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Improvements to the Union's Life & Health Benefits Plan

The Board of Trustees are pleased to advise the following improvements to the Active and Retiree Life & Health Benefits Plans:


Active Plan:


Behavioural Therapy for Children with Autism

- OEBAC has updated the Plan Provisions, as per the Trustees motion to increase psychology benefit to $4,000.00 for behavioural therapy for autism only and set the effective date September 16, 2020.


Fertility Coverage

- Change the name of the benefit from Fertility Drugs to Fertility Treatment.

- That both the member and their spouse covered within the existing fertility expense be allowed within the current maximum effective January 1, 2021.


Kinesiology

- Since Kinesiologist's are registered health professionals, services rendered by a Kinesiologist will be covered under the Physiotherapy benefit, with no change to the annual maximum effective January 1, 2021.


Continuous Glucose Monitoring Device (G6 Dexcom)

- G6 Dexcom will be covered under the Plan with a reasonable and customary maximum of $4,000. It should be backdated to cover recent appeals, to allow those moving from Freestyle Libre System to G6 Dexcom to be covered.


Increase the lifetime maximum of Orthodontic Services

- Maintaining the same formula, OEBAC will increase the lifetime maximum to $5,000.00 effective January 1, 2021 on new treatments.

Eligible Charges Dental Plan Pays

$1,500. $1,125

$2,000 $1,500

$3,000 $2,250

$4,666.67 $3,500

$5,000 $3,750

$6,666.67 $5,000


Retiree Plan:


Kinesiology

- Since Kinesiologist's are registered health professionals, services rendered by a Kinesiologist will be covered under the Physiotherapy benefit, with no change to the annual maximum effective January 1, 2021.


Continuous Glucose Monitoring Device (G6 Dexcom)

- G6 Dexcom will be covered under the Plan with a reasonable and customary maximum of $4,000. It should be backdated to cover recent appeals, to allow those moving from Freestyle Libre System to G6 Dexcom to be covered.



For more information about the Life & Health Benefits Plan, Pension Plan and the Group Legal Plan, contact the OEBAC Member Call Centre at info@oebac.org or toll-free at 1-844-793-1919.


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