GM Benefits Report (Active)

GM Benefit Report (Active)

           Happy New Year everyone. As result of our recent negotiations there have been some gains made to our HC Benefits .
           Please keep this leaflet for your own reference and direct any questions to your HC Benefit Reps .

Prescription Drugs

Reimbursement 90% of eligible expenses
100% after you incur $310 in out-of-pocket expenses
Coverage limited to: -The cost of the lowest-priced generic drug (or brand name drug if lower)
                                 -Drugs listed on the “Controlled Drug Formulary” or by special Authorization
Dispensing fees 90% of the actual dispensing fee, to a maximum of $9 per prescription
Over the Counter Drugs Eliminated effective January 1, 2013 (other than certain life-sustaining drugs)

Dental Care

Maximum Benefit $2800 per person each benefit year (October 1 – September 30) for basic services, crowns
and major services combined.
Fee Guide 1 year rolling lag, effective January 1, 2017 (ODA or licensed denture therapists’ schedule of fees)
Basic Services 100% of eligible dental expenses
Crowns 100% of eligible dental expenses
Major Services 50% of eligible expenses
Orthodontic 50% of eligible expenses (To a lifetime maximum of $3600 per covered dependent under age 21)
Dental Implants 50% of eligible expenses for standard implantology including the structure, installation, and
crown (initial and replacement)

Vision Care

Reimbursement Routine eye exams up to $85 every 24 months (if OHIP plan excludes coverage)
Plan maximum depends on lens type (once every 24 months per person)
-$220 for single vision lenses and frames         -$230 for contact lenses
-$275 for bi-focal lenses and frames         -$345 for multi-focal lenses and frames
-$345 for laser eye surgery (one time)

Paramedical Services

Reimbursement Chiropractor: $25 per visit to a maximum of $465 each benefit year
Chiropodist/Podiatrist: $11.45 per visit to a maximum of $325 each benefit year
Massage Therapist: $45 per visit to a maximum of $200 each benefit year
Naturopath: $25 per visit to a maximum of $325 each benefit year
Registered Clinical Psychologist or Master of Social Work (MSW) : $50 per visit to a maximum
of $625 per calendar year.   Master of Psychology recognized for counselling Services
Speech Therapist: Up to $1100 per calendar year (Including up to $125 for the initial accessment)
Physiotherapist: $50 per visit to a maximum of $200 each benefit year (need Doctor referral)

Child Care

Reimbursement Child Care subsidy of $6 per day for dependent children ages 3 and up to and including 10 who
do not qualify for subsidized daycare
In Soildarity,
Mark Roy/905 641 6444 Lawrence Robson 905 641 6444