For Active Members

• Member – $100,000*
• Spouse – $20,000
• Dependent Child – $20,000

• Member – $100,000*
• Spouse – $30,000
• Dependant Child – $4,000

• Please refer to the benefit booklet on specific coverage amounts

• Member – $200,000*

• Please refer to the benefits booklet for specific coverage amounts

Weekly Benefit Maximum:

Maximum of $668 per week

Benefits are payable from

• 1st day of accident or hospitalization of a minimum of 18 hours
• 8th day illness / disease / sickness

Benefit Duration

Maximum of 52 weeks or to the
attainment of age 65

Integration

26 Week Employment Insurance
Sickness Benefits

Weekly Benefit Maximum:

Maximum of $2,000 per month

Benefits are payable (waiting period) from:

• 52 weeks from the date of disability

Benefit Duration

Maximum of 10 years, recovery, or
the attainment of age 65

Integration

26 Week Employment Insurance
Sickness Benefits

• Member – $200,000

• Member – $25,000*
• Spouse – $5,000*
• Dependent Child – $5,000*

Daily Benefit Maximum

Maximum of $150 per day

Benefits payable after:

3 consecutive days of hospitalization (starts the day you present yourself at the hospital)

Benefit duration

Maximum of 120 consecutive days

• Member Advantage Card
• 100% Reimbursement
• Opioids – Lifetime maximum of
  $5,000 for eligible opioids.
• Smoking Cessation – One (1)
  course treatment up to a maximum
  of $350 per lifetime.
• Medical Cannabis – $1,000 per
  calendar year, $500 Dried Cannabis Maximum
• Vaccinations / Immunizations
  coverage up to a maximum of
  $250 per calendar year.
• Semi-Private Hospital Coverage
  up to a maximum of 120
  consecutive days.

Ambulance:

• Outpatient services.

Nursing:

• Limb braces, crutches, prosthesis services, wheelchair, hospital bed or oxygen equipment.

• Maximum combined benefit of $400 per calendar year for eyeglasses (lenses/frames combined) or Contact Lenses.
• One (1) eye exam within the same calendar year up to a maximum of $100. Eye exam prescriptions will be valid for 24 months from the date of exam.
• Corrective Laser Eye Surgery: $1,500 / once per lifetime.
• Cataract Surgery: Intra-ocular lens
  (IOL) single focal to a maximum of $250 per eye per lifetime; multi-
  focal to a maximum of $600 per eye per lifetime.
• Prior to Cataract Surgery, an Intra-Ocular Lens (IOL) preparation exam reimbursement benefit to be added at $450 per eye, per lifetime

• $1,500 benefit maximum every 36 months for one set of hearing aids when provided by a certified clinical audiologist in Canada including any replacement, repair
  charges and batteries.

• Medical Braces for Wrist, Elbow, Finger, and Ankle to a maximum of $250 per limb once every 3 years

1 pair reimbursed at 50% up to a maximum of $400 every 24 months (must be custom made by a Foot Care Specialist and prescribed by licensed physician (M.D.) or specialist).

• 1 pair every 24 months to an overall maximum of $250.
• Custom made Orthopedic shoes (including repairs) must be prescribed by licensed physician (M.D.) or specialist).

• $200 per visit for eligible services up to a lifetime maximum of $10,000 for dependent children only.
• Treatments by a Speech Therapist must be prescribed by a licensed physician (M.D).

• $100 per visit for eligible services up to the overall combined practitioner maximum of $1,500 per calendar year.
• Treatments by a Physiotherapist must be prescribed by a licensed physician (M.D).

• $90 per visit for eligible services up to the overall combined practitioner maximum of $1,500 per calendar year

• $90 per visit for eligible services up to the overall combined practitioner maximum of $1,500 per calendar year

• $90 per visit for eligible services up to the overall combined practitioner maximum of $1,500 per calendar year

• $90 per visit for eligible services up to the overall combined practitioner maximum of $1,500 per calendar year.
• Treatments by a Massage Therapist must be prescribed by a licensed physician (M.D).

• $90 per visit for eligible services up to the overall combined practitioner maximum of $1,500 per calendar year

• $90 per visit for eligible services up to the overall combined practitioner maximum of $1,500 per calendar year

• $90 per visit for eligible services up to the overall combined practitioner maximum of $1,500 per calendar year

• $100 per visit for eligible services up to an overall combined maximum of $1,500 per calendar year.
• Includes treatments by a Clinical Psychologist, Psychoanalyst, Psychotherapist, or Social Worker.

• $3,000 per Calendar Year
• • Diagnostics: exams, x-rays – 100%
  • Endodontics: root canals – 100%
  • Periodontics: root planing and surgery – 100%
  • Preventative: polishing, scaling, fluoride – 100%
  • Dentures: Partial / Complete – 100%
  • Crowns / Bridgework / Implants – 100%
  • Restorative: fillings, crowns – 100%
  • Surgical: extractions, oral surgery – 100%
  • Orthodontics – 60 %
• Orthodontics – $3,000 Lifetime
  Maximum

Benefit Maximum:

• $5,000,000 Per Trip Maximum
  under age 80
• $2,500,000 Per Trip Maximum
  age 80 to age 99

Trip Duration:

• Under age 99 – Trips are limited to
  a maximum of 90 consecutive
  days.
• Age 99 & over – Contact
  LiUNAcare Local 506

• Confidential Online Platform for virtual real-time Cognitive Behavioral Therapy (CBT) sessions with a psychologist.
• Sessions up to 12 weeks from home via computer or handheld device.
• Access to educational materials.
• Assessments can be shared confidentiality & securely with primary care physicians or counsellors.

• Confidential Online Platform for virtual 24/7 non-emergency personalized medical support through the mobile application.
• Instant access to connect with healthcare provider for primary health questions & concerns.
• Fill and refill prescriptions.
• Initiate specialist referrals and lab requisitions.
• Unlimited virtual consultations via
  text or chat.
• Updates sent securely and confidentiality to primary care physicians with consent.

• Health coaching platform with nurse navigator to aid navigating current healthcare system for serious and chronic diseases.
• Single point of contact throughout the diagnosis, treatment, and rehabilitation process.

Specialized cancer care for immediate access to highly trained oncologists and experienced oncology nurses who work with patients and family to ensure right
treatment is received.

Online secured web platform to a medical second opinion program from the expertise of top Cleveland Clinic global specialists for prolonged or chronic illnesses without the time and expense of travel.

• Confidential one-on-one telephone access to dedicated professional for coaching support.
• Health goals include diabetes, heart health and mindful eating.
• Nutritional Assessments available.

Online training program with video-
based workshops to help with:

• smoking cessation
• weight loss
• alcohol consumption
• exercise motivation
• stress relief
• diabetes
• sleep restoration and more.

Convenience of home delivery for prescription medications sorted into daily packets to ensure correct daily dosage and auto renewing or prescriptions.

The Substance Management Abuse & Recovery Treatment (SMART) program is a confidential 24-hour, 7-day virtual online substance management and recovery program to assist with all forms of substance abuse.

The Canadian Addiction Treatment Centre Opioid Program is an Outpatient Treatment Service for those looking for confidential opioid therapy and treatment.

The De Novo Program is an alcohol and drug treatment service operated as a partnership between management and unionized members of Ontario’s construction trades.

Benefit Maximum:

$200 per day

Benefit Duration:

Maximum of 3 business days within a
10-day period from date of death.

Benefit Maximum:

$200 per day

Benefit Duration:

Maximum of 3 business days.

Benefit Maximum:

$200 per day

Benefit Duration:

Maximum of 100 days.

Immediate access to diagnostic
scans such as MRI & CT Scans
and specialist consultations

Confidential Counseling Services

• The Outpatient Substance Use and Addiction Treatment is a program for those seeking virtual treatment for substance use and alcohol, drug, and prescription medication addiction.

• The Inpatient Substance Use and Addiction Treatment is a program for those seeking a residential bed for substance use and alcohol, drug, and prescription medication addiction.

Group Legal Plan Enrollment form prior to claiming for all your legal needs