Orthopaedic Shoes Sample Clauses

Orthopaedic Shoes. Custom-made orthopaedic shoes, or modifications to stock, off-the-shelf orthopaedic shoes, specifically designed and constructed for the employee or dependent (or have been modified to accommodate the person’s particular medical needs) when prescribed by a physician, podiatrist or chiropodist are covered at seventy-five percent (75%) of the cost or repair per year to a maximum of five hundred dollars ($500) per year;
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Orthopaedic Shoes. The Corporation agrees to reimburse eligible retirees and each eligible dependent for the cost of orthopaedic shoes as follows: 1 custom pair per calendar year maximum Stock/Adjustments – 4 pair/year < 2 3 pair/year ages 2-17 1 pair/year > 17 (Rx)
Orthopaedic Shoes. Charges for one pair per calendar year, up to a maximum of $100 per calendar year are covered. To be covered under the plan, orthopedic shoes must be recommended by a licensed doctor (M.D.), podiatrist, or chiropodist. They must be custom made and specifically designed and molded for the covered person, dispensed by a certified podiatrist, chiropodist, pedorthist, or orthotist, and required to correct a diagnosed physical impairment. Recommendation must include the diagnosis, gait analysis, symptoms, and chief complaints. No benefit will be provided if the orthopedic shoes or orthotics are prescribed or dispensed by a practitioner other than those listed above. Important Note: To avoid misinterpretation of what is eligible and what may or may not qualify as a covered expense, it is strongly recommended that you submit an estimate to the Plan Administrator for confirmation prior to the purchase. Artificial Limbs and Eyes, and Back and Neck Braces: Charges are covered up to $750 per appliance, per lifetime. Breast Prosthesis: Charges are covered up to $150 in any five-year period. Hearing Aids: $400 per person per 3 calendar years. Purchase of batteries is excluded. Dental Care for Accidental Injury: Covered to reasonable and customary maximum at 100% coinsurance. Assistive Devices Program (ADP): coverage co-ordinated through the ADP program Out-Of-Hospital Nursing: Charges are covered at 100%, for private duty nursing care to a maximum of $5,000 every three years, by a registered nurse (R.N.) who is not a member of your family and does not normally live in your home, when ordered by a licensed doctor (M.D.) as medically necessary for a disability that requires the specialised training of an R.N. Vision Care: Vision care coverage is at 100%. Covered charges include those for eligible contact lenses, eyeglasses lenses, and eyeglasses frames. Charges for sunglasses or safety glasses of any kind are excluded. The maximum amount payable for contacts and eyeglasses is $150 in any 12-month period for persons under age 18, or $150 in any 24- month period for persons age 18 or over. For contact lenses, eyeglass lenses, or eyeglass frames required after cataract surgery the maximum is $200 per lifetime, and only if vision can be improved to at least the 20/40 level. Eye examinations are not covered. Ambulance Services: Covered to reasonable and customary maximum at 100% coinsurance. EMERGENCY OUT OF COUNTRY MEDICAL COVERAGE Emergency OOC claims are covered at 100%. C...
Orthopaedic Shoes a) If attached to and forming part of a brace, fully covered.
Orthopaedic Shoes. The Orthopaedic Shoes limit will be $500 per calendar year for adults, and $300 per calendar year for children.

Related to Orthopaedic Shoes

  • Orthodontics We Cover orthodontics used to help restore oral structures to health and function and to treat serious medical conditions such as: cleft palate and cleft lip; maxillary/mandibular micrognathia (underdeveloped upper or lower jaw); extreme mandibular prognathism; severe asymmetry (craniofacial anomalies); ankylosis of the temporomandibular joint; and other significant skeletal dysplasias. Procedures include but are not limited to: • Rapid Palatal Expansion (RPE); • Placement of component parts (e.g. brackets, bands); • Interceptive orthodontic treatment; • Comprehensive orthodontic treatment (during which orthodontic appliances are placed for active treatment and periodically adjusted); • Removable appliance therapy; and • Orthodontic retention (removal of appliances, construction and placement of retainers).

  • Chiropractic Services This plan covers chiropractic visits up to the benefit limit shown in the Summary of Medical Benefits. The benefit limit applies to any visit for the purposes of chiropractic treatment or diagnosis.

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