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Extended Health Care*
Insurer: Self-Insured
Policy #: 9000
Benefits:
- Overall Maximum: $1,000,000 Lifetime
- 80% reimbursement up to first $1000 (paid) 100%
thereafter, per calendar year
- Hospital: private & semi-private (deductible does
not apply)
- Drugs: Prescription - DRUG CARD - Generic only
- Oral ContraUnifortives and IUD's Included
- Includes Fertility drugs limited to Lifetime
maximum of 3 cycles
- Smoking Cessation limited to 3 months supply /
lifetime
- Paramedics: Reimbursed @ 80% per practitioner:
- Chiropractor, Naturopath and Podiatrist maximum
$200 per calendar year
- Speech Therapy & Acupuncture maximum $100
per calendar year
- Massage Therapy maximum $300 per calendar year
- Physiotherapy unlimited
- Private Duty Nursing: $10,000/yr; $25,000 lifetime
max
-
Hearing Aids: 80% to a maximum of $2500 every 5 years
- Orthopedic Shoes: 1 pair / yr to a maximum of $150
- Foot Orthotics: 1 pair / yr to a maximum of $300
- Eye exams: $65 / 24 months
- Emergency ambulance charges to nearest hospital
equipped to provide medical treatment
- Wigs: $1,000 lifetime maximum (for hair loss due to
chemotherapy treatment)
- Medical Supplies and Equipment including but not
limited to:
- canes and walkers, crutches, casts, burn garments,
eye prosthesis, apnea monitors, CPAP machines,
splints, oxygen and oxygen supplies, mastectomy bras
( two per calendar year) - [some of these items
will need medical evidence to support the purchase]
- Out of Country referrals: 80% to a $50,000 lifetime
maximum
*An employee can waive these benefits if that individual
provides proof that he/she has comparable benefits through
their spouse's plan. If no proof is provided all benefits
will be considered mandatory.
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Group Out-of-Country/Province Emergency Medical/Travel
Coverage
Insurer: E.T.F.S./Viator
Policy #: 32446331
Benefits:
- Reimbursed @ 100% to a maximum of $1 million per
individual event
- Maximum 60 day coverage
- Coverage
terminates at age 70
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Vision Care
Insurer: Self-Insured
Policy #: 9000
Benefits:
- Reimbursement: 80%
- Maximum: $400 every 12 months
- Deductible: None
- Laser Eye Surgery to a lifetime maximum of $1000.00
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Travel Assistance Plan
Insurer: Self-Insured
Policy #: 9000
Benefits:
This benefit assists members to reach the nearest
specialized medical services where such services are not
available locally.
- $25.00 deducted from the cost of return fare, balance
reimbursed @ 85%.
- On a doctor's recommendation, the fare of an
accompanying member of the family or guardian will be
reimbursed.
- Per diem allowance of $60.00 per day for meals and
expenses to a maximum of 4 days.
- Up to $80/day additional reimbursement of
accommodation expenses (receipts required).
- The program will reimburse a maximum of 4
claims per family member per illness.
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