Extended Health Services Sample Clauses

Extended Health Services. The deductible is zero dollars ($0) for a single person or per family, based on effective date of coverage. Co-insurance for Extended Health Care Benefits is one hundred percent (100%). Co-insurance for prescription drugs will be at ninety percent (90%) and can be increased to ninety-five percent (95%) if a preferred provider dispenses the prescription drugs
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Extended Health Services. The Provincial Extended Health Benefit Plan premiums for full-time employees or part- time employees teaching fifty percent (50%) or more of full-time will be paid one hundred percent (100%) by the Board.
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Extended Health Services. The Board shall pay one hundred percent (100%) of the premium cost for teachers who meet all the requirements of membership in the Provincial Extended Health Benefit Plan.
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Extended Health Services. The Parties agree that the following are currently provided and will continue to be provided as part of the Extended Health Services for the duration of the Collective Agreement. Paramedical Services Physiotherapist 20% employee co-payment Maximum $500 per calendar year Psychologist 20% employee co-payment Maximum $500 per calendar year Registered Massage Therapist 20% employee co-payment Maximum $500 per calendar year Speech Therapist 20% employee co-payment Maximum $500 per calendar year Naturopath 20% employee co-payment Maximum $500 per calendar year Osteopath 20% employee co-payment Maximum $500 per calendar year Chiropractor 20% employee co-payment $375 calendar year deductible Maximum $500 per calendar year X-rays once per calendar year Chiropodist/Podiatrist 20% employee co-payment Maximum $500 per calendar year Other Acupuncturist 20% employee co-payment Maximum $500 per calendar year Private Duty Nursing 20% employee co-payment Services of an RN up to $10,000 per calendar year Supplementary Health Care Ambulance Services (ground & air) 20% employee co-payment Reasonable & Customary Accidental Dental 20% employee co-payment Medical Aids & Supplies 20% employee co-payment Out of Province Coverage Emergency 100% 30 days per trip Maximum $1,000,000/person per calendar year Travel Assist Yes DATED IN WINDSOR, ONTARIO THIS DAY OF , 200 . MORRICE TRANSPORTATION CAW LOCAL 195
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Extended Health Services. The Parties agree that the following are currently provided and will continue to be provided as part of the Extended Health Services for the duration of the Collective Agreement.
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Extended Health Services. The Board shall pay one hundred percent (100%) of the premium cost for teachers who meet all the requirements of membership in the Extended Health Benefit Plan. Such coverage shall be subject to an annual deductible of fifty dollars ($50) and co-insurance of ten percent (10%) of expenses on prescription drugs.
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Extended Health Services. PLAN The benefits available to you through Green Shield Extended Health Services include the following: The Services of a Graduate Registered Nurse, currently registered with the appropriate Nursing Association, for that period of time recommended by the attending physician, provided the nurse is not an employee of the institution wherein the participant is con- fined, is not normally a resident in the participant’s home or related to participant by blood or marriage and provided that the nurse is engaged on a full shift basis. Blood and Blood Products when required for transfusions. Prosthetic Appliances and Durable Medical Equipment, including artificial arms, legs, eyes, ears, noses, larynxes, prosthetic lenses (for people lacking an organic lens or following cataract surgery); lenses; above or below knee or elbow prothesis; exter- nal cardiac pacemakers; terminal devices, such as a hand or hook whether or not an artificial limb is required. Rigid or semi-rigid supporting devices (such as braces for the legs, arms, neck or back), splints, trusses; and appliances essential to the effective use of an artificial limb or corrective brace. Colostomy and ileostomy supplies, catheterization equipment, external breast prosthesis (including surgical brassieres) and custom-made boots or shoes or to stock item footwear. Rental of durable medical equipment such as hospital or without mattresses), rails, cradles and trapezes; crutches, canes, patient lifts, walkers and wheelchairs; bedpans, commodes, urinals if patient is bed confined; oxygen and respirators; (if the prescription is for oxygen, the prescriber must indicate how it is to be administered and what apparatus is to be used). Decubitus (ulcer) care equipment, dialysis equipment, dry heat and ice application devices; stands, intermittent pressure units, neuromuscular stimulants, baths, traction equipment, and standard whirlpool baths. Bandages or surgical dressings, radium and radioactive isotope treatments when authorized in writing by patient’s attending physician. In lieu of rental, Green Shield may substitute at its discretion charges for the purchase of or repair of such articles. The Services of a Licensed Dental Practitioner for necessary dental treatment for the restoration of the area damaged as a Result of an Accident which occurred when this Agreement was in force in- cluding not more than one set of artificial teeth when natural teeth have been damaged (not including periodontia or orthodontia t...
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Related to Extended Health Services

  • Extended Health Care The Hospital shall contribute on behalf of each eligible employee seventy-five percent (75%) of the billed premium under the Extended Health Care Plan (Liberty Health $15-25 deductible plan including hearing aids with a maximum of $300.00 per person and vision care with a maximum of $150.00 every 24 months per person, or its equivalent) provided the balance of the monthly premium is paid by employees through payroll deduction. Any Hospital currently paying more than 75% of the premium shall continue to do so. The drug formulary shall be as defined by Liberty Health Formulary Three.

  • Extended Health Fifty percent (50%) of the billed premium towards coverage of eligible nurses in the active employ for the Extended Health Care Benefits as provided under the VON National Group Insurance Plan, provided that the balance of the premium is paid by each nurse through payroll deductions.

  • Health Services At the time of employment and subject to (b) above, full credit for registered professional nursing experience in a school program shall be given. Full credit for registered professional nursing experience may be given, subject to approval by the Human Resources Division. Non-degree nurses shall be placed on the BA Track of the Teachers Salary Schedule and shall be ineligible for movement to any other track.

  • Behavioral Health Services Behavioral health services include the evaluation, management, and treatment for a mental health or substance use disorder condition. For the purpose of this plan, substance use disorder does not include addiction to or abuse of tobacco and/or caffeine. Mental health or substance use disorders are those that are listed in the most updated volume of either: • the Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American Psychiatric Association; or • the International Classification of Disease Manual (ICD) published by the World Health Organization. This plan provides parity in benefits for behavioral healthcare services. Please see Section 10 for additional information regarding behavioral healthcare parity. Inpatient This plan covers behavioral health services if you are inpatient at a general or specialty hospital. See Inpatient Services in Section 3 for additional information. Residential Treatment Facility This plan covers services at behavioral health residential treatment facilities, which provide: • clinical treatment; • medication evaluation management; and • 24-hour on site availability of health professional staff, as required by licensing regulations. Intermediate Care Services This plan covers intermediate care services, which are facility-based programs that are: • more intensive than traditional outpatient services; • less intensive than 24-hour inpatient hospital or residential treatment facility services; and • used as a step down from a higher level of care; or • used a step-up from standard care level of care. Intermediate care services include the following: • Partial Hospital Program (PHP) – PHPs are structured and medically supervised day, evening, or nighttime treatment programs providing individualized treatment plans. A PHP typically runs for five hours a day, five days per week. • Intensive Outpatient Program (IOP) – An IOP provides substantial clinical support for patients who are either in transition from a higher level of care or at risk for admission to a higher level of care. An IOP typically runs for three hours per day, three days per week.

  • Extended Health Care Plan (a) The Employer shall pay the monthly premium for regular employees entitled to coverage under a mutually acceptable Extended Health Care Plan.

  • Extended Health Plan (a) The Employer will pay 100% of the monthly premiums for the extended health care plan that will cover the employee, their spouse and dependent children, provided they are not enrolled in another plan.

  • Mental Health Services This agreement covers medically necessary services for the treatment of mental health disorders in a general or specialty hospital or outpatient facilities that are: • reviewed and approved by us; and • licensed under the laws of the State of Rhode Island or by the state in which the facility is located as a general or specialty hospital or outpatient facility. We review network and non-network programs, hospitals and inpatient facilities, and the specific services provided to decide whether a preauthorization, hospital or inpatient facility, or specific services rendered meets our program requirements, content and criteria. If our program content and criteria are not met, the services are not covered under this agreement. Our program content and criteria are defined below.

  • Behavioral Health Services – Mental Health and Substance Use Disorder Inpatient - Unlimited days at a general hospital or a specialty hospital including detoxification or residential/rehabilitation per plan year. Preauthorization may be required for services received from a non-network provider. 0% - After deductible 40% - After deductible Outpatient or intermediate careservices* - See Covered Healthcare Services: Behavioral Health Section for details about partial hospital program, intensive outpatient program, adult intensive services, and child and family intensive treatment. Preauthorization may be required for services received from a non-network provider. 0% - After deductible 40% - After deductible Office visits - See Office Visits section below for Behavioral Health services provided by a PCP or specialist. Psychological Testing 0% - After deductible 40% - After deductible Medication-assisted treatment - whenrenderedby a mental health or substance use disorder provider. 0% - After deductible 40% - After deductible Methadone maintenance treatment - one copayment per seven-day period of treatment. 0% - After deductible 40% - After deductible Cardiac Rehabilitation Outpatient - Benefit is limited to 18 weeks or 36 visits (whichever occurs first) per coveredepisode. 0% - After deductible 40% - After deductible Chiropractic Services In a physician's office - limited to 12 visits per plan year. 0% - After deductible 40% - After deductible Dental Services - Accidental Injury (Emergency) Emergency room - When services are due to accidental injury to sound natural teeth. 0% - After deductible The level of coverage is the same as network provider. In a physician’s/dentist’s office - When services are due to accidental injury to sound natural teeth. 0% - After deductible 40% - After deductible Dental Services- Outpatient Services connected to dental care when performed in an outpatient facility * 0% - After deductible 40% - After deductible Dialysis Services Inpatient/outpatient/in your home 0% - After deductible 40% - After deductible Covered Benefits - See Covered Healthcare Services for additional benefit limits and details. Network Providers Non-network Providers (*) Preauthorization may be required for this service. Please see Preauthorization in Section 5 for more information. You Pay You Pay Durable Medical Equipment (DME), Medical Supplies, Diabetic Supplies, Prosthetic Devices, and Enteral Formula or Food, Hair Prosthetics Outpatient durable medical equipment* - Must be provided by a licensed medical supply provider. 20% - After deductible 40% - After deductible Outpatient medical supplies* - Must be provided by a licensed medical supply provider. 20% - After deductible 40% - After deductible Outpatient diabetic supplies/equipment purchasedat licensed medical supply provider (other than a pharmacy). See the Summary of Pharmacy Benefits for supplies purchased at a pharmacy. 20% - After deductible 40% - After deductible Outpatient prosthesis* - Must be provided by a licensed medical supply provider. 20% - After deductible 40% - After deductible Enteral formula delivered through a feeding tube. Must be sole source of nutrition. 20% - After deductible 40% - After deductible Enteral formula or food taken orally * 20% - After deductible The level of coverage is the same as network provider. Hair prosthesis (wigs) - The benefit limit is $350 per hair prosthesis (wig) when worn for hair loss suffered as a result of cancer treatment. 20% - After deductible The level of coverage is the same as network provider. Early Intervention Services (EIS) Coverage provided for members from birth to 36 months. The provider must be certified as an EIS provider by the Rhode Island Department of Human Services. 0% - After deductible The level of coverage is the same as network provider. Education - Asthma Asthma management 0% - After deductible 40% - After deductible Emergency Room Services Hospital emergency room 0% - After deductible The level of coverage is the same as network provider.

  • Clinical Management for Behavioral Health Services (CMBHS) System The CMBHS is the official record of documentation by System Agency. Grantee shall:

  • Extended Health Benefits The extended health benefits coverage for CUPE and Fire will be amended to include:

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