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Bruce Power, through its claims services provider, shall provide extended health benefits and dental coverage as outlined in the pamphlet entitled "Health & Dental Benefits for members of the Society, Eligible Dependents and Pensioners", January 1 2005, and in accordance with the existing insurance carrier contract for Society-represented staff.
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| 46 |
EXTENDED HEALTH BENEFITS (EHB) |
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The parties agree to a "universal plan" based on the current PWU plan as it exists January 1, 2005. Any amendments in coverage will require the agreement of the Society. |
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The items listed below are amendments to the previous Society plan. Coverage of all other items not listed will remain as per the 2004 Society collective agreement. |
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For example, effective January 1, 2005, the following applies:
- Deductibles - eliminated until December 31, 2006.
- Hospital Room - difference between semi private and ward or convalescent is now limited to $40/day, maximum 365 days lifetime
- Prescription - remains at maximum of $11.00 dispensing (except under special circumstances). Additional coverage includes $6.11 for prescribed OTC.
- All OTCs when prescribed, now including vitamins/minerals.
- Food supplements - nutramigen now covered at 100%.
- Viagra - increased to $1000/yr.
- Rituxan (cancer treatment) added.
- Androgel (injectable, oral and skin patch) added.
- Vision care - increased to $600 per person/2 years.
- Added optic nerve scan in the year that Bruce Power covers eye exam to a maximum of $125.
- Chiropractor - increased to $900 per person per calendar year.
- Shiatsu - no longer covered.
- Podiatrists - now includes non-invasive bunion surgery to $5000 lifetime max.
- Registered Clinical Psychologist - reduced to $3000 per calendar year.
- Hearing Aids (including ear moulds) - now includes $100/yr for batteries
- purchase or repair in excess of ADP coverage reduced to every 2 years.
- ear mould & batteries on initial coverage.
- TENS units (includes associated supplies) - reduced to one per family to max of $700 (every 3 years).
- Wart Removal - now covered (removal of benign skin lesions such as warts, skin tags & cysts).
- Orthotics - one pair in each calendar year to a maximum of $450.
- Therapeutic equipment - for electric wheelchairs, now requires prescription of treating specialist or Occupational Therapist rather than Orthopaedic Specialist.
- Private Duty Nursing - caps now implemented:
- Annual max $50K.
- Lifetime max $150K.
- Expanded to include RN, RPN, RNA, LPN. |
| 46.1 |
Bruce Power agrees to offer employees the option of using the Preferred Vision Services (PVS) Plan, subject to its availability. |
| 46.2 |
Bruce Power agrees to investigate using its purchasing power to negotiate a discounted group rate for employees who wish to purchase out of country travel insurance.
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| 47 |
DENTAL PLAN |
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The parties agree to a "universal plan" based on the PWU Plan as it exists on January 1, 2005. Any amendments in coverage will require the agreement of the Society. |
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The items listed below are enhancements to the previous Society plan. Coverage of all other items not listed will remain as per the 2004 Society collective agreement.
- Coverage for Class B Services (excluding orthodontics) - increased to 100% ODA
- TMJ - increased to 100% - $1300 per - reinstatement of $1300 after 5 yrs
- Orthodontics - increased to $5000 lifetime max
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Effective January 1st of each year of the Collective Agreement, the dentist fees will be paid up to the amounts shown in the current Ontario Dental Association (ODA) Fee Guide.
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| 48 |
SEMI-PRIVATE HOSPITAL ACCOMMODATION PLAN |
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Coverage under the Semi-Private Hospital Accommodation Plan is unchanged, with the following exception: |
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The semi-private differential between ward accommodation (covered by the Ontario Health Insurance Plan (OHIP) and semi-private accommodation in contract (private) hospitals, or in a convalescent/rehabilitative hospital, such as St. John's in Toronto, is limited to a maximum of $40.00/day, up to a maximum of 365 days per lifetime. |
