Overview of the Plan

Disclaimer: This information below is intended to give you an overview of the benefits available to you under the Maritime Resident Doctors Benefit Program. This is not an insurance policy, and does not grant or confer any contractual rights. All rights under this program shall be governed by the provisions of the Master Policy and by applicable law. Maritime Resident Doctors reserves the right to make any applicable changes, modify or discontinue. 

For complete plan details, please refer to your Maritime Resident Doctors group benefits booklet; or if you have questions about the plan, contact Maritime Resident Doctors at 902-404-3595 or toll-free at 1-877-972-7467.

Group Benefits Policy Year: July 1 - June 30

Health Insurance

Annual Deductible Nil
Pay Direct Card Yes
Coverage Drug deductible 20% of the total cost of each prescription, up to a max of $25 per prescription.  Reimbursement for “generic” equivalent drugs requiring a prescription including oral contraceptives. $300 lifetime maximum for smoking cessation. $15,000 lifetime maximum for fertility drugs.
Other Medical Services (summary only):
Insurer Manulife Financial
Reimbursement 100%
Paramedical Services:   Coverage provided up to $1,000 per academic year each to a combined maximum of $1,500. Services provided by the following licensed practitioners: Chiropractor, Osteopath, Chiropodist/Podiatrist, Massage Therapist, Naturopath, Speech Therapist, Physiotherapist, Psychologist, Acupuncturist, Audiologist, Dietician, Occupational Therapist. X-rays covered to a maximum of $35 per academic year for Chiropractor, Osteopath, and Chiropodist/Podiatrist.
Vision Care ·Frames & lenses: $250 / 2 yrs (1 yr Children) requires a prescription. Occupational Glasses: $250 / 2 yrs for members only (in addition to regular benefit and requires a prescription). Eye exam once per calendar year up to reasonable & customary charges
Private Duty Nurse $10,000 per year.
Orthopedic shoes Non-custom: $150 per calendar year. Custom: Reasonable and customary
Custom Made Orthotics $400 per 3 calendar years.
Hearing Aids $600 per 3 calendar years.
Coverage Semi-private coverage.
Out of Province / Country
Coverage 100%; $5 million per lifetime. Includes Emergency Travel Assistance. Provincial coverage must be in force during absence from province. Referrals reimbursed at 50%; subject to $3,000 maximum per 3 policy years.

Dental Insurance

Deductible Nil
Fee Guide Current general practitioner fee guide based on the province in which services are rendered. 
Basic Treatment 80% reimbursement including recall exams once every 6 months.
Major Treatment 50% reimbursement.
Orthodontics Not Covered
Maximum Combined calendar year maximum of $1,500 for all services.

Health Spending Account

Amount $100 per member per academic year
Eligible Expenses Medical expenses as defined by the Canada Revenue Agency. Visit www.cra-arc.gc.ca for a complete list of covered Health Spending Account expenses.
Carry Over None. Cannot carry over to next academic year.
Tex Status Not a taxable benefit.

Member Basic Life Insurance (and AD&D Insurance)

Benefit Level $100,000.
Waiver of Premium Up to age 65 if totally disabled.
Conversion Can convert to individual.
Reduction Refer to booklet for reduction schedule. Beginning at age 61 years.

Short-term sick leave

In accordance with your collective agreement, coverage is provided for 90-working days. If you remain disabled after your short-term sickness disability benefits expire, you are then eligible to apply for long term income disability with Manulife Financial. For complete program details, visit www.manulife.ca/groupbenefits or contact Maritime Resident Doctors at (902) 404-3594.

Long-Term Disability

Benefit Level 66.7% of your monthly earnings to a maximum of $5,000.
Commencement Following 90 working days provided disability is continuous and you are under 65.
Tax Status Benefit received from Manulife is taxable.
Additional Provisions
Definition of Disability Own occupation first 5 years, any occupation for which you are, or could reasonably become qualified thereafter.
Reductions CPP, WCB, some other benefits.
Income from other Sources (except for any income provided under the Ontario Medical Association plan) If necessary, the amount of your benefit will be further reduced so that your total amount from all sources does not exceed 100% of your pre-disability earnings. If a Member is eligible to receive income resulting from the Member’s membership in an association of any kind except for the Ontario Medical Association, the benefit will be reduced by such income only if that income exceeds 100% of the Member’s pre-disability earnings.
Exclusions Self-inflicted injuries or illnesses. War, insurrection, the hostile actions of any armed forces or participation in a riot or civil commotion. Operation of a motor vehicle while under the influence of any intoxicant. Abuses of addictive substances. Committing or attempt to commit a criminal offense. 

Employee & Family Assistance Program

Professional services offered, includ counselling, smoking cessation, career counselling, childcare referral, eldercare referral, nutrition support services, naturopathic services, financial support services, legal support services, health coaching. Available in-person, by phone, video, or E-counselling. Self-guided resources are also available online. Phone (866) 833-7690 or www.workhealthlife.com.

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