Covered Expenses. Supervisors must have received prior authorization from their Appointing Authority before incurring any expenses authorized by this Article.
Covered Expenses. Employees must have received prior authorization from their Agency before incurring any expenses authorized by this Article.
Covered Expenses. Nurses must have received prior authorization from their Appointing Authority before incurring any expenses authorized by this Article.
Covered Expenses. Teachers must have received prior authorization from their Appointing Authority before incurring any expenses authorized by this Article.
Covered Expenses. Class I Procedures: - Oral examinations, including scaling and cleaning of teeth - Topical application of sodium or stannous fluoride - Oral hygiene instruction - Dental x-rays - Extractions - Oral surgery, including excision of impacted teeth - Amalgam, silicate and plastic composite fillings - Anaesthetics administered in connection with oral surgery or other covered dental services - Injections of antibiotic drugs by the attending dentist - Treatment of periodontal and other diseases of the gums and tissues of the mouth - Endodontic treatment, including root canal therapy - Pits and fissure treatment
Covered Expenses. All expenses covered under the Roadside Protect Program are capped at an expense limit of One Hundred and NO/100 Dollars ($100.00) for any single claim and include the following:
Covered Expenses. Covered Expenses included under the plan are the charges which you are required to pay for the following services and supplies received while you are insured, for the treatment of non-occupational injuries, diseases or for pregnancy. HOSPITAL BOARD AND ROOM AND OTHER NECESSARY SERVICES AND SUPPLIES up to the difference between the hospital’s daily charge for xxxx and average semi-private accommodations. DRUGS AND MEDICINES obtainable only upon a physician’s prescription and dispensed through a registered pharmacist. PROFESSIONAL AMBULANCE SERVICE when used to transport the individual from the place where he is injured by an accident or stricken by a disease to the first hospital where treatment is given, or from a hospital to a convalescent hospital. No other expenses in connection with travel are included. OUT-PATIENT HOSPITAL SERVICES AND SUPPLIES in connection with: use of examination or operating room, drugs, dressings or casts anaesthesia in connection with the performance of a surgical procedure but not charges made by a resident physician or intern of a hospital. REGISTERED GRADUATE NURSE (R.N.) other than a nurse who ordinarily resides in your home, or who is a member of your or your spouse’s family, provided such services have been ordered by a physician. CONVALESCENT HOSPITAL BOARD AND ROOM AND OTHER NECESSARY SERVICES AND SUPPLIES up to the difference between the hospital’s daily charge for xxxx and average semi- private accommodations for as many as 120 days during any one period of disability provided the individual is admitted to the convalescent hospital within 14 days following confinement in a hospital. All confinements in a convalescent hospital will be considered as one period of disability unless confinements are separated by at least 90 days. TREATMENT BY A PROVINCIALLY LICENSED OSTEOPATH, NATUROPATH, PODIATRIST OR CHRISTIAN SCIENCE PRACTITIONER up to $7.00 per treatment and up to $25 per disability for x-rays but not more than 30 visits in any calendar year for each type of practitioner. However, no benefit will be paid for any charges in excess of $7.00 per treatment and no benefit will be paid while the individual is entitled to similar benefits under any provincial health plan. TREATMENT BY A PROVINCIALLY LICENSED CHIROPRACTOR up to $15 per visit and up to $25 per disability for x-rays, subject to a maximum of $300 per calendar year. No benefits will be paid while the individual is entitled to similar benefits under any provi...
Covered Expenses. The payment for the patient expenses in any nursing home will be the difference between the daily allowance paid the nursing home by the Ontario Ministry of Health for extended care services in a standard xxxx and the nursing home’s daily charge up to the approved daily rate for a semi-private room if such accommodation is occupied. If the insured person receives extended care in an approved facility in a private room, the payment for the patient will be at the semi-private daily rate.
Covered Expenses. Ambulance transportation to the nearest centre where adequate treatment is available Private room and board in a hospital in Canada For accommodation, any difference between the hospital’s standard xxxx rate and the government authorized allowance in your home province is covered. Life also covers the hospital facility fee related to dental surgery and any hospital charges not covered by the government health plan in your home province. Convalescent care for a condition that will significantly improve as a result of the care and follows a confinement for acute care The plan covers the government authorized for in a nursing home Services of a registered nurse, licensed practical nurse or registered nursing assistant who is not a member of your family, but only if the patient requires the specific skills of a trained nurse You should apply for a assessment before home nursing begins Drugs and medicines which require the prescription of a physician or dentist and are dispensed by a licensed pharmacist, if you are not eligible to receive them under a provincial drug benefit plan, including: Oral contraceptives Injectable drugs including vitamins, and allergy extracts. Syringes for self-administered injections are also covered Disposable needles for use with insulin injection devices, lancets and test strips Extemporaneous preparations or compounds if one of the ingredients is a covered drug Certain other drugs that do not require a prescription by law may be covered if they are listed in the current Compendium of Pharmaceuticals and Specialties, prescribed by your physician or dentist. If you have any questions, contact your plan administrator before incurring the expense. Unless your doctor has prescribed a drug by its brand name and has specified in writing that the product is not to be interchanged, the plan will cover only the cost of the lowest priced equivalent generic drug. Rental or, at Life’s discretion, purchase of certain medical supplies, appliances and prosthetic devices prescribed by a doctor Custom-made foot orthotics and custom fitted orthopedic shoes, including modifications to orthopedic footwear Hearing aids including batteries, tubing and ear molds provided at the time of purchase Diabetic supplies: or similar insulin injection devices using a needle, blood-letting devices including platforms but not lancets. Lancets are covered under prescription drugs monitoring machines Diagnostic and lab tests treatment of muscle and bone disorders, inc...
Covered Expenses. All expenses covered under the Roadside Attn: Reimbursement Institution pays the full cost of the insurance. Purchased Warranty; 2) repaired at a repair facility that is not Protect Program are capped at an expense limit of One Hundred and P.O. Box 55698, Xxxxxxx Oaks, CA 91413 NO/100 Dollars ($100.00) for any single claim and include the Phone 0-000-000-0000 – Claims Dept. following:
