orthotics: $200 per shoe or up to a maximum of $400 per calendar year. To be covered under the plan, orthopedic shoes and orthotics must be recommended by a licensed doctor (M.D.), podiatrist or chiropodist, custom made and specifically designed and molded for the covered person, dispensed by a certified podiatrist, chiropodist, pedorthist or orthotist and required to correct a diagnosed physical impairment. Recommendation must include the diagnosis, symptoms and chief complaints. No benefit will be provided if the orthopedic shoes or orthotics are prescribed or dispensed by a practitioner other than those listed above. Important Note: To avoid misinterpretation of what is eligible and what may or may not qualify as a covered expense, it is strongly recommended that you submit an estimate to the Plan Administrator for confirmation prior to the purchase. Breast prosthesis: $150 in any 5 year period Artificial limbs, eyes, back and neck braces: $750 per appliance, per lifetime Hearing Aids: $500 every five years Support Hose And Surgical Stockings up to a maximum of 2 pairs per calendar year. To be eligible elastic support stockings must be recommended by a licensed doctor (M.D.) or podiatrist, provided they have a compression value of at least 20 to 30 mmHg pressure and are required to treat a diagnosed medical condition. Out-Of-Hospital nursing charges, paid at 80%, for private duty nursing care to a maximum of $25,000 every 3 years, by a registered nurse (R.N.) who: - is not a member of your family; and. - does not normally live in your home; when ordered by a licensed doctor (M.D.) as medically necessary for a disability that requires the specialised training of an R.N.