EXTENDED HEALTH BENEFITS
This benefit is designed to provide coverage for ambulance services and hospital accommodation in your Province. The Plan also supplements the provincial Medicare coverage by reimbursing necessary and reasonable health expenses that are not covered by the Provincial Plans.
Under this Plan, members will be reimbursed for reasonable and customary expenses, subject to the deductible (where applicable), for the following services:
Extended Health Benefits Deductible
The deductible is $50 (Single or Family) and is applied as $25 to the first Eligible Extended Health Benefits and Vision Care expenses and $25 to the first drug claim each calendar year. Not more than $50 will be applied against the combined expenses of the member and their dependents during any one calendar year. The deductible does not apply to ambulance and hospital charges incurred in Canada.
Ambulance Benefits
The cost for emergency ambulance service is covered from the place where the accident or sickness occurs to the nearest hospital where appropriate treatment can be provided.
Air Ambulance allowances will be paid up to the amount equivalent had the services been provided by ground ambulance.
Non-emergency trips are covered on the prior recommendation of an attending Physician.
Charges for 'non-emergency' transport by a participating medical transfer service are covered to a lifetime maximum of $250 per person.
Athletic Therapy
Services of a certified Athletic Therapist when Prescribed by a Physician to a maximum of $100 per person per calendar year.
Audiologist
Charges for the services on an Audiologist including audiological assessment, communications assessment, site of lesion assessment and audiological review to a maximum of $350 per person per calendar year. Services relating to hearing aid dispensing are not covered.
Cardiac Rehabilitation
A lifetime maximum of $300 for patients with diagnosed cardiac disease that require the services of a recognized cardiac rehabilitation program when prescribed by a Physician.
Chiropractor
Services of an Authorized Chiropractor to a maximum of $350 per person per calendar year.
Clinical Psychology
Services of a provincially registered Clinical Psychologist to a maximum of $350 per person per calendar year.
Colostomy Supplies
Charges for the cost of colostomy and ostomy supplies.
Dental Treatment -Accidental
Charges for dental treatment rendered by a Dental Surgeon, where as a result of accidental injury (and not by an object wittingly or unwittingly placed in mouth), natural teeth have been damaged or a fractured or dislocated jaw requires setting. Dental treatment so required must be commenced within ninety (90) days of the Accident.
Drugs (100% Reimbursement)
Drugs (including oral contraceptives), serums, injectibles and insulin purchased on the written prescription of a Medical Practitioner and dispensed by a Licensed Pharmacist. To be eligible, these drugs or medicines must be listed on a Provincial Pharmacare Formulary or on a formulary developed by Blue Cross. Fertility and erectile dysfunction drugs are not covered. Benefits payable will be integrated with those available from any government Provincial Drug Plan. Not more than a 100 day supply will be paid.
Smoking Cessation Products
Charges for smoking cessation products, as approved by Blue Cross, which are either prescribed by a Physician or sold over the counter and dispensed by a Pharmacist up to a lifetime maximum of $400 per Subscriber.
Prairie Teamsters Administration Services Ltd.
209, 7260 - 12 St SE Calgary, Alberta T2H 2S5
Telephone 403-252-6924 - Toll Free1-877-817-7526 - Fax 403-253-3231