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Amalgamated Transit Union (ATU) Local 107 - City of Hamilton

Amalgamated Transit Union (ATU) Local 107 - City of Hamilton

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to a nursing home or home for the aged and receives Ontario<br />

government assistance.<br />

(iii) Dental care (except as outlined under "Benefits").<br />

(iv)<br />

(v)<br />

Rest cures, travel for health reasons, insurance examinations or<br />

services or supplies for cosmetic purposes.<br />

Charges for hospital accommodation.<br />

15. PROSTATIC SPECIFIC ANTIGEN TEST.: The city is to pay for a PSA test<br />

for all members and spouses <strong>of</strong> members once every twenty-four (24)<br />

consecutive months.<br />

DENTAL BENEFITS<br />

The following provides a general description <strong>of</strong> the benefits available to you and<br />

your eligible dependents under this dental plan. A complete list <strong>of</strong> the specific<br />

procedures (and applicable limitations) can be found in the Master Contract held<br />

by your Employer.<br />

Payment for eligible benefits will be based on the monetary rates shown in the<br />

Dental Association Fee Guide applicable to your group plan.<br />

Refer to your Summary <strong>of</strong> Benefits for information regarding any deductible, copayment<br />

or maximum benefit amounts.<br />

BENEFITS<br />

BASIC SERVICES<br />

Examinations -includes complete and recall oral examinations twice per<br />

calendar year for persons up to and including age 12 and once every 9 months<br />

for persons over age 12.<br />

Consultations - with patient or with an Employee <strong>of</strong> the pr<strong>of</strong>ession<br />

Radiographs -includes complete series intra oral films once every 24 months,<br />

panoramic films, and bitewing films twice per calendar year for persons up to and<br />

including age 12 and once every 9 months for persons over age 12<br />

Diagnostic Services -includes bacteriologic tests, biopsy and cytological tests<br />

Preventive Services - space maintainers (for dependent children); pit and<br />

fissure sealants; scaling; fluoride treatment; polishing (one unit <strong>of</strong> time twice per<br />

calendar year for persons up to and including age 12 and one unit <strong>of</strong> time every 9<br />

months for persons over age 12). The following benefits are provided twice per<br />

115

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