Visioncare Benefit. (a) Spectacle lenses and frames or contact lenses prescribed by an ophthalmologist or optometrist (including fitting or repairs). Benefits for such expenses shall not exceed: Four-hundred ($400.00) dollars per person in any consecutive 24-month period, effective April 13, 2014. Each person covered may have more than one (1) claim provided the dollar amount is not exceeded in the same consecutive twenty-four (24) month period (may be applied toward laser eye surgery). Effective September 1, 2016, cost of eye examinations will be covered for all eligible employees and their dependents up to seventy-five dollars ($75.00) every twenty-four (24) month period. Eye examinations must be performed by a legally licensed optometrist, opthalmologist or surgeon. The employee must provide the required proof of payment and submit the claim to the Employer for reimbursement. No duplication of this payment will be permitted. Therefore, this benefit will not be paid if eye examinations are covered under a provincial health plan or any private health plan.
Visioncare Benefit. Charges for contact lenses, or for lenses and frames for eyeglasses, and their replacement, provided there is an actual need for a change in their magnifying strength. Sun glasses or safety glasses of any kind are excluded. Supplies must be prescribed, in writing, by an ophthalmologist or licensed optometrist and must be dispensed by a licensed optometrist or qualified optician. The maximum amount payable in any month period is for persons under age or in any month period for persons over age For contact lenses, only if vision can be improved to at least the level, the maximum is per lifetime. The lifetime maximum for Extended Health Care coverage is DENTAL BENEFITS: The Plan provides dental benefits up to the current year’s Ontario Dental Association suggested fee guide. Basic services are covered at Basic Dental Services include exams and x-rays, fillings, extractions, and Check-ups and X-rays are to once every 6 months. Major Dental Services are covered at and include crowns, dentures and bridgework. Dentures and fixed bridgework are covered once every 5 years. The maximum amount payable in any one calendar year (Basic plus Major services combined) is Orthodontic services are payable of eligible expenses, subject to a maximum of per lifetime per dependent child. Orthodontic services are outlined in the master policy. Coverage terminates at retirement. Percentage Payable Basic Dental services are payable at Major Dental services are payable at Orthodontic services are payable at with a lifetime maximum. Covered Charges Covered charges are the charges up to the amount shown in the current years’ Ontario Dental Association Suggested Fee Guide for needed dental care, services or supplies, as described below and received while the person is insured, for either a disease or injury that is non-occupational. Covered Charges Basic Dental Services Charges up to the benefit maximum for: oral exams, including scaling and cleaning of teeth, but not more than once every 6 months; topical applications of sodium or fluoride but not more than one application every 6 months; dental x-rays, except that bite-wing x-rays are limited to one set every 6 months; fillings; extractions; oral surgery, including excision of impacted wisdom teeth; antibiotic drug injections; anaesthesia and its administration; space maintainers, including stainless steel crowns for primary teeth that have several cavities which would otherwise require fillings or which are non-restorable using norm...
