Illness or injury can strike when you least expect it. When it does, you should be able to focus on getting better, not how to pay your bills. That’s why the plan offers you and your family health care coverage. It is designed to complement the provincial plan and help pay more major health expenses.
For a summary of your health coverage, refer to the Benefits At-a-Glance section. There you will find information on reimbursement levels and applicable maximums.
Eligible expenses must be reasonable and customary, medically necessary, and incurred while the individual was covered under the plan.
Payment will be based on reasonable and customary charges in the area in which the treatment is given as determined by the insurer adjudicating benefits. Limits may apply to specific servised and supplies.
Benefits at a glance
|Prescription drugs (lowest price generic or biosimilar substitution)||The NLTA Group Insurance program pays the ingredient cost of the eligible prescription drug and the member pays the pharmacist’s charges/dispensing fee and any markup|
|Hospital accommodations||100% reimbursement of the semi-private hospital room rate|
|Paramedical practitioners||80% reimbursement to specified annual maximums|
|Vision care||80% reimbursement to specified annual maximums|
|Medical services||80% reimbursement to specified annual maximums|