GM Benefits Report

GM Benefit Report

November 2020 (Active Members) New Contract Update

Please keep this leaflet for your own reference and direct any questions to your Benefit Reps.


Reimbursement 90% of eligible expenses

100% after you incur $310 for 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)


Maximum Benefit $3000 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, 2021 (ODA or licensed denture therapists’ schedule of fees)
Basic Services: 100% of eligible dental expenses
Crowns: Repair or Recementing of Crowns, Inlays, Bridgework or Dentures. 100% of eligible dental expenses
Major Services: 50% of eligible expenses, Initial instillation of fixed bridgework (including Inlays and Crowns as abutments)
Orthodontic 50% of eligible expenses (to a lifetime maximum of $3800 per covered dependent under age 21)
Dental Implants 50% 0f eligible expenses for standard implantology including the structure, installation, and crown (initial and replacement)



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)
  $270 for single vision lenses and frames         -$280 for contact lenses
  $325 for bi-focal lenses and frames         -$395 for multi-focal lenses and frames
  $450 for laser eye surgery (one time)



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, no Dr referral needed
  Naturopath: $25 per visit to a maximum of $325 each benefit year
  Registered Clinical Psychologist or Master of Social Work (MSW) : $75 per visit to a maximum  of $700 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 assessment)
  Physiotherapist: $50 per visit to a maximum of $200 each benefit year (need Doctor referral)


Reimbursement: Child Care expanded to include coverage for For-Profit Regulated and Registered Daycare facilities. $16 on Full-day benefits for ages 0-6. $9 on half-Day and before/after school benefits, annual maximum of $3000 per year, per eligible child.
Child Care subsidy of $9 per day for dependent children ages 3 and up to and including 10 who do not qualify for subsidized daycare


Durable Medical Equipment

Reimbursement: Continue Glucose monitoring systems added to an annual maximum of $1,600.


In Solidarity,

Lawrence Robson – Benefit Rep & Erika Mauro – Alternate Rep

905-682-2611 Union Hall  905-641-6444 In Plant

PRINT THE GM Benefit Report




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