Extended Health Benefit. Reimbursement is provided for many types of services, such as registered nurse, physiotherapist, wheelchairs, braces, crutches, ambulance service, chiropractors, to name a few. Pre-authorization is required for the rental and/or purchase of all durable equipment and all Nursing Care/Home Care benefits. Certain dollar amounts or time period maximums apply. It is important to note that reimbursement under the extended health care benefit is made at 80% of covered eligible expenses up to $5,000; expenses over $5,000 and less than $10,000 are reimbursed at 90%, and expenses over $10,000 are reimbursed at 100% in any calendar year. Where no maximum eligible expense is noted, reasonable and customary rates will apply. Please consult your online employee benefit booklet for details. Services not Covered Under the Supplementary Health Insurance Program You and/or your dependents are not covered for medical expenses incurred as a result of any of the following: Expenses private insurers are not permitted to cover by law Services or supplies for which a charge is made only because you have insurance coverage The portion of the expense for services or supplies that is payable by the government public health plan in your home province, whether or not you are actually covered under the government public health plan Any portion of services or supplies which you are entitled to receive, or for which you are entitled to a benefit or reimbursement, by law or under a plan that is legislated, funded, or administered in whole or in part by a provincial / federal government plan, without regard to whether coverage would have otherwise been available under this plan Services or supplies that do not represent reasonable treatment Services or supplies associated with: o treatment performed only for cosmetic purposes o recreation or sports rather than with other daily living activities o the diagnosis or treatment of infertility o contraception, other than contraceptive drugs and products containing a contraceptive drug Services or supplies associated with a covered service or supply, unless specifically listed as a covered service or supply or determined by Great-West Life to be a covered service or supply Extra medical supplies that are spares or alternates Services or supplies received out-of-province in Canada unless you are covered by the government health plan in your home province and Great-West Life would have paid benefits for the same services or suppli...
Extended Health Benefit. Reimbursement is provided for many types of services, such as registered nurse, physiotherapist, wheelchair rental, braces, crutches, deep x-rays, ambulance service, chiropractors, to name a few. Pre-authorization is now required for the rental and/or purchase of all durable equipment and all Nursing Care/Home Care benefits. Effective April 1, 1997, insured employees/retirees and/or their dependents are required to obtain pre-approval for these services by calling the insurance carrier. Certain dollar amounts or time period maximums apply. It is important to note that reimbursement under the extended health care benefit is made at 80% of covered eligible expenses up to $5,000; expenses over $5,000 and less than $10,000 are reimbursed at 90%, and expenses over $10,000 are reimbursed at 100% in any calendar year. Where no maximum eligible expense is noted, reasonable and customary rates will apply. Please consult your employee benefit booklet for details. Services not Covered Under the Supplementary Health Insurance Program You and/or your dependents are not covered for medical expenses incurred as a result of any of the following: · injury or illness due to war or engaging in a riot or insurrection; · aesthetic surgery (cosmetic surgery for beautification purposes); · services required due to an intentional self-inflicted injury; · delivery charges; · hearing tests; · pregnancy tests; · injury or illness for which you or your dependents are covered under Worker’s Compensation or a similar program; · services or supplies received from a dental or medical department maintained by your employers, a mutual benefit association, labour union, trustee or similar type group; · services or supplies which are covered under a government hospital plan, a government health plan or any other government plan; · expenses for contraceptives other than oral contraceptives; · expenses for vitamins (except injectables), minerals, and protein supplements (other than expenses that would qualify for reimbursement under Eligible Expenses under the Drug Benefit); · expenses for diets and dietary supplements, infant foods and sugar or salt substitutes; · expenses for drugs which are used for a condition or conditions not recommended by the manufacturer of the drugs; · experimental products or treatments for which substantial evidence, provided through objective clinical testing of the product’s or treatment’s safety and effectiveness for the purpose and under the conditions of the u...
Extended Health Benefit. (a) Details of Plan coverage are available on WestNet.
Extended Health Benefit. Each eligible employee shall be enrolled in the Extended Health Plan at no cost to the employee.
Extended Health Benefit. The Employer agrees to pay seventy per cent (70%) of the premiums for its Extended Health Benefit for eligible employees. The benefit shall include: • Major Medical Benefit (B-2.01) • Hospital Benefit (B-2.02) • Drug Benefit (B-2.03) • Vision Benefit (B-2.04) And is as follows:
Extended Health Benefit. Upon application employees shall be covered by an extended health plan as of the first day of the month following six (6) months accumulated service. The plan shall provide a lifetime maximum payable per person of $1,000,000, a $150.00/person Vision Care Option in any two calendar year period and a Hearing Aid Option of $500/person in any four calendar year period. The Board will pay eighty (80) percent of the monthly premiums and the employee's contribution of twenty (20) percent shall be through payroll deductions.
Extended Health Benefit. 1. DRUG BENEFIT **Drug Card**
Extended Health Benefit. Extended Health Benefits eligibility shall be the first of the month following six (6) months of employment. Each qualified employee shall be eligible for the Extended Health Benefit Plan at no cost to the employee. Each qualified employee will be issued a Health Benefits Swipe Card. Paramedicals to a combined maximum $1,000, with a deductible of $50, effective December 31, 2019. Vision Care
Extended Health Benefit. The Employer will provide and pay one hundred percent (100%) of the eligible premium cost for a mutually acceptable Extended Health plan for eligible employees and their dependents.
Extended Health Benefit. All Permanent Full-time Employees shall be included in the Municipal Extended Health Benefit Plan. The Plan shall include the Vision Care Option to cover all eligible Employees. The Option will provide a maximum claimable benefit of Two Hundred Dollars ($200) per claimant claimable over a twenty-four (24) consecutive month period, subject to the provisions of the Plan. The lifetime maximum of the Plan is one hundred thousand ($100,000) dollars. The Municipality agrees to share with the Employee the cost of all participating in the Extended Health Benefit Plan. The Municipality’s share shall be seventy-five percent (75%) and the Employee’s share shall be twenty-five percent (25%).
