Central Collective Agreement - OPSEU

ARTICLE 67 - SUPPLEMENTARY HEALTH AND HOSPITAL INSURANCE
67.2.1 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 67.2.2 to 67.2.15.
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 (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.
67.3 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, with the balance of the
monthly premiums being paid by the employee through payroll deduction. 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
independent of the vision care maximum.
Effective January 1, 2010, the employer agrees to pay 100% of the monthly premiums for
vision care and hearing aid coverage under the Supplementary Health and Hospital Plan.
(NEW)
67.7 Effective January 1, 2009, the employee’s share of the annual Employment Insurance
(EI) rebate will be redirected by the Employer towards offsetting the cost of the benefits
contained in this Agreement.
ARTICLE 68 - DENTAL PLAN
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