SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 32.1 The Employer shall pay one hundred percent (100%) of the monthly premiums for the basic Supplementary Health and Hospital Insurance for all employees covered by this Collective Agreement. Where an employee chooses, the employer shall pay eighty per cent (80%) of the monthly premiums for vision coverage and sixty per cent (60%) for hearing aid coverage, which shall continue to be a combined benefit under the Supplementary Health and Hospital Insurance Plan. The employee shall pay the remaining twenty and forty percent (20% and 40%), respectively, of the monthly premiums through payroll deduction.
32.2 The Supplementary Health and Hospital Insurance Plan shall include reimbursing employees for the following:
(a) ninety percent (90%) of the cost of all prescription drugs that by law require a physician’s prescription, including injectable drugs, and medicines prescribed by a licensed physician or other licensed health professional who is legally authorized to prescribe such drugs, and dispensed by a licensed pharmacist or by a physician legally authorized to dispense such drugs and medicine. For clarity, life-sustaining drugs or medicines shall continue to be covered on the same basis as under the previous collective agreement. Provided that a generic drug is listed in the Canadian Pharmaceutical Association Compendium of Pharmaceuticals and Specialities, reimbursement for drugs covered by the Plan will be based on the cost of the lowest priced generic version of the drug that the dispensing pharmacist can readily provide, unless the prescribing physician or health professional stipulates no substitution, in which case the reimbursement will be based on the cost of the drugs prescribed. The Employer agrees to provide employees with a Drug Card effective Jan. 1, 2013.
(b) Reimbursement for hospital care for private or semi-private room and board shall be up to one hundred and twenty dollars ($120.00) per day beyond the cost of standard xxxx care.
(c) one hundred percent (100%) of the cost of diagnostic procedures, and radiology;
(d) vision and hearing aid coverage shall include reimbursing employees for the following, subject to a ten dollar ($10) deductible per person per calendar year, to a maximum of twenty dollars ($20) per family per calendar year. Vision and hearing aid coverage shall be reimbursed: • up to three hundred and forty dollars ($340.00) per person in any consecutive twenty-four month period following the date the expense is incurred, for...
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 39.1 The Employer shall pay one hundred percent (100%) of the monthly premium of the Supplementary Health and Hospital Plan.
39.2.1 Effective June 1, 2002, the Supplementary Health and Hospital Plan shall provide for the reimbursement of ninety percent (90%) of the cost of prescribed drugs and medicines that require a physician’s prescription. The Supplementary Health and Hospital Plan shall provide reimbursement for ninety percent (90%) of the generic equivalent where a generic equivalent exists. Where the brand name product is dispensed, the employee will pay the difference between the cost of the brand name product and the ninety percent (90%) of the generic equivalent product cost that is reimbursed by the Supplementary Health and Hospital Plan. Notwithstanding the foregoing, if no generic product exists the Supplementary Health and Hospital Plan shall provide reimbursement for ninety percent (90%) of the cost of the brand name product. Effective June 1, 2002, the Supplementary Health and Hospital Plan shall provide for the reimbursement of one hundred percent (100%) of the cost of semi-private or private hospital accommodation to a maximum of one hundred and twenty dollars ($120) per day over and above the cost of standard xxxx care, and one hundred percent (100%) of the cost for the following services, as set out in Articles 39.2.2 to 39.2.15. Effective January 1, 2003 reimbursement of prescription drugs will include a three dollar ($3) deductible per prescription to be paid by the employee. Effective April 1, 2009, the Supplementary Health and Hospital Plan shall provide reimbursement for ninety percent (90%) of the cost of medically necessary vaccinations or immunizations when prescribed and administered by a qualified health care practitioner where such vaccine or immunization is not covered by a provincial health plan.
39.2.1.1 Not later than November 1, 2006 the Employer agrees to provide employees with a Drug Card, which shall provide for direct payment of drug costs at the point of purchase, subject to the limitations set out below. The Employer will provide a copy of the drug card plan prior to the implementation date.
39.2.1.2 The Drug Card program shall include the following elements:
1) Employees shall be obliged to enrol themselves and all eligible participants in the Drug Card program before coverage shall be provided to the respective employee or eligible participant. If an employee fails to enrol, paper claims will continue to be accep...
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 39.1 The Employer shall pay one hundred percent (100%) of the monthly premium of the Supplementary Health and Hospital Plan.
39.2.1 Effective January 1, 1992, the Supplementary Health and Hospital Plan shall provide for the reimbursement of ninety percent (90%) of the cost of prescribed drugs and medicines, one hundred percent (100%) of the cost of semi-private or private hospital accommodation to a maximum of seventy-five dollars ($75) per day over and above the cost of standard xxxx care, and one hundred percent (100%) of the cost for the following services, as set out in Articles 39.2.2 to 39.2.15.
39.2.2 Charges for accommodation, for employees sixty-five (65) and over, in a licenced chronic or convalescent hospital up to twenty-five dollars ($25) per day and limited to one hundred and twenty (120) days per calendar year for semi-private or private accommodation;
39.2.3 Charges made by a licenced hospital for out-patient t reatment not paid for under a provincial plan;
39.2.4 Charges for private-duty nursing in the employee’s home, by a registered nurse or a registered nursing assistant who is not normally resident in the employee’s home, and who is not related to either the employee or his or her dependents, provided such registered nursing service is approved by a licenced physician or surgeon as being necessary to the employee’s health care;
39.2.5 Charges for the services of a chiropractor, osteopath, naturopath, podiatrist, physiotherapist, speech therapist, and masseur (if licenced and practising within the scope of their licence), to a maximum of twelve dollars ($12) per visit for each visit not subsidized by O.H.I.P.;
39.2.6 Charges for the services of a psychologist up to sixteen dollars ($16) per half-hour for individual psychotherapy and/or testing and twelve dollars ($12) per visit for all other visits;
39.2.7 Artificial xxx xx and eyes, crutches, splints, casts, trusses and braces; seventy-five percent (75%) of the cost of specially modified shoes (factory custom ) ready m ade, off-the-shelf with a lim it of three (3) pairs per calendar year, if m edically necessary and prescribed by a licenced physician; and seventy-five percent (75%) of the cost of corrective shoe inserts, if medically prescribed, up to a limit of three (3) pairs per calendar year;
39.2.8 Rentals of wheel chairs, hospital beds or iron lungs required for temporary therapeutic use. A wheel chair may be purchased if recommended by the attending physician and if rental cost ...
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. The Employer shall pay one hundred percent (100%) of the monthly premium of the Supplementary Health and Hospital Plan.
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. The Employer shall pay one hundred percent (100%) of the monthly premiums for the basic Supplementary Health and Hospital Insurance for all employees covered by this Collective Agreement. Where an employee chooses, the employer shall pay eighty per cent (80%) of the monthly premiums for vision coverage and sixty per cent (60%) for hearing aid coverage, which shall continue to be a combined benefit under the Supplementary Health and Hospital Insurance Plan. The employee shall pay the remaining twenty and forty percent (20% and 40%), respectively, of the monthly premiums through payroll deduction. Effective April 1, 2010, where an employee chooses, the Employer shall pay one hundred percent (100%) of the monthly premiums for vision coverage and for hearing aid coverage, which shall continue to be a combined benefit under the Supplementary Health and Hospital Insurance Plan.
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. (FPT)
67.1.1 If an employee elects to participate in this plan, the Employer shall pay forty percent (40%), fifty percent (50%), sixty percent (60%), seventy percent (70%), or eighty percent (80%) of the monthly premium for the Supplementary Health and Hospital Plan, whichever is closest to the percentage that the employee’s weekly hours of work bear to full-time employment. The employee shall pay the balance of the monthly premium through payroll deduction.
67.1.2 An employee who does not elect to join the plan on first becoming eligible to participate, or who elects to rejoin the plan after opting out earlier, may make application in December of any year to commence coverage effective January 1st following, provided the employee has satisfied the service requirement specified in Article 64.1 (
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 67.1.1 If an employee elects to participate in this plan, the Employer shall pay forty percent (40%), fifty percent (50%), sixty percent (60%), seventy percent (70%), or eighty percent (80%) of the monthly premium for the Supplementary Health and Hospital Plan, whichever is closest to the percentage that the employee’s weekly hours of work bear to full-time employment. The employee shall pay the balance of the monthly premium through payroll deduction.
67.1.2 An employee who does not elect to join the plan on first becoming eligible to participate, or who elects to rejoin the plan after opting out earlier, may make application in December of any year to com mence coverage effective January 1st following, provided the employee has satisfied the service requirement specified in Article 64.1 (
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. The employer will continue to pay for employee benefits as they have in the past using up to date riders and fee schedules
55.1 The Employer shall pay one hundred percent (100%) of the monthly premium of the Supplementary Health and Hospital Plan.
(a) A dispensing fee cap of $9.00 per prescription will be placed on all prescriptions for the life of the contract.
55.2 Effective January 1, 1998, the Supplementary Health and Hospital Plan shall provide for the reimbursement of ninety percent (90%) [effective November 1, 2001, ninety-five percent (95%)] of the cost of prescribed drugs and medicines, one hundred percent (100%) of the cost of semi-private or private hospital accommodation to a maximum of one hundred and fifty dollars ($150.00) per day over and above the cost of standard xxxx care, and one hundred percent (100%) of the cost for the following services:
(a) charges for accommodation, for employees sixty-five (65) and over, in a licensed chronic or convalescent hospital up to twenty-five dollars ($25.00) per day and limited to one hundred and twenty (120) days per calendar year for semi-private or private accommodation;
(b) charges made by a licensed hospital for out-patient treatment not paid for under a provincial plan;
(c) charges for private-duty nursing in the employee's home, by a registered nurse or a registered nursing assistant who is not ordinarily resident in the employee's home, and who is not related to either the employee or his/her dependants, provided such registered nursing service is approved by a licensed physician or surgeon as being necessary to the employee's health care;
(d) charges for the services of a Chiropractor, Osteopath, Naturopath, Podiatrist, Physiotherapist, Speech Therapist, and Masseur (if licensed and practising within the scope of their licence), to a maximum of twelve dollars ($12.00) per visit for each visit not subsidized by the Ontario Health Tax;
(e) charges for the services of a Psychologist up to sixteen dollars ($16.00) per half-hour for individual psychotherapy and/or testing and twelve dollars ($12.00) per visit for all other visits;
(f) artificial limbs and eyes, crutches, splints, casts, trusses and braces; seventy-five percent (75%) of the cost of specially modified shoes (factory custom) ready made, off-the-shelf with a limit of three (3) pairs per calendar year, if medically necessary and prescribed by a licenced physician; and seventy-five percent (75%) of the cost of corrective shoe inserts, if ...
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 67.1.1 If an employee elects to participate in this plan, the Employer shall pay forty percent (40%), fifty percent (50%), sixty percent (60%), seventy percent (70%), or eighty percent (80%) of the monthly premium for the Supplem entary Health and Hospital Plan, whichever is closest to the percentage that the employee’s weekly hours of work bear to full-time employment. The em ployee shall pay the balance of the monthly premium through payroll deduction.
67.1.2 An employee who does not elect to join the plan on first becom ing eligible to participate, or who elects to rejoin the plan after opting out earlier, may m ake application in December of any year to com mence coverage effective January 1st following, provided the em ployee has satisfied the service requirement specified in Article 64.1 (
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. The Plan introduced November 1, 1973, as amended, will continue in effect during the term of this Memorandum. The Plan provides coverage for eligible medical expenses as listed in the Plan and in addition effective June 1, 2003, will provide coverage of up to two hundred dollars ($200) per day for hospital accommodation over and above standard xxxx coverage. Effective January 1, 1993, the Employer agrees to a drug card program as provided and amended from time to time by the insurance carrier administering the group insurance benefits under this Memorandum of Understanding. Effective January 1, 1998, the total prescription cost for claims will be comprised of the drug ingredient cost plus up to eight ($8.00) dollars per prescription for the pharmacies’ professional fee (dispensing fee). Effective June 1, 2003, drug coverage under this article is limited to those drugs prescribed by a licensed physician who is legally authorized to prescribe such drugs, and dispensed by a licensed pharmacist or by a physician legally authorized to dispense such drugs (excluding drugs that may be purchased over-the-counter). Provided that a generic drug is listed in the Canadian Pharmaceutical Association Compendium of Pharmaceuticals and Specialties, reimbursement will be at ninety (90%) percent based on the reasonable and customary cost of the generic version. This re-imbursement will remain at this level regardless of whether the employee chooses to purchase the generic or the brand-name drug. If no generic equivalent exists, reimbursement will be at ninety (90%) percent of the reasonable and customary cost of the brand name product. The Employer will continue to pay one hundred percent (100%) of the premium for this Plan.
