Summary of Coverage

Tier 1

Plan Participants & Dependants

• Prescription drugs to a maximum of $750/family/calendar year
• Glasses/contacts $350/24 months
• Eye examinations $80/24 months

Plan Participants Only

• Sick pay
• Physiotherapist/massage therapist $300 (combined)/calendar year
• Chiropractor $300/calendar year
• Orthotics $150/calendar year
• Ambulance
• Wigs/hairpieces $1,000/lifetime
• Travel coverage

Tier 2

Plan Participants & Dependants

• Hospital expenses
• Clinical psychologist, chiropodist, physiotherapist/massage therapist (combined), registered dietician $350/ practitioner/calendar year
• Glasses/contacts $350/24 months
• Eye examinations $80/24 months
• Travel coverage

Plan Participants Only

• Chiropractor $300/calendar year
• Orthotics $150/calendar year
• Ambulance
• Wigs/hairpieces $1,000/lifetime
• Medical supplies & services
• Prosthesis
• Private duty nurse
• Life insurance
• Sick pay (Part time Only)