Retirees under age 65 

Deductible: Nil

Coinsurance

Prescription Drugs: 80%

Other Eligible Expenses (except where noted):  100%

Vision Care: 100%

Lifetime Maximum: $1,000,000

Paramedical

Chiropractor, Osteopath, Naturopath or Chiropodist: $300 per specialist per calendar year

Licensed Clinical Psychologist: $200 per calendar year

Physiotherapist: $12.50 per visit, $250 per calendar year

Registered Massage Therapist: $250 per calendar year

Speech Therapist: $300 per calendar year

Major Medical

Rehabilitation Hospital: Semi-private, maximum 120 days provided disability commenced prior to age 65

Ambulance Benefit: $200 per disability

Out-of-Hospital Nursing Services: $10,000 every 3 years

Accidental Dental: Work must be completed within 12 months of accident to a maximum of $5,000 per accident

X-ray & Lab Tests: Covered

Blood & Blood Plasma: Covered

Durable Medical Equipment (purchase or rental): Covered

Surgical Brassieres: 2 per 12 consecutive months

Breast Prosthesis: Once every 5 years

Surgical Stockings: 2 pair every 12 consecutive months

Wigs &  Glucometer: Once per lifetime

Hearing Aid (purchase or replacement): $2,000 per person in any 60 month period, including repairs and replacement.

Oxygen: Covered 

Orthopaedic Shoes or Orthotics: 1 pair of either orthopaedic shoes or orthotics to a combined maximum of $500 every 3 years (based on reasonable and customary fees)

Vision Care

Lenses & Frames or Contact Lenses in lieu of glasses: $250 (lenses and frames combined) every 24 months, every 12 months for Dependents under  age 18

Retinal Eye Exams
Covered for eligible members and their dependents, effective November 1, 2022

Laser Eye Surgery 
50% up to $1,000.00 every 5 years, effective January 1, 2020

 

Ontario Teamsters Benefit Trust Fund Benefit Plan Administrators Ltd.
90 Burhamthorpe Road West, Suite 300 Mississuaga, Ontario L5B 3C3