Hamilton-Wentworth



98 Bigwin Road, Unit 3
Box29
Hamilton, Ontario
L8W 3R4
Phone:
(905) 574-6483
Fax: 
(905) 574-4787
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Benefits Summary

HOSPITAL

Deductible - Nil

Reimbursement Level - 100%

Basic Expense Maximums

- Hospital - Semi Private Room

- Chronic Care - $3 per day for 120 days in any 12-month period

HEALTHCARE

Deductible

- Individual - $25 each calendar year

- Family - $25 each calendar year

The individual and family deductibles do not apply to Global Medical Assistance expenses.

Reimbursement Level - 100%

Basic Expense Maximums

- Nursing - $5,000 every 3 years per condition

- Prescription Drugs - Included

- Fertility Drugs - One 6-month supply lifetime

- Hearing Aids - $300 every 4 years

- Custom-fitted Orthopaedic Shoes - One pair each calendar year

- Myoelectric Arms - $10,000 per prosthesis

- External Breast Prosthesis - Initial plys 1 replacement every 24 months

- Surgical Brassieres - 2 every 12 months

- Mechanical or Hydraulic Patient Lifters (excluding electric stairlifts) - $2,000 per lifter every 5  years

- Outdoor Wheelchair Ramps - $2,000 lifetime

- Blood-glucose Monitoring Machines - 1 every 4 years

- Transcutaneous Nerve Stimulators - $700 lifetime

- Extremity Pumps for Lymphedema - $1,500 lifetime

- Custom-made Compression Hose - 4 pairs each calendar year

- Surgical Stocking - 2 pairs each calendar year

- Wigs for Cancer Patients - $200 lifetime

Paramedical Expense Maximums

- Physiotherapists - Reasonable and customary

- Psychologists/Social Workers - $200 each calendar year

- Speech Therapists - $200 each calendar year

- Chiropractors, Massage Therapists, Podiatrists/Chiropodists, Osteopaths, Naturopaths and Christian Science Practitioners - $350 each calendar year combined

Lifetime Healthcare Maximum - Unlimited

VISIONCARE

Deductible - Nil

Reimbursement Level - 100%

Plan Maximums

Glasses and Contact Lenses - $225 every 2 consecutive calendar years

Contact Lenses for Special Conditions - One pair lifetime to a $200 maximum

DENTALCARE

Payment Basis - The Ontario Dental Association Fee Schedule for General Practitioners in effect on the date the service is rendered

Deductible - Nil

Reimbursement Levels

- Basic Coverage - 100%

- Major Coverage - 50%

- Accidental Dental Injury Coverage - 100%

Plan Maximums

- Basic treatment - Unlimited

- Major Treatment - $1,500 every 12 months

- Accidental dental injury treatment - Unlimited, 12 months

- Orthodontic coverage of a max of $2500 for children only

Benefit Details

The information above is from the Great-West Life booklet which describes the principle features of the group benefit plan sponsored by the Hamilton-Wentworth Catholic District School Board, but Group Policy No. 138565 issued by Great-West Life is the governing document. If there are variations between the information in the booklet, or the information above, and the provisions of the policy, the policy will prevail. Contact your employer if you require any additional information.