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 the purchase, fitting or repair of spectacle lenses, frames or contact lenses prescribed by an Ophthalmologist or Optometrist, or laser eye correction surgery performed by a licensed practitioner providing services within the scope of their license. • up to twenty-five hundred dollars ($2500.00) per person in a five (5) year period for the purchase and/or repairs of hearing aids (excluding batteries) prescribed by a physician certified as an otolaryngologist or by a qualified audiologist. (e) paramedical services include the following coverage per employee and each of their dependants: (i) the services of an acupuncturist, at the rate of thirty-five dollars ($35) per visit, to an annual maximum of twelve hundred dollars ($1200); (ii) the services of a speech therapist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400); (iii) the services of a chiropractor, osteopath, naturopath, podiatrist, chiropodist, physiotherapist and masseur, if licensed and practising within the scope of their license to a maximum of thirty-five dollars ($35) per visit for each visit not subsidized by OHIP and to an annual maximum of twelve hundred dollars ($1200) for each type of service. (f) the services of a psychologist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400). Coverage shall also include services rendered by a social worker with a Master’s Degree in Social Work, where such services are equivalent to the services that would otherwise be provided by a psychologist;
Appears in 2 contracts
Samples: Collective Agreement, Collective Agreement
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-twenty- four month period following the date the expense is incurred, for the purchase, fitting or repair of spectacle lenses, frames or contact lenses prescribed by an Ophthalmologist or Optometrist, or laser eye correction surgery performed by a licensed practitioner providing services within the scope of their license. • up to twenty-five hundred dollars ($2500.00) per person in a five (5) year period for the purchase and/or repairs of hearing aids (excluding batteries) prescribed by a physician certified as an otolaryngologist or by a qualified audiologist.
(e) paramedical services include the following coverage per employee and each of their dependants:
(i) the services of an acupuncturist, at the rate of thirty-five dollars ($35) per visit, to an annual maximum of twelve hundred dollars ($1200);
(ii) the services of a speech therapist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400);
(iii) the services of a chiropractor, osteopath, naturopath, podiatrist, chiropodist, physiotherapist and masseur, if licensed and practising within the scope of their license to a maximum of thirty-five dollars ($35) per visit for each visit not subsidized by OHIP and to an annual maximum of twelve hundred dollars ($1200) for each type of service.
(f) the services of a psychologist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400). Coverage shall also include services rendered by a social worker with a Master’s Degree in Social Work, where such services are equivalent to the services that would otherwise be provided by a psychologist;
Appears in 2 contracts
Samples: Collective Agreement, Collective Agreement
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 32.1 34.1 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. 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.
32.2 34.2 The Supplementary Health and Hospital Insurance Plan shall include reimbursing employees for the followingfollowing eligible expenses:
(a) Effective January 1, 2015, 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 Reimbursement of prescription drugs will include a three dollar ($3) deductible per prescription to provide employees with a Drug Card effective Jan. 1, 2013be paid by the employee.
(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) Effective January 1, 2015, one hundred percent (100%) of the cost of diagnostic procedures. For the purposes of this section “diagnostic procedures” shall comprise diagnostic laboratory or X-ray procedures, and radiology;excluding eye examinations, conducted in a licensed laboratory when prescribed by a registered physician for the purposes of obtaining a medical diagnosis. For clarity, coverage shall not apply in respect of claims for diagnostic procedures that are:
i) elective; or
ii) conducted for research, study or experimental purposes.
(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 the purchase, fitting or repair of spectacle lenses, frames or contact lenses prescribed by an Ophthalmologist or Optometrist, or laser eye correction surgery performed by a licensed practitioner providing services within the scope of their license. • Effective January 1, 2015, the Supplementary Health and Hospital Plan shall provide for the reimbursement of the cost of one routine eye examination every twenty four (24) months independent of the vision care maximum. For clarity, the twenty four (24) month period shall, for each employee, commence from the last date the employee had a routine eye examination. • Effective January 1, 2015, up to twenty-five twelve hundred dollars ($2500.001200.00) per person in a five any four (54) year consecutive period (whether prior to or after January 1, 2015) for the purchase and/or repairs of hearing aids (excluding batteries) prescribed by a physician certified as an otolaryngologist or by a qualified audiologist.
(e) paramedical services include the following coverage per employee and each of their dependants:
(i) the services of an acupuncturist, at the rate of thirty-five dollars ($35) per visit, to an annual maximum of twelve hundred dollars ($1200);
(ii) the services of a speech therapist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400);
(iii) the services of a chiropractor, osteopath, naturopath, podiatrist, chiropodist, physiotherapist and masseur, if licensed and practising within the scope of their license to a maximum of thirty-five dollars ($35) per visit for each visit not subsidized by OHIP and to an annual maximum of twelve hundred dollars ($1200) for each type of service.
(f) the services of a psychologist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400). Coverage shall also include services rendered by a social worker with a Master’s Degree in Social Work, where such services are equivalent to the services that would otherwise be provided by a psychologist;
(g) Effective January 1, 2015, Orthopaedic Shoes: Custom-made orthopaedic shoes, or modifications to stock, off-the-shelf orthopaedic shoes, specifically designed and constructed for the employee or dependent (or have been modified to accommodate the person’s particular medical needs) when prescribed by a physician, podiatrist or chiropodist are covered at seventy-five percent (75%) of the cost or repair of one (1) pair per calendar year to a maximum of five hundred dollars ($500) per year;
(h) Effective January 1, 2015, Orthotic Appliances: Corrective shoe inserts specifically designed and constructed for the employee or dependent and prescribed by a physician, chiropractor, podiatrist or chiropodist are covered at one hundred percent (100%) of the cost or repair of one (1) pair per year to a maximum of five hundred dollars ($500) per calendar year;
(i) Effective January 1, 2015 the Supplementary Health & Hospital Plan will be amended to include coverage for Diabetic Pumps and Supplies as follows:
(i) Purchase of Insulin Infusion Pumps to a maximum of two thousand dollars ($2,000) any 5 consecutive years (whether prior to or after January 1, 2015) per person.
(ii) Purchase of Insulin Jet Injectors (eg. Medi-injectors, preci-jets) to a lifetime maximum of one thousand dollars ($1,000).
(iii) Purchase and/or repair of one Blood Glucose monitoring machine per any consecutive four (4) year period (whether prior to or after January 1, 2015) to a maximum of four hundred dollars ($400) per person
(iv) 100% of the purchase of supplies required for the use of the above referenced diabetic appliances, to a calendar year maximum of two thousand dollars ($2,000) per person (Insulin will continue to be reimbursed as an eligible drug, not through this article).
Appears in 2 contracts
Samples: Collective Agreement, Collective Agreement
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 32.1 34.1 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 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.
32.2 34.2 The Supplementary Health and Hospital Insurance Plan shall include reimbursing employees for the followingfollowing eligible expenses:
(a) Effective January 1, 2015, 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 Reimbursement of prescription drugs will include a three dollar ($3) deductible per prescription to provide employees with a Drug Card be paid by the employee. Notwithstanding Article 34.2 (a), effective Jan. April 1, 20132023, drug coverage under 34.2 (a) is modified by the Letter of Understanding re: Administrative Changes on page 182 of the agreement.
(b) Reimbursement for hospital care for private or semi-private room and board shall be up to one hundred and twenty dollars ($120.00120) per day beyond the cost of standard xxxx care.
(c) Effective January 1, 2015, one hundred percent (100%) of the cost of diagnostic procedures. For the purposes of this section “diagnostic procedures” shall comprise diagnostic laboratory or X-ray procedures, and radiology;excluding eye examinations, conducted in a licensed laboratory when prescribed by a registered physician for the purposes of obtaining a medical diagnosis. For clarity, coverage shall not apply in respect of claims for diagnostic procedures that are:
i) elective; or
ii) conducted for research, study or experimental purposes.
(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 ($340.00340) per person in any consecutive twenty-four month period following the date the expense is incurred, for the purchase, fitting or repair of spectacle lenses, frames or contact lenses prescribed by an Ophthalmologist or Optometrist, or laser eye correction surgery performed by a licensed practitioner providing services within the scope of their license. • Effective January 1, 2015, the Supplementary Health and Hospital Plan shall provide for the reimbursement of the cost of one routine eye examination every twenty four (24) months independent of the vision care maximum. For clarity, the twenty four (24) month period shall, for each employee, commence from the last date the employee had a routine eye examination. • Effective January 1, 2015, up to twenty-five twelve hundred dollars ($2500.001200) per person in a five any four (54) year consecutive period (whether prior to or after January 1, 2015) for the purchase and/or repairs of hearing aids (excluding batteries) prescribed by a physician certified as an otolaryngologist or by a qualified audiologist.
(e) paramedical services include the following coverage per employee and each of their dependants:
(i) the services of an acupuncturist, at the rate of thirty-five dollars ($35) per visit, to an annual maximum of twelve hundred dollars ($1200);
(ii) the services of a speech therapist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400);
(iii) the services of a chiropractor, osteopath, naturopath, podiatrist, chiropodist, physiotherapist and masseur, if licensed and practising within the scope of their license to a maximum of thirty-five dollars ($35) per visit for each visit not subsidized by OHIP and to an annual maximum of twelve hundred dollars ($1200) for each type of service.
(f) up to March 31, 2022, the services of a psychologist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400). Coverage shall also include services rendered by a social worker with a Master’s Degree in Social Work, where such services are equivalent to the services that would otherwise be provided by a psychologist; Effective April 1, 2022, the services of a psychologist, at the rate of sixty dollars ($60) per half hour, to an annual maximum of sixteen hundred dollars ($1600). Coverage shall also include services rendered by a psychotherapist, or a social worker with a Master’s Degree in Social Work, where such services are equivalent to the services that would otherwise be provided by a psychologist; Effective April 1, 2023, the services of a psychologist, at the rate of eighty dollars ($80) per half hour, to an annual maximum of sixteen hundred dollars ($1600). Coverage shall also include services rendered by a psychotherapist, or a social worker with a Master’s Degree in Social Work, where such services are equivalent to the services that would otherwise be provided by a psychologist;
(g) Effective January 1, 2015, Orthopaedic Shoes: Custom-made orthopaedic shoes, or modifications to stock, off-the-shelf orthopaedic shoes, specifically designed and constructed for the employee or dependent (or have been modified to accommodate the person’s particular medical needs) when prescribed by a physician, podiatrist or chiropodist are covered at seventy-five percent (75%) of the cost or repair of one (1) pair per calendar year to a maximum of five hundred dollars ($500) per year;
(h) Effective January 1, 2015, Orthotic Appliances: Corrective shoe inserts specifically designed and constructed for the employee or dependent and prescribed by a physician, chiropractor, podiatrist or chiropodist are covered at one hundred percent (100%) of the cost or repair of one (1) pair per year to a maximum of five hundred dollars ($500) per calendar year;
(i) Effective January 1, 2015, the Supplementary Health & Hospital Plan will be amended to include coverage for Diabetic Pumps and Supplies as follows:
(i) Purchase of Insulin Infusion Pumps to a maximum of two thousand dollars ($2000) any 5 consecutive years (whether prior to or after January 1, 2015) per person.
(ii) Purchase of Insulin Jet Injectors (eg. Medi-injectors, preci-jets) to a lifetime maximum of one thousand dollars ($1000).
(iii) Purchase and/or repair of one Blood Glucose monitoring machine per any consecutive four (4) year period (whether prior to or after January 1, 2015) to a maximum of four hundred dollars ($400) per person. Effective January 1, 2020, coverage includes continuous blood glucose monitors and flash glucose monitors.
(iv) 100% of the purchase of supplies required for the use of the above referenced diabetic appliances, to a calendar year maximum of two thousand dollars ($2000) per person (Insulin will continue to be reimbursed as an eligible drug, not through this article).
34.3 If the coverage of an employee or an employee’s dependant for Supplementary Health and Hospital Insurance terminates when the employee or the dependant is pregnant, benefits shall be payable for pregnancy related expenses until the date of the baby’s delivery.
Appears in 2 contracts
Samples: Collective Agreement, Collective Agreement
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 32.1 34.1 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 34.2 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 four hundred and forty dollars ($340.00400) per person in any consecutive twenty-four month period following the date the expense is incurred, for the purchase, fitting or repair of spectacle lenses, frames or contact lenses lens prescribed by an Ophthalmologist or Optometrist, or laser eye correction surgery performed by a licensed practitioner providing services within the scope of their license. • up to twenty-five hundred dollars ($2500.00) dollars per person in a five (5) year period for the purchase and/or repairs of hearing aids (excluding batteries) prescribed by a physician certified as an otolaryngologist or by a qualified audiologist.
(e) paramedical services include the following coverage per employee and each of their dependants:
(i) the services of an acupuncturist, at the rate of thirty-five dollars ($35) per visit, to an annual maximum of twelve hundred dollars ($1200);
(ii) the services of a speech therapist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400);
(iii) the services of a chiropractor, osteopath, naturopath, podiatrist, chiropodist, physiotherapist and masseur, if licensed and practising practicing within the scope of their license to a maximum of thirty-five dollars ($35) per visit for each visit not subsidized by OHIP and to an annual maximum of twelve hundred dollars ($1200) for each type of service.
(f) the services of a psychologist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400). Coverage shall also include services rendered by a social worker with a Master’s Degree in Social Work, where such services are equivalent to the services that would otherwise be provided by a psychologist;
Appears in 2 contracts
Samples: Collective Agreement, Collective Agreement
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 32.1 34.1 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. 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.
32.2 34.2 The Supplementary Health and Hospital Insurance Plan shall include reimbursing employees for the followingfollowing eligible expenses:
(a) Until December 31, 2014, 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-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. Effective January 1, 20132015, 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. 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 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. Reimbursement of prescription drugs will include a three dollar ($3) deductible per prescription to be paid by the employee.
(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) Until December 31, 2014 one hundred percent (100%) of the cost of diagnostic procedures, and radiology;; Effective January 1, 2015, one hundred percent (100%) of the cost of diagnostic procedures. For the purposes of this section “diagnostic procedures” shall comprise diagnostic laboratory or X-ray procedures, excluding eye examinations, conducted in a licensed laboratory when prescribed by a registered physician for the purposes of obtaining a medical diagnosis. For clarity, coverage shall not apply in respect of claims for diagnostic procedures that are:
i) elective; or
ii) conducted for research, study or experimental purposes.
(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 the purchase, fitting or repair of spectacle lenses, frames or contact lenses prescribed by an Ophthalmologist or Optometrist, or laser eye correction surgery performed by a licensed practitioner providing services within the scope of their license. Effective January 1, 2015, the Supplementary Health and Hospital Plan shall provide for the reimbursement of the cost of one routine eye examination every twenty four (24) months independent of the vision care maximum. For clarity, the twenty four (24) month period shall, for each employee, commence from the last date the employee had a routine eye examination. • Until December 31, 2014, up to twenty-five hundred dollars ($2500.00) per person in a five (5) year period for the purchase and/or repairs of hearing aids (excluding batteries) prescribed by a physician certified as an otolaryngologist or by a qualified audiologist.. • Effective January 1, 2015, up to twelve hundred dollars ($1200.00) per person in any four (4) year consecutive period (whether prior to or after January 1, 2015) for the purchase and/or repairs of hearing aids (excluding batteries) prescribed by a physician certified as an otolaryngologist or by a qualified audiologist
(e) paramedical services include the following coverage per employee and each of their dependants:
(i) the services of an acupuncturist, at the rate of thirty-five dollars ($35) per visit, to an annual maximum of twelve hundred dollars ($1200);
(ii) the services of a speech therapist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400);
(iii) the services of a chiropractor, osteopath, naturopath, podiatrist, chiropodist, physiotherapist and masseur, if licensed and practising within the scope of their license to a maximum of thirty-five dollars ($35) per visit for each visit not subsidized by OHIP and to an annual maximum of twelve hundred dollars ($1200) for each type of service.
(f) the services of a psychologist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400). Coverage shall also include services rendered by a social worker with a Master’s Degree in Social Work, where such services are equivalent to the services that would otherwise be provided by a psychologist;
(g) Until December 31, 2014, Orthopaedic Shoes: Custom-made orthopaedic shoes, or modifications to stock, off-the-shelf orthopaedic shoes, specifically designed and constructed for the employee or dependent (or have been modified to accommodate the person’s particular medical needs) when prescribed by a physician, podiatrist or chiropodist are covered at seventy-five percent (75%) of the cost or repair per year to a maximum of five hundred dollars ($500) per year; Effective January 1, 2015, Orthopaedic Shoes: Custom-made orthopaedic shoes, or modifications to stock, off-the-shelf orthopaedic shoes, specifically designed and constructed for the employee or dependent (or have been modified to accommodate the person’s particular medical needs) when prescribed by a physician, podiatrist or chiropodist are covered at seventy-five percent (75%) of the cost or repair of one (1) pair per calendar year to a maximum of five hundred dollars ($500) per year;
(h) Until December 31, 2014, Orthotic Appliances: Corrective shoe inserts specifically designed and constructed for the employee or dependent and prescribed by a physician, chiropractor, podiatrist or chiropodist are covered at one hundred percent (100%) of the cost or repair per year to a maximum of five hundred dollars ($500) per year; Effective January 1, 2015, Orthotic Appliances: Corrective shoe inserts specifically designed and constructed for the employee or dependent and prescribed by a physician, chiropractor, podiatrist or chiropodist are covered at one hundred percent (100%) of the cost or repair of one (1) pair per year to a maximum of five hundred dollars ($500) per calendar year;
(i) Until December 31, 2014, the Supplementary Health & Hospital Plan will include coverage for Diabetic Pumps and Supplies as follows:
(i) Purchase of Insulin Infusion Pumps to a maximum of two thousand five hundred dollars ($2,500) every 5 years per person.
(ii) Purchase of Insulin Jet Injectors (eg. Medi-injectors, preci-jets) to a maximum of one thousand dollars ($1,000), every five years per person.
(iii) Purchase and/or repair of one Blood Glucose monitoring machine per consecutive four (4)-year period to a maximum of four hundred ($400) per person,
(iv) 100% of the purchase of supplies required for the use of the above referenced diabetic appliances (Insulin will continue to be reimbursed as an eligible drug, not through this article). Effective January 1, 2015 the Supplementary Health & Hospital Plan will be amended to include coverage for Diabetic Pumps and Supplies as follows:
(i) Purchase of Insulin Infusion Pumps to a maximum of two thousand dollars ($2,000) any 5 consecutive years (whether prior to or after January 1, 2015) per person.
(ii) Purchase of Insulin Jet Injectors (eg. Medi-injectors, preci-jets) to a lifetime maximum of one thousand dollars ($1,000).
(iii) Purchase and/or repair of one Blood Glucose monitoring machine per any consecutive four (4) year period (whether prior to or after January 1, 2015) to a maximum of four hundred dollars ($400) per person
(iv) 100% of the purchase of supplies required for the use of the above referenced diabetic appliances, to a calendar year maximum of two thousand dollars ($2,000) per person (Insulin will continue to be reimbursed as an eligible drug, not through this article).
34.3 If the coverage of an employee or an employee’s dependant for Supplementary Health and Hospital Insurance terminates when the employee or the dependant is pregnant, benefits shall be payable for pregnancy related expenses until the date of the baby’s delivery.
Appears in 2 contracts
Samples: Collective Agreement, Collective Agreement
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 32.1 Effective March 1, 2002 Article 34 is amended to provide as follows:
34.1 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 34.2 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 ($340.00300.00) per person in any consecutive twenty-four month period following the date the expense is incurred, for the purchase, fitting or repair of spectacle lenses, frames or contact lenses lens prescribed by an Ophthalmologist or Optometrist, or laser eye correction surgery performed by a licensed practitioner providing services within the scope of their license. • up to twenty-five hundred dollars ($2500.00) dollars per person in a five (5) year period for the purchase and/or repairs of hearing aids (excluding batteries) prescribed by a physician certified as an otolaryngologist or by a qualified audiologist.
(e) paramedical services include the following coverage per employee and each of their dependants:
(i) the services of an acupuncturist, at the rate of thirty-five dollars ($35) per visit, to an annual maximum of twelve hundred dollars ($1200);
(ii) the services of a speech therapist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400);
(iii) the services of a chiropractor, osteopath, naturopath, podiatrist, chiropodist, physiotherapist and masseur, if licensed and practising within the scope of their license to a maximum of thirty-five dollars ($35) per visit for each visit not subsidized by OHIP and to an annual maximum of twelve hundred dollars ($1200) for each type of service.
(f) the services of a psychologist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400). Coverage shall also include services rendered by a social worker with a Master’s Degree in Social Work, where such services are equivalent to the services that would otherwise be provided by a psychologist;
(g) Orthopaedic Shoes: seventy-five percent (75%) of the cost of one pair or one repair per year to a maximum of five hundred dollars ($500) per year;
(h) Orthotic Appliances: one hundred percent (100%) of the cost of one pair or one repair per year to a maximum of five hundred dollars ($500) per year.
34.3 If the coverage of an employee or an employee’s dependent for Supplementary Health and Hospital Insurance terminates when the employee or the dependant is pregnant, benefits shall be payable for pregnancy related expenses until the date of the baby’s delivery.
Appears in 2 contracts
Samples: Collective Agreement, Collective Agreement
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 32.1 Effective March 1, 2002 Article 34 is amended to provide as follows:
34.1 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 34.2 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 ($340.00300.00) per person in any consecutive twenty-four month period following the date the expense is incurred, for the purchase, fitting or repair of spectacle lenses, frames or contact lenses lens prescribed by an Ophthalmologist or Optometrist, or laser eye correction surgery performed by a licensed practitioner providing services within the scope of their license. • up to twenty-five hundred dollars ($2500.00) dollars per person in a five (5) year period for the purchase and/or repairs of hearing aids (excluding batteries) prescribed by a physician certified as an otolaryngologist or by a qualified audiologist.
(e) paramedical services include the following coverage per employee and each of their dependants:
(i) the services of an acupuncturist, at the rate of thirty-five dollars ($35) per visit, to an annual maximum of twelve hundred dollars ($1200);
(ii) the services of a speech therapist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400);
(iii) the services of a chiropractor, osteopath, naturopath, podiatrist, chiropodist, physiotherapist and masseur, if licensed and practising within the scope of their license to a maximum of thirty-five dollars ($35) per visit for each visit not subsidized by OHIP and to an annual maximum of twelve hundred dollars ($1200) for each type of service.
(f) the services of a psychologist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400). Coverage shall also include services rendered by a social worker with a Master’s Degree in Social Work, where such services are equivalent to the services that would otherwise be provided by a psychologist;
Appears in 1 contract
Samples: Collective Agreement
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 the purchase, fitting or repair of spectacle lenses, frames or contact lenses prescribed by an Ophthalmologist or Optometrist, or laser eye correction surgery performed by a licensed practitioner providing services within the scope of their license. • up to twenty-five hundred dollars ($2500.00) per person in a five (5) year period for the purchase and/or repairs of hearing aids (excluding batteries) prescribed by a physician certified as an otolaryngologist or by a qualified audiologist.
(e) paramedical services include the following coverage per employee and each of their dependants:
(i) the services of an acupuncturist, at the rate of thirty-five dollars ($35) per visit, to an annual maximum of twelve hundred dollars ($1200);
(ii) the services of a speech therapist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400);
(iii) the services of a chiropractor, osteopath, naturopath, podiatrist, chiropodist, physiotherapist and masseur, if licensed and practising within the scope of their license to a maximum of thirty-five dollars ($35) per visit for each visit not subsidized by OHIP and to an annual maximum of twelve hundred dollars ($1200) for each type of service.
(f) the services of a psychologist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400). Coverage shall also include services rendered by a social worker with a Master’s Degree in Social Work, where such services are equivalent to the services that would otherwise be provided by a psychologist;
Appears in 1 contract
Samples: Collective Agreement
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 32.1 34.1 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 34.2 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 the purchase, fitting or repair of spectacle lenses, frames or contact lenses prescribed by an Ophthalmologist or Optometrist, or laser eye correction surgery performed by a licensed practitioner providing services within the scope of their license. • up to twenty-five hundred dollars ($2500.00) per person in a five (5) year period for the purchase and/or repairs of hearing aids (excluding batteries) prescribed by a physician certified as an otolaryngologist or by a qualified audiologist.
(e) paramedical services include the following coverage per employee and each of their dependantsdependents:
(i) the services of an acupuncturist, at the rate of thirty-five dollars ($35) per visit, to an annual maximum of twelve hundred dollars ($1200);
(ii) the services of a speech therapist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400);
(iii) the services of a chiropractor, osteopath, naturopath, podiatrist, chiropodist, physiotherapist and masseurmassage therapist, if licensed and practising practicing within the scope of their license to a maximum of thirty-five dollars ($35) per visit for each visit not subsidized by OHIP and to an annual maximum of twelve hundred dollars ($1200) for each type of service.
(iv) Retroactive to April 1, 2020: The services of a massage therapist, if licensed and practicing within the scope of their license to a maximum of forty-four dollars ($44) per visit for each visit not subsidized by OHIP and to an annual maximum of twelve hundred dollars ($1200). Retroactive to April 1, 2021: The services of a massage therapist, if licensed and practicing within the scope of their license to a maximum of fifty-three dollars ($53) per visit for each visit not subsidized by OHIP and to an annual maximum of twelve hundred dollars ($1200). Effective April 1, 2022: The services of a massage therapist, if licensed and practicing within the scope of their license to a maximum of sixty-three dollars ($63) per visit for each visit not subsidized by OHIP and to an annual maximum of twelve hundred dollars ($1200).
(f) the services of a psychologist, family therapist or marriage counsellor at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400). Coverage shall also include services rendered by a social worker with a Master’s Degree in Social Work, where such services are equivalent to the services that would otherwise be provided by a psychologist;
Appears in 1 contract
Samples: Collective Agreement
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 32.1 34.1 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. 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.
32.2 34.2 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 the purchase, fitting or repair of spectacle lenses, frames or contact lenses prescribed by an Ophthalmologist or Optometrist, or laser eye correction surgery performed by a licensed practitioner providing services within the scope of their license. • up to twenty-five hundred dollars ($2500.00) per person in a five (5) year period for the purchase and/or repairs of hearing aids (excluding batteries) prescribed by a physician certified as an otolaryngologist or by a qualified audiologist.
(e) paramedical services include the following coverage per employee and each of their dependants:
(i) the services of an acupuncturist, at the rate of thirty-five dollars ($35) per visit, to an annual maximum of twelve hundred dollars ($1200);
(ii) the services of a speech therapist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400);
(iii) the services of a chiropractor, osteopath, naturopath, podiatrist, chiropodist, physiotherapist and masseur, if licensed and practising within the scope of their license to a maximum of thirty-five dollars ($35) per visit for each visit not subsidized by OHIP and to an annual maximum of twelve hundred dollars ($1200) for each type of service.
(f) the services of a psychologist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400). Coverage shall also include services rendered by a social worker with a Master’s Degree in Social Work, where such services are equivalent to the services that would otherwise be provided by a psychologist;
Appears in 1 contract
Samples: Collective Agreement
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 32.1 34.1 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. 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.
32.2 34.2 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-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 the purchase, fitting or repair of spectacle lenses, frames or contact lenses prescribed by an Ophthalmologist or Optometrist, or laser eye correction surgery performed by a licensed practitioner providing services within the scope of their license. • up to twenty-five hundred dollars ($2500.00) per person in a five (5) year period for the purchase and/or repairs of hearing aids (excluding batteries) prescribed by a physician certified as an otolaryngologist or by a qualified audiologist.
(e) paramedical services include the following coverage per employee and each of their dependants:
(i) the services of an acupuncturist, at the rate of thirty-five dollars ($35) per visit, to an annual maximum of twelve hundred dollars ($1200);
(ii) the services of a speech therapist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400);
(iii) the services of a chiropractor, osteopath, naturopath, podiatrist, chiropodist, physiotherapist and masseur, if licensed and practising within the scope of their license to a maximum of thirty-five dollars ($35) per visit for each visit not subsidized by OHIP and to an annual maximum of twelve hundred dollars ($1200) for each type of service.
(f) the services of a psychologist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400). Coverage shall also include services rendered by a social worker with a Master’s Degree in Social Work, where such services are equivalent to the services that would otherwise be provided by a psychologist;
Appears in 1 contract
Samples: Collective Agreement
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 32.1 34.1 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. 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.
32.2 34.2 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 the purchase, fitting or repair of spectacle lenses, frames or contact lenses prescribed by an Ophthalmologist or Optometrist, or laser eye correction surgery performed by a licensed practitioner providing services within the scope of their license. • up to twenty-five hundred dollars ($2500.00) per person in a five (5) year period for the purchase and/or repairs of hearing aids (excluding batteries) prescribed by a physician certified as an otolaryngologist or by a qualified audiologist.
(e) paramedical services include the following coverage per employee and each of their dependantsdependents:
(i) the services of an acupuncturist, at the rate of thirty-five dollars ($35) per visit, to an annual maximum of twelve hundred dollars ($1200);
(ii) the services of a speech therapist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400);
(iii) the services of a chiropractor, osteopath, naturopath, podiatrist, chiropodist, physiotherapist and masseur, if licensed and practising practicing within the scope of their license to a maximum of thirty-five dollars ($35) per visit for each visit not subsidized by OHIP and to an annual maximum of twelve hundred dollars ($1200) for each type of service.
(f) the services of a psychologist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400). Coverage shall also include services rendered by a social worker with a Master’s Degree in Social Work, where such services are equivalent to the services that would otherwise be provided by a psychologist;
Appears in 1 contract
Samples: Collective Agreement
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 32.1 34.1 The Employer shall 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 The Employer shall pay eighty per cent sixty percent (8060%) of the monthly premiums for vision coverage and sixty per cent (60%) for hearing aid coverage, which shall continue to be a combined benefit coverage 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 34.2 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 prescriptiondrugs, 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 effective on the date of ratification of this Agreement, reimbursement for hospital care for private or semi-private room and board shall be up to one hundred and twenty dollars ($120.00100.00) per day beyond the cost of standard xxxx care.
(c) . Effective 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 year following the date the expense is incurred, for the purchase, fitting or repair of spectacle lenses, frames or contact lenses prescribed by an Ophthalmologist or Optometrist, or laser eye correction surgery performed by a licensed practitioner providing services within the scope of their license. • up ratification this amount shall be increased to twenty-five one hundred dollars and twenty ($2500.00120.00) dollars per person in a five (5) year period for the purchase and/or repairs of hearing aids (excluding batteries) prescribed by a physician certified as an otolaryngologist or by a qualified audiologistday.
(e) paramedical services include the following coverage per employee and each of their dependants:
(i) the services of an acupuncturist, at the rate of thirty-five dollars ($35) per visit, to an annual maximum of twelve hundred dollars ($1200);
(ii) the services of a speech therapist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400);
(iii) the services of a chiropractor, osteopath, naturopath, podiatrist, chiropodist, physiotherapist and masseur, if licensed and practising within the scope of their license to a maximum of thirty-five dollars ($35) per visit for each visit not subsidized by OHIP and to an annual maximum of twelve hundred dollars ($1200) for each type of service.
(f) the services of a psychologist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400). Coverage shall also include services rendered by a social worker with a Master’s Degree in Social Work, where such services are equivalent to the services that would otherwise be provided by a psychologist;
Appears in 1 contract
Samples: Collective Agreement
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 32.1 34.1 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. 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.
32.2 34.2 The Supplementary Health and Hospital Insurance Plan shall include reimbursing employees for the followingfollowing eligible expenses:
(a) Until December 31, 2014, 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-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. Effective January 1, 20132015, 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. 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 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. Reimbursement of prescription drugs will include a three dollar ($3) deductible per prescription to be paid by the employee.
(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) Until December 31, 2014 one hundred percent (100%) of the cost of diagnostic procedures, and radiology;; Effective January 1, 2015, one hundred percent (100%) of the cost of diagnostic procedures. For the purposes of this section “diagnostic procedures” shall comprise diagnostic laboratory or X-ray procedures, excluding eye examinations, conducted in a licensed laboratory when prescribed by a registered physician for the purposes of obtaining a medical diagnosis. For clarity, coverage shall not apply in respect of claims for diagnostic procedures that are:
i) elective; or
ii) conducted for research, study or experimental purposes.
(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 the purchase, fitting or repair of spectacle lenses, frames or contact lenses prescribed by an Ophthalmologist or Optometrist, or laser eye correction surgery performed by a licensed practitioner providing services within the scope of their license. • Effective January 1, 2015, the Supplementary Health and Hospital Plan shall provide for the reimbursement of the cost of one routine eye examination every twenty four (24) months independent of the vision care maximum. For clarity, the twenty four (24) month period shall, for each employee, commence from the last date the employee had a routine eye examination. Until December 31, 2014, up to twenty-five hundred dollars ($2500.00) per person in a five (5) year period for the purchase and/or repairs of hearing aids (excluding batteries) prescribed by a physician certified as an otolaryngologist or by a qualified audiologist.. Effective January 1, 2015, up to twelve hundred dollars ($1200.00) per person in any four (4) year consecutive period (whether prior to or after January 1, 2015) for the purchase and/or repairs of hearing aids (excluding batteries) prescribed by a physician certified as an otolaryngologist or by a qualified audiologist
(e) paramedical services include the following coverage per employee and each of their dependants:
(i) the services of an acupuncturist, at the rate of thirty-five dollars ($35) per visit, to an annual maximum of twelve hundred dollars ($1200);
(ii) the services of a speech therapist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400);
(iii) the services of a chiropractor, osteopath, naturopath, podiatrist, chiropodist, physiotherapist and masseur, if licensed and practising within the scope of their license to a maximum of thirty-five dollars ($35) per visit for each visit not subsidized by OHIP and to an annual maximum of twelve hundred dollars ($1200) for each type of service.
(f) the services of a psychologist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400). Coverage shall also include services rendered by a social worker with a Master’s Degree in Social Work, where such services are equivalent to the services that would otherwise be provided by a psychologist;
(g) Until December 31, 2014, Orthopaedic Shoes: Custom-made orthopaedic shoes, or modifications to stock, off-the-shelf orthopaedic shoes, specifically designed and constructed for the employee or dependent (or have been modified to accommodate the person’s particular medical needs) when prescribed by a physician, podiatrist or chiropodist are covered at seventy-five percent (75%) of the cost or repair per year to a maximum of five hundred dollars ($500) per year; Effective January 1, 2015, Orthopaedic Shoes: Custom-made orthopaedic shoes, or modifications to stock, off-the-shelf orthopaedic shoes, specifically designed and constructed for the employee or dependent (or have been modified to accommodate the person’s particular medical needs) when prescribed by a physician, podiatrist or chiropodist are covered at seventy-five percent (75%) of the cost or repair of one (1) pair per calendar year to a maximum of five hundred dollars ($500) per year;
(h) Until December 31, 2014, Orthotic Appliances: Corrective shoe inserts specifically designed and constructed for the employee or dependent and prescribed by a physician, chiropractor, podiatrist or chiropodist are covered at one hundred percent (100%) of the cost or repair per year to a maximum of five hundred dollars ($500) per year; Effective January 1, 2015, Orthotic Appliances: Corrective shoe inserts specifically designed and constructed for the employee or dependent and prescribed by a physician, chiropractor, podiatrist or chiropodist are covered at one hundred percent (100%) of the cost or repair of one (1) pair per year to a maximum of five hundred dollars ($500) per calendar year;
(i) Until December 31, 2014, the Supplementary Health & Hospital Plan will include coverage for Diabetic Pumps and Supplies as follows:
(i) Purchase of Insulin Infusion Pumps to a maximum of two thousand five hundred dollars ($2,500) every 5 years per person.
(ii) Purchase of Insulin Jet Injectors (eg. Medi-injectors, preci-jets) to a maximum of one thousand dollars ($1,000), every five years per person.
(iii) Purchase and/or repair of one Blood Glucose monitoring machine per consecutive four (4)-year period to a maximum of four hundred ($400) per person,
(iv) 100% of the purchase of supplies required for the use of the above referenced diabetic appliances (Insulin will continue to be reimbursed as an eligible drug, not through this article). Effective January 1, 2015 the Supplementary Health & Hospital Plan will be amended to include coverage for Diabetic Pumps and Supplies as follows:
(i) Purchase of Insulin Infusion Pumps to a maximum of two thousand dollars ($2,000) any 5 consecutive years (whether prior to or after January 1, 2015) per person.
(ii) Purchase of Insulin Jet Injectors (eg. Medi-injectors, preci-jets) to a lifetime maximum of one thousand dollars ($1,000).
(iii) Purchase and/or repair of one Blood Glucose monitoring machine per any consecutive four (4) year period (whether prior to or after January 1, 2015) to a maximum of four hundred dollars ($400) per person
(iv) 100% of the purchase of supplies required for the use of the above referenced diabetic appliances, to a calendar year maximum of two thousand dollars ($2,000) per person (Insulin will continue to be reimbursed as an eligible drug, not through this article).
34.3 If the coverage of an employee or an employee’s dependant for Supplementary Health and Hospital Insurance terminates when the employee or the dependant is pregnant, benefits shall be payable for pregnancy related expenses until the date of the baby’s delivery.
Appears in 1 contract
Samples: Collective Agreement
SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE. 32.1 34.1 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 34.2 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 the purchase, fitting or repair of spectacle lenses, frames or contact lenses lens prescribed by an Ophthalmologist or Optometrist, or laser eye correction surgery performed by a licensed practitioner providing services within the scope of their license. • up to twenty-five hundred dollars ($2500.00) dollars per person in a five (5) year period for the purchase and/or repairs of hearing aids (excluding batteries) prescribed by a physician certified as an otolaryngologist or by a qualified audiologist.
(e) paramedical services include the following coverage per employee and each of their dependants:
(i) the services of an acupuncturist, at the rate of thirty-five dollars ($35) per visit, to an annual maximum of twelve hundred dollars ($1200);
(ii) the services of a speech therapist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400);
(iii) the services of a chiropractor, osteopath, naturopath, podiatrist, chiropodist, physiotherapist and masseur, if licensed and practising practicing within the scope of their license to a maximum of thirty-five dollars ($35) per visit for each visit not subsidized by OHIP and to an annual maximum of twelve hundred dollars ($1200) for each type of service.
(f) the services of a psychologist, at the rate of forty dollars ($40) per half hour, to an annual maximum of fourteen hundred dollars ($1400). Coverage shall also include services rendered by a social worker with a Master’s Degree in Social Work, where such services are equivalent to the services that would otherwise be provided by a psychologist;
Appears in 1 contract
Samples: Collective Agreement
