Central Collective Agreement - OPSEU

OTHER
This agreement is not arbitrable.
Date this ________ day of ______________, 2008 at Toronto, Ontario.
14. BENEFITS
Amend Article 39, Article 40, Article 41, Article 67, Article 68 and Article 69 as follows:
ARTICLE 39 – SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE
39.2.1 Effective June 1, 2002, the Supplementary Health and Hospital Plan shall provide for the
reimbursement of ninety percent (90%) of the cost of prescribed drugs and medicines that
require a physician’s prescription. The Supplementary Health and Hospital Plan shall
provide reimbursement for ninety percent (90%) of the generic equivalent where a generic
equivalent exists. Where the brand name product is dispensed, the employee will pay the
difference between the cost of the brand name product and the ninety percent (90%) of the
generic equivalent product cost that is reimbursed by the Supplementary Health and
Hospital Plan. Notwithstanding the foregoing, if no generic product exists the
Supplementary Health and Hospital Plan shall provide reimbursement for ninety percent
(90%) of the cost of the brand name product.
Effective June 1, 2002, the Supplementary Health and Hospital Plan shall provide for the
reimbursement of one hundred percent (100%) of the cost of semi-private or private
hospital accommodation to a maximum of one hundred and twenty dollars ($120) per day
over and above the cost of standard ward care, and one hundred percent (100%) of the
cost for the following services, as set out in Articles 39.2.2 to 39.2.15.
Effective January 1, 2003 reimbursement of prescription drugs will include a three
dollar ($3) deductible per prescription to be paid by the employee.
Effective April 1, 2009, the Supplementary Health and Hospital Plan shall provide
reimbursement for ninety percent (90%) of the cost of medically necessary vaccinations
or immunizations when prescribed and administered by a qualified health care
practitioner where such vaccine or immunization is not covered by a provincial health
plan.
39.3 Effective June 1, 2002, the employer agrees to pay eighty percent (80%) of the monthly
premiums for vision care and sixty percent (60% ) of the monthly premiums for hearing aid
coverage, under the Supplementary Health and Hospital Plan. This coverage includes a ten
dollar ($10.00) (single) and twenty dollar ($20.00) (family) deductible in any calendar year
and provides for vision care (maximum three hundred dollars ($300.00) per person in any
twenty-four (24) month period) and the purchase of hearing aids (maximum twelve hundred
dollars ($1200.00) per person every four (4) years) equivalent to the vision and hearing aid
component of the Blue Cross Extended Health Care Plan.
Effective September 1, 2005, the eligible expenses outlined in the vision care coverage
under the Supplementary Health and Hospital Plan will be amended to include one
routine eye examination every twenty-four (24) months and laser eye correction surgery.
The vision care coverage maximum will be increased to three hundred and forty dollars
($340) per person every twenty-four (24) month period.
Effective April 1, 2009, the Supplementary Health and Hospital Plan shall provide for the
reimbursement of the cost of one routine eye examination every twenty four (24) months
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