MAJOR MEDICAL EXPENSE BENEFIT. Basic medical benefits are provided for you and your family under your provincial health plan (OHIP). The major medical expense benefit under the Company's group insurance plan provides benefits for you and your covered dependents for certain expenses not covered by the provincial hospital and medical plans. Expenses allowed under the major medical expense benefit are listed below. Effective January 1, 2009 there is a lifetime maximum of $750,000 for all major medical expenses per person. Benefits are payable only if the services are recommended by a physician and if provincial legislation does not prohibit insurance of any such expense. • Drugs and medicines dispensed on the written prescription of a physician. Reimbursement will be based on the cost of the generic equivalent of a prescription drug, if such an equivalent exists. You will receive full reimbursement of a brand name drug only if a generic equivalent does not exist, or if your physician provides specific instructions prohibiting substitution. Effective January 1, 2009 a maximum of $10.00 dispensing fee per prescription will be reimbursed. Effective January 1, 2018 a maximum of $8.00 dispensing fee per prescription will be reimbursed. • private duty nursing by registered graduate nurses who are not ordinarily resident in your home and are not related to you or your dependents • hospital charges for other than room and board not paid by the provincial plan • oxygen and its administration • blood and blood plasma • rental of wheel chair, hospital bed or respirator/ ventilator • splints, trusses, braces, crutches, casts • artificial limbs and eyes provided the loss of the natural limb or eye occurred while insured under this plan • services of duly qualified and licensed physiotherapists other than members of the insured's family • local ambulance services • emergency transportation by a licensed ground ambulance, including air ambulance, to and from the nearest hospital in which treatment can be provided (subject to one round trip per calendar year). • services of a licensed chiropractor or osteopath when operating in their recognized field of expertise (eligible only after provincial plan maximum has been reached). • services of a licensed Acupuncturist, Podiatrist, Homeopath, Massage Therapist, Naturopath, Psychologist or Speech Therapist. These practitioner services are reimbursable only after any applicable provincial plan maximum has been reached and subject to a total annual maximum benefi...
MAJOR MEDICAL EXPENSE BENEFIT. Claim must be submitted no later than the end of the calendar year following the year in which the expense was incurred except that, when your insurance is cancelled for any reason, proof of claim must be submitted within (90) days of the date of termination of your insurance. Itemized bills and statements showing the patient's name, dates of service, prescription numbers for drug expenses and amount of the charges, must accompany the claim form verifying all such expenses including those which you have paid to satisfy the deductible. It is suggested that such claims not be submitted until the total bills exceed the deductible by at least $10.
MAJOR MEDICAL EXPENSE BENEFIT. No deductible No Coinsurance Hospital Charges Out-Patient Only Basic Preventative Dental Plan (Delta Basic Plan or Blue Cross or equivalent) with the Company paying of the cost and the employee paying of the cost. Effective April the Schedule shall be instituted. Effective February the Schedule shall be instituted. Safety Shoes: Safety Glasses: The Company to pay towards the cost of safety shoes for employees with one year or more service up to one pair per contract year. In the second year of the Agreement increase the to The Company agrees to supply and pay for approved industrial prescription safety lens and frames once during the life of the Agreement maximum with an additional allowance of maximum for bifocals). DRAFT LETTER United of America Dear Sirs: Waterloo Metal Ltd. and United Steelworkers of America We wish to confirm the following understandings which will apply during the term of the Collective Agreement currently in effect:
MAJOR MEDICAL EXPENSE BENEFIT. No deductible No Co-insurance Hospital Charges Out-Patient Only Basic Preventative Dental Plan (Delta Basic Plan or Blue Cross or equivalent) with the Company paying of the cost and the employee paying of the cost. Effective September the Schedule shall be instituted. Effective February the Schedule shall be instituted. February the Schedule shall be instituted Effective February the Schedule shall be instituted. Safety Shoes: The Company to pay towards the cost of safety shoes for employees with one year or more service up to one pair per contract year. Safety Glasses: The Company agrees to supply and pay for approved industrial prescription safety lens- es and frames once during the life of the Agreement maxi- mum with an additional allowance of maximum for bifocals). Family Eye Care: Third Year The Company agrees to pay up to per family member once in a two year period toward the cost of glasses and frames. Dear Sirs: DRAFT LETTER Waterloo Furniture Components Ltd. and United Steelworkers of America We wish to confirm the following understandings which will apply during the term of the Collective Agreement currently in effect:
MAJOR MEDICAL EXPENSE BENEFIT. No deductible No Co-insurance Hospital Charges Out-Patient Only Basic Preventative Dental Plan (Delta Basic Plan or Blue Cross or equivalent) with the Company paying of the cost and the employee paying of the cost. Effective September the Schedule shall be instituted. Effective February the Schedule shall be instituted. February the Schedule shall be instituted Effective February the Schedule shall be instituted. Safety Shoes: The Company to pay towards the cost of safety shoes for employees with one year or more service up to one pair per contract year. Safety Glasses: The Company agrees to supply and pay for approved industrial prescription safety lens- es and frames once during the life of the Agreement maxi- mum with an additional allowance of maximum for bifocals). Family Eye Care: Third Year The Company agrees to pay up to per family member once in a two year period toward the cost of glasses and frames. Dear Sirs: DRAFT LETTER Waterloo Furniture Components Ltd. and United Steelworkers of America We wish to confirm the following understandings which will apply during the term of the Collective Agreement currently in effect:
