Plan Participants and Dependants

PRESCRIPTION DRUGS $4,000/family/calendar year

Major Medical

(Full-Time 85% Part-Time 50%)

• Chiropractor $500/calendar year
• Naturopath*/Osteopath*/Massage Therapist* combined $500/calendar year
• Physiotherapist*/Acupuncturist $500/ calendar year

*Medical referral is required for these services. For Massage Therapy, a treatable diagnosis must be stated.

• Podiatrist/Chiropodist/Orthopedic Supplies; Appliances combined $500/calendar year; appliances when prescribed by any of these practitioners or a medical doctor
• Psychologist $300/calendar year
• Speech Therapist $300/calendar year
• Private Duty Nursing
• Hospital
• Medical Equipment
• Wigs
• Breast Prosthesis
• Surgical Brassiere

(100% up to any maximum indicated)

• Ambulance
• Glasses/Contacts $300/24 months
• Eye examinations $90/24 months
• Hearing Aids $500/5 years

Plan Participants Only

• Life Insurance
• Accidental Death Dismemberment
• Short-Term Disability
• Long-Term Disability