Extended Health Care



plan information

The plan information described here relates to the plan that is in effect as of 01 Apr 2001, with an ending date of 31 Dec 2002. This plan is currently insured by the Great Canadian Insurance Company.

eligibility

You and each of your family members are eligible for benefits, after you have satisfied a waiting period of 3 months following your date of employment.

An eligible family member includes your spouse, and all dependent children living with you who have not yet reached age 19. Students attending university in Canada on a full-time basis are considered eligible for benefits until they reach age 26.

plan maximum

The maximum amount that will be paid under this plan in respect of eligible expenses for any one family member, is $25,000.00 in any 3 year period.

plan deductible

You are responsible for paying the first $25.00 of the eligible expenses for each of your family members, subject to a family maximum of $50.00 in any one calendar year.

percentage paid (coinsurance)

Unless otherwise modified by the table below, the plan will reimburse you for 100% of all your eligible expenses which are in excess of the plan deductible.

eligible expenses

The following is a summary of the benefits covered by your plan with applicable limits, which are in turn still subject to the plan maximum, coinsurance and deductible features described above.

The unit maximums are the maximum amounts that will be considered as an eligible expense, which are then subject to any coinsurance and deductible features.

The interval maximum, if any, is simply the maximum dollar amount that will be paid in the interval, regardless of any coinsurance or deductible features.

Code Description Percent Paid Unit Maximum 1st Unit Maximum Max No Units Interval Maximum Interval
pdrg1 Prescription Drugs 80.00          
visi1 Vision Care         500.00 24 months
hosp1 Semi Private Hospital            
para1 Paramedical Services   15.00 25.00 10   12 months
nurs1 Nursing care         10,000.00 lifetime
ambu1 Ambulance Services         200.00 per trip
               
               
             

confidentiality

The information which is maintained by your plan administrator with respect to your benefit coverage is confidential. This information is only available to you or your authorized agent.