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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 Kinesiologists 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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