Out of Province Coverage. Retirees age 65 to 75 Effective June 1, 1999 retired members attaining the age of sixty five (65) may purchase additional out of province coverage which provides coverage to the month of their seventy-fifth (75th) birthday. Enrolment will be offered only once, immediately following the member’s 65th birthday. The premiums are subject to yearly review.
Out of Province Coverage. (b) The Employer shall pay 100% of the premiums of the existing Green Shield Deluxe Travel Plan QX, or its equivalent.
Out of Province Coverage. The following benefits provide protection when traveling (for other than health reasons) or vacationing outside your province of residence. Refer to the Summary of Benefits for information regarding reimbursement of this benefit. Note: These benefits will not be paid for any condition resulting from a psychiatric disorder; or to patients in chronic care hospitals, chronic units of general hospitals, or nursing homes.
Out of Province Coverage. Charges for out-of-province hospital room and board up to the semi- private rate, hospital services and supplies, and doctor services necessitated by (1) an emergency or (2) referral by a physician due to lack of availability of treatment in the province of residence provided the applicable Provincial Medicare Plan has agreed to pay benefits as a result of the referral.
Out of Province Coverage. The Company shall continue its arrangement to provide Coverage to pay physicians, or to reimburse subscribers, for Covered Hospital and Medical Expenses incurred under certain circumstances outside the patient's province of residence. Benefits are provided under such Coverage upon submission of proof satisfactory to the insurer that a covered person received Covered Services out of the province of the covered person’s residence because of (i) accidental injury or emergency medical services or (ii) referral for medical care by the covered person’s attending physician. The benefit payment for Covered Medical Expenses incurred equals the fee charged for such services less the fee scheduled under the applicable provincial medical plan for the Covered Services received, but only to the extent that the fee charged is reasonable and customary in the area where covered services are received. The benefit payment for Covered Hospital Expenses incurred equals the hospital's charge for Covered Services in semi-private accommodations less the sum of the payments made by the applicable provincial and supplementary hospital plans.
Out of Province Coverage. Out of Province medical expenses shall be covered in the event of a medical emergency under the same terms as is present in the current CAW Lab & X-ray Benefit Plan (Group Contract Effective Date: October 1, 1994, Contract Number: GH 37089). This plan provides that major medical expenses incurred outside Canada are subject to an overall lifetime maximum of $1,000,000 per person combined with the Hospital benefit.
Out of Province Coverage. Out of Province medical expenses shall be covered in the event of a medical emergency under the same terms as is present in the current OPSEU Local 101 (billing division 204) Green Shield plan. This plan provide that major medical expenses incurred outside Canada are subject to an overall annual maximum of a million dollars ($1,000,000.00) per person combined with the Hospital benefit.
Out of Province Coverage. Effective March 1st, 2017, the Hospital will assume the responsibility of paying, on behalf of eligible full-time employees, one hundred percent (100%) of the billed premium for the Green Shield Vision Care Plan, with a maximum coverage of four hundred dollars ($400.00) every twenty-four (24) months per insured person, which maximum can be used towards the cost of laser surgery and/or towards the cost of optometry examinations to a maximum of one hundred dollars ($100.00) every twenty-four (24) months per insured person.
Out of Province Coverage. The Extended Health Benefits Plan will also provide to the eligible employee and his//her eligible dependents Out of Province Medical Coverage on a reimbursement basis in accordance with the terms and conditions of the Carrier.
Out of Province Coverage. Deductible – Nil.
