Major Medical Benefits. The City shall provide eligible CSU 52 members, that are participating in the Supplementary Health Care Plan and the Dental Plan, with a Direct Xxxx Card. The Card shall be consistent with that provided to other City of Edmonton employees.
Major Medical Benefits. The City shall provide eligible CSU 52 members, that are participating in the Supplementary Health Care Plan and the Dental Plan, with a Direct Xxxx Card. The Card shall be consistent with that provided to other City of Edmonton employees. Eligible Expense % Reimbursement Maximum Benefit DRUGS Charges for drugs, medicines, allergy serums, allergy serum extracts and insulin which are purchased on a written prescription of a physician or dentist and dispensed by a licensed pharmacist, except that proprietary or patent medicines or drugs which can be purchased without a prescription will not be covered. 80% No maximum Smoking cessation products requiring a prescription by law. 80% One treatment plan per lifetime, per covered person. Oral contraceptives 80% $250 per calendar year Drugs for the management of obesity or weight loss, sexual dysfunction, fertility and hair replacement are not eligible for reimbursement. Reimbursement under this article will be made on the following basis: Least cost alternative $5.00 dispensing fee cap Recognized third party drug formulary. New drugs that become available will The plan will pay in such calendar year in accordance with the following schedule of benefits:
Major Medical Benefits. This Plan will pay eighty percent (80%) of eligible major medical expenses claimed by a member unless otherwise specified herein. Eligible expenses are defined in accordance with the following:
Major Medical Benefits. Including drug and Vision Care. Vision care is limited to four hundred ($400.00) dollars per 24 months. Any portion of this benefit can be used for eye glasses, contact lenses and/or one (1) eye examination per 24 month period.
Major Medical Benefits. A member and his eligible dependents shall be covered for Major Medical Coverage. On a reasonable and customary basis, Major Medical Coverage shall reimburse the member for 90% of the actual charges incurred for all eligible expenses in any calendar year. Subject to an automatic annual reinstatement of up to $1,000.00, the lifetime maximum payment for each covered individual shall not exceed $140,000.00. The Company will continue to address those who reach the Lifetime Maximum on a case-by-case basis.
Major Medical Benefits. The Employer shall pay one hundred percent (100%) of the cost for continuing Major Medical Benefits which are currently in effect for all full-time nurses.
Major Medical Benefits. Established major medical plan coverage that in addition to the above coverage for semi private room and board, provides a broad level of medical coverage intended to complement provincial hospital and medical plan benefits by reimbursing a broader range of expenses that exceed the provincial plan reimbursement limit to include:
Major Medical Benefits. Individual Calendar Year Deductible $200 2016 and thereafter Family Calendar Year Deductible $400 The City reserves the right to unilaterally change health insurance plans and make adjustments to coverages of the health insurance plan. The City will consult with the Union before making significant changes to the plan. Any changes to the plan will be uniform among City employees. Nothing in this Section shall prohibit the City from offering additional health care plans that may have a higher deductible. Prescription Drug Plan: Generic co-pay (except injected drugs) $ 5.00 Brand co-pay (except injected drugs) $20.00 Injected drugs co-pay $40.00 Any employee that presently has family coverage, and whose spouse has family coverage shall be entitled to a yearly payment of $400 in December, provided that said employee provides evidence of family coverage by their spouse.
Major Medical Benefits. The Company will pay a portion of the premium for major medical benefits. The lifetime maximum for eligible expenses, other than (i) expenses incurred outside the province of residence for emergency services, and (ii) expenses incurred outside of Canada for referred services, will be $100,000.00. The maximum coverage for a semi-private room will be $200.00 per day. The annual maximum chiropractor benefit will be $500.00.
Major Medical Benefits. 2012 and thereafter Individual Calendar Year Deductible $200 Family Calendar Year Deductible $400 The Plan can be amended without bargaining in order to ensure that the Plan remains compliant and subject to advisory committee approval. Two (2) members of the AFSCME Union will be invited to participate in a Health Insurance Benefits Advisory Board, which shall meet at least once per year, to provide input and feedback to the City Manager related to the City’s employee health insurance benefits.
