ACCIDENTAL DENTAL BENEFITS Sample Clauses

ACCIDENTAL DENTAL BENEFITS. Accidental Dental benefits for treatment by a dentist. A dental accident report form must be submitted immediately following the accident.
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ACCIDENTAL DENTAL BENEFITS. Accidental Dental benefits for treatment by a dentist. A dental accident report form must be submitted immediately following the accident. ACCOMMODATION SEMI-PRIVATE ✓ Semi-Private Room in a public general hospital PRIVATE ✓ Private Room in a public general hospital up to a lifetime maximum of $1,000.00 AUDIO ✓ Reimbursement will be made for standard hearing aids, repairs or replacement parts up to a maximum of $300.00 once every 5 years. ✓ Batteries are not eligible. MEDICAL ITEMS Prosthetic Appliances and Durable Medical Equipment as well as replacements, repairs, fittings and adjustments of such devices. Contact the Customer Service Centre to verify eligibility of a particular benefit. PARAMEDICAL SERVICES ✓ Physiotherapist ✓ Clinical Psychologist Benefits are covered up to $35.00 for the first visit and $20.00 per hour for each subsequent visit up to $200.00 per calendar year. ✓ Chiropractor, Osteopath, Podiatrist/Chiropodist or Speech Therapist up to a $200.00 maximum per paramedical discipline per calendar year. ✓ Registered Massage Therapist (medical referral required) $7.00 per visit up to a maximum of 12 visits per calendar year. ✓ Private Duty Nursing Benefits carry a maximum of $25,000.00 per calendar year for the services of a registered nurse (R.N.) or registered nurses assistant (R.N.A.) in the home on a full shift basis.
ACCIDENTAL DENTAL BENEFITS. Accidental Dental benefits for treatment by a dentist. A dental accident report form must be submitted immediately following the accident. ACCOMMODATION SEMI-PRIVATE • Semi-Private Room in a public general hospital PRIVATE • Private room in a public general hospital up to a lifetime maximum of $1,000 NURSING HOMELong Term Care (LTC) Facility. Prior approval is necessary. AUDIO • Reimbursement will be made for standard hearing aids, repairs or replacement parts up to a lifetime maximum. • Batteries are not eligible (Please call Greenshield for upto date information on limits and maximums) MEDICAL ITEMS Prosthetic Appliances and Durable Medical Equipment as well as replacements, repairs, fittings and adjustments of such devices. Contact the Customer Service Centre to verify eligibility of a particular benefit. PARAMEDICAL SERVICES $ Physiotherapist $ Speech Therapist/Pathologist up $ Registered Massage Therapist (medical referral required) $ Clinical Psychologist Benefits $ Private Duty Nursing Benefits $ PSA/CA 125 Test $ Chiropractic (Please call Greenshield for updated information on limits and maximums) VISION • Your Vision Benefit carries a maximum of $250 every 24 months for prescription eye glasses and/or contact lenses or $250 every 24 months for medically necessary contact lenses provided they are dispensed by an Optometrist, an Optician or an Ophthalmologist. Alternatively, employees may apply the value of their vision benefits towards the cost of laser surgery. Eye exams will be covered up to $50 every 24 months. DENTAL • Your lifetime maximum for Orthodontic Benefits is $1,800. • Your co-insurance is 100% for Basic Services, 100% for Comprehensive Basic Services, 50% for Major Restorative Services and 50% for Orthodontic Services • Basic Services cover: recalls once every 9 months, other exams and full mouth x-rays every 3 years • Comprehensive Basic Services cover denture relines and rebasing once every 3 years; denture cleaning once every 9 months • Major Restorative Services cover dentures once every 5 years • Applicable lab, drug and other expenses are eligible to a maximum of 40% of the professional fee. • Your eligible claims are reimbursed at the level stated above and in accordance with the Current Ontario Dental Association Fee Guide for General Practitioners BASIC SERVICES • Recalls include exams, bitewing X-rays, cleanings and fluoride treatments. • Complete, general or comprehensive oral exams, full mouth x-rays and panoramic x- ra...

Related to ACCIDENTAL DENTAL BENEFITS

  • Dental Benefits The County offers dental and orthodontic benefits to full and part-time regular employees and their eligible dependent(s). Benefit provisions, co­ payments and deductibles are outlined in the Evidence of Coverage. The employee contribution is $13 per pay period ($28.26 per month). The County shall contribute to part-time eligible employees on a pro-rated basis, in accordance with Section 10.2.6.

  • Dental Benefit (1) A confirmed staff shall be eligible for reimbursement of expenses incurred for restorative and preventive dental treatment up to $150 per calendar year.

  • Accidental Death & Dismemberment The Employer agrees to continue to make payroll deductions equivalent to the premiums for the current Accidental Death and Dismemberment Insurance Plan administered by the Union. All monies so deducted shall be remitted to the Union within fifteen (15) days of the end of the month in which the deductions were made along with a list of names of employees from whom the deductions were made.

  • Accidental Death and Dismemberment Coverage An employee may purchase accidental death and dismemberment coverage that provides principal sum benefits in amounts ranging from five thousand dollars ($5,000) to one hundred thousand dollars ($100,000). Payment is made only for accidental bodily injury or death and may vary, depending upon the extent of dismemberment. An employee may also purchase from five thousand dollars ($5,000) to twenty-five thousand dollars ($25,000) in coverage for his/her spouse, but not in excess of the amount carried by the employee.

  • Accidental Death Full twenty-four (24) hour Accidental Death coverage equivalent to coverage under the Group Life Plan.

  • Group Life and Accidental Death and Dismemberment (a) The Employer will pay 100% of the premiums for the group life and accidental death and dismemberment insurance plans.

  • Accidental Death and Dismemberment The Employer agrees to provide all active full-time employees with Accidental Death and Dismemberment benefit coverage equal to one (1) times their annual earnings in case of accidental death. Coverage is also provided for other losses such as speech and hearing, use of arms and legs, etc.

  • Basic Life and Accidental Death and Dismemberment Coverage The Employer agrees to provide and pay for the following term life coverage and accidental death and dismemberment coverage for all supervisors eligible for an Employer Contribution, as described in Section 3. Any premium paid by the State in excess of fifty thousand dollars ($50,000) coverage is subject to a tax liability in accord with Internal Revenue Service regulations. A supervisor may decline coverage in excess of fifty thousand dollars ($50,000) by filing a waiver in accord with Minnesota Management & Budget procedures. The basic life insurance policy will include an accelerated benefits agreement providing for payment of benefits prior to death if the insured has a terminal condition. Supervisors’ Annual Base Salary Group Life Insurance Coverage Accidental Death and Dismemberment Principal Sum $10,000 - $15,000 $15,000 $15,000 $15,001 - $20,000 $20,000 $20,000 $20,001 - $25,000 $25,000 $25,000 $25,001 - $30,000 $30,000 $30,000 $30,001 - $35,000 $35,000 $35,000 $35,001 - $40,000 $40,000 $40,000 $40,001 - $45,000 $45,000 $45,000 $45,001 - $50,000 $50,000 $50,000 $50,001 - $55,000 $55,000 $55,000 $55,001 - $60,000 $60,000 $60,000 $60,001 - $65,000 $65,000 $65,000 $65,001 - $70,000 $70,000 $70,000 $70,001 - $75,000 $75,000 $75,000 $75,001 - $80,000 $80,000 $80,000 $80,001 - $85,000 $85,000 $85,000 $85,001 - $90,000 $90,000 $90,000 Over $90,000 $95,000 $95,000

  • Accidental Death and Dismemberment Insurance The plan provides accidental death and dismemberment insurance coverage in an amount equal to your basic group life insurance (two times your current annual salary). Coverage is provided 24 hours per day, anywhere in the world, for any accident resulting in death, dismemberment, paralysis, loss of use, or loss of speech or hearing. If you sustain an injury caused by an accident occurring while the policy is in force which results in one of the following losses, within 365 days of the accident, the benefit shown will be paid to you. In the case of accidental death, the benefit will be paid to the beneficiary you have named to receive your group life insurance benefits. Benefits are payable in accordance with the following schedule: Schedule of Benefits 100% of Principal Sum For Loss of: · Life · Both Hands or Both Feet · Entire Sight of Both Eyes · One Hand and One Foot · One Hand and Entire Sight of One Eye · One Foot and Entire Sight of One Eye · Speech and Hearing in Both Ears · Use of Both Arms or Both Legs or Both Hands · Quadriplegia (total paralysis of both upper and lower limbs) · Paraplegia (total paralysis of both lower limbs) · Hemiplegia (total paralysis of upper and lower limbs of one side of the body) 75% of Principal Sum For Loss of: · One Arm or One Leg · Use of One Arm or One Leg 66 2/3% of Principal Sum For Loss of: · One Hand or One Foot · Entire Sight of One Eye · Speech or Hearing in Both Ears · Use of One Hand or One Foot 33 1/3% of Principal Sum of Loss of: · Thumb and Index Finger of One Hand · Four Fingers of One Hand

  • Health and Dental Benefits ‌ During the term of this MOU, the City will provide benefits to all half-time employees as defined by Article 4.1 (Part-Time Employment) of this MOU in accordance with the Civilian Modified Flexible Benefits Program (Flex Program) and any modifications thereto as recommended by the Joint Labor-Management Benefits Committee (JLMBC) and approved by the City Council. During the term of this MOU, the City agrees that it will not unilaterally impose a reduction in plan design or benefits for any benefit plan applicable to employees covered by this MOU. Nothing in this MOU, however, shall prevent the parties from jointly reaching agreement on plan design or benefits applicable to employees covered by this MOU. Additionally, nothing in this MOU constitutes a waiver by the Union or the City with respect to making changes to plan design or benefits. If there are any discrepancies between the benefits described in this Article and the Flex Program approved by the JLMBC, the Flex Program benefits will take precedence.

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