Benefits

Injury/loss to natural teeth completed within 12 months.

Retirees / Spouse / Dependent Children

$85 per visit up to an overall combined paramedical therapy
Maximum of $2,000 per calendar year

Retirees / Spouse / Dependent Children

Covered after OHIP excluding air and rail.

Retirees / Spouse / Dependent Children

CPAP, APAP, Apnea Monitors, and appliances covered

Retirees / Spouse / Dependent Children

Covered including replacement: No maximum for artifical limbs or eyes

Retirees / Spouse / Dependent Children

$85 per visit up to an overall combined paramedical therapy
Maximum of $2,000 per calendar year

Retirees / Spouse / Dependent Children

One (1) external breast to a max of $500 per breast once every 24 months

Retirees / Spouse / Dependent Children

Confidential access to Oncology Nurses to help navigate the healthcare system.

Retirees / Spouse / Dependent Child

Covered: Canes $100, Casts $400, Crutches $125 & Splints no maximum

Retirees / Spouse / Dependent Children

Up to $50,000 per Eligible Dependent Child

Dependent Child

$100 1st visit / $85 subsequent visits (chiropractor services only)
Maximum of $2,000 per calendar year

Retirees / Spouse / Dependent Children

$105 per visit up to an overall combined behavioral therapy
Maximum of $2,000 per calendar year

Retirees / Spouse / Dependent Children

Up to $4,000 per year (Sensor/Transmitter/Receiver)

Retirees / Spouse / Dependent Children

Calendar Year Maximum: $3,000 (per family member)
Reimbursement: 2025 O.D.A. Fee Guide (reset January 1 – current)
Member Advantage Card: Dental Reimbursement

See Benefit Booklet for specific coverage details.

Retirees / Spouse / Dependent Children

Covered: Dexcom $4000.00 maximum a year

Retirees / Spouse / Dependent Children

Age Limitation: Up to age 99
Coverage: 24 Hours
Maximum Per Trip Benefit:
$5,000,000 / up to age 80
$2,500,000 / age 80 – up to age 99 (180 day pre-existing stability clause)
Period of Coverage: Maximum of 90 consecutive days per trip

Retirees / Spouse / Dependent Children

Diagnostics Healthcare Services: RI / CT Scans / Ultrasound / Endoscopy / Colonoscopy
Specialists Healthcare Services: Dermatologist, Endocrinologist, Gynecologist, Podiatrist, Respirologist, Cardiology, Gastroenterology, General Surgery, Neurosurgery, Ear, nose & throat, Orthopedics, Ophthalmology, Rheumatology, Urology, Neurology

Surgeries Healthcare Services (RETIREE ONLY):
Orthopedic Surgery – ACL, Elbow, Foot, Ankle, Toe, Hand, Wrist, Hip, Knee & Shoulder
General Surgery – Cataract, Ear, Nose & Throat, Gallbladder & Hernia

Retirees / Spouse / Dependent Child

Orthopedic Surgery – ACL, Elbow, Foot, Ankle, Toe, Hand, Wrist, Hip, Knee & Shoulder
General Surgery – Cataract, Ear, Nose & Throat, Gallbladder & Hernia

Retirees Only

Once a lifetime / Maximum $1,500

Retirees / Spouse / Dependent Children

Access to tools / information to assist in educating and providing guidance for financial goals and assist in alleviating stress from financial uncertainty.

Retirees / Spouse / Dependent Child

Must be insulin dependent
Monitor reimbursement $75.00
Sensors through Drug Card

Retirees / Spouse / Dependent Children

Wills, Power of Attorney, Real Estate, Separation Agreements, Divorce, Cohabitation Agreement Benefit, Highway Traffic Act
*Subject to the limitations as set out under the LiUNA Local 183 Members’ Group Legal & Paid Leave Trust Fund

Retiree / Spouse

Confidential one-on-one coaching support around healthy eating, diabetes, and heart health.

Retirees / Spouse / Dependent Child

Access to Nurses to help navigate the healthcare system.

Retirees / Spouse / Dependent Child

One set / $3,500 maximum every 36 months (including replacement, repair, batteries)

Retirees / Spouse / Dependent Children

Daily Maximum Benefit: $200
Benefit Duration: Maximum of 120 consecutive days
Waiting Period: 3 consecutive days commencing upon arrival
Waiting Period for Birth: 24 Hours

Retirees / Spouse / Dependent children

Covered: No maximum

Retirees / Spouse / Dependent Children

Iron Drug Injectables administered through IV or injected in hospital setting

Retirees / Spouse / Dependent Children

Retiree: $25,000 – Principal Sum
Spouse: $10,000 – Principal Sum
Life Advance Benefit: $10,000 payable within 48 hours
Terminal Illness Advance (24 months life expectancy): 50% of the principal sum
Terminal Illness Advance – Spouse: 50% of the principal sum

Retirees / Spouse

Age Limitation: Over 18 years of age
Daily Indemnity Benefit: $50 per day
Daily Reimbursement Benefit: Up to $100 per day for eligible Long Term Care Expenses
Lifetime Maximum per person: $300,000

Retirees / Spouse

$85 per visit up to an overall combined paramedical therapy
Maximum of $2,000 per calendar year

Retirees / Spouse / Dependent Children

Rigid or Semi-Rigid Back, Neck, Arm or Leg Braces once (1) every five (5) years per limb.

Members / Eligible Dependents

Confidential counselling services to support mental health and wellbeing.

Retirees / Spouse / Dependent Children

Confidential one-on-one coaching support around healthy eating, diabetes, and heart health.

Member Health Management Services
T: 416-240-2104 / 1-866-315-6011
F: 416-240-7047
200 Labourers Way, Suite 5400
Vaughan, ON, L4H 5H9

memberhealthservices@liunacare183.com

Retirees / Spouse / Dependent Child

Intensive outpatient program offered virtually or in-person to address a variety of mental health issues and disorders.

Retirees / Spouse / Dependent Child

Confidential counselling services to support mental health and wellbeing.

Members / Spouse / Dependent Child

Mental health resources, assessment tool, and confidential counselling services.

Retirees / Spouse / Dependent Child

Access to second opinions.

Retirees / Spouse / Dependent Child

$85 per visit up to an overall combined paramedical therapy
Maximum of $2,000 per calendar year

Retirees / Spouse / Dependent Children

M.D. Referral Required
Up to $2,000 every 36 months (not eligible for cosmetic purposes)

Retirees / Spouse / Dependent Children

$85 per visit up to an overall combined paramedical therapy
Maximum of $2,000 per calendar year

Retirees / Spouse / Dependent Children

Confidential access to virtual or in-person treatment to address opioid use and addiction.

Retirees / Spouse / Dependent Child

1 pair every 24 months / Maximum $500

Retirees / Spouse / Dependent Children

50% / Maximum $250 per calendar year

Retirees / Spouse / Dependent Children

$85 per visit up to an overall combined paramedical therapy
Maximum of $2,000 per calendar year

Retirees / Spouse / Dependent Children

Resources and coaching services to tackle a variety of parenting and caregiving challenges.

Retirees / Spouse

$100 for the first visit and $90 for subsequent visits
Up to an overall combined health practitioner maximum of $2,000 per calendar year

Retirees / Spouse / Dependent Children

$85 per visit up to an overall combined paramedical therapy
Maximum of $2,000 per calendar year

Retirees / Spouse / Dependent Children

100% (Rx drugs prescribed by a Physician and dispensed by a Pharmacist)
$50,000 Lifetime Maximum on Opioids

Retirees / Spouse / Dependent Children

$5,000 Lifetime Maximum

Retirees / Spouse / Dependent Children

Covered: MD referral Required for all Other durable Medical supplies, Estimate should be submitted

Retirees / Spouse / Dependent Children

$20 per visit / $2,500 Calendar Year Maximum

Retirees / Spouse / Dependent Children

Online training platform for Smoking Cessation / Weight Loss / Alcohol / Stress / Diabetes / Sleep etc.

Retirees / Spouse / Dependent Child

Confidential virtual support, coaching, and treatment to address alcohol, opioid, and substance use and addiction.

Retirees / Spouse / Dependent Child

One (1) course treatment up to a maximum of $350 per lifetime.

Retirees / Spouse / Dependent Children

Lifetime maximum of $10,000 per dependent child only
$200 per visit maximum

Dependent Children

Intensive outpatient mental health program offered virtually or in-person to address substance use and addiction.

Retirees Only

Residential inpatient program for substance use disorders and addiction.

Retirees Only

Two pairs per calendar year

Retirees / Spouse / Dependent Children

Two pairs per calendar year

Retirees / Spouse / Dependent Children

Maximum of $500 per calendar year

Retirees / Spouse / Dependent Children

Online platform for Non-Emergency Medical Support.

Retirees / Spouse / Dependent Child

Home delivery for prescription medications.

Retirees / Spouse / Dependent Child

Vision Care: One set (lenses & frames) / $450 maximum every 24 months
Replacement Lenses: (Rx change/Damage) One set / $100 maximum within the same 24 month period
Contact Lenses: In lieu of glasses / $450 maximum every 24 months

Eye Exams – Under 65 years of age (Member & Dependents): Included once (with vision care coverage) within the same 24 month period
Eye Exams – Over 65 years of age (Member & Dependents): OHIP covered
Eye Exams – Dependents under 65 years of age/Member is over 65 years of age:
Included once (with vision care coverage) within the same 24 month period (Dependents Only)

Laser Eye Surgery: $2,000 Lifetime Maximum
Intra-ocular lens (IOL) Prep Exam – Prior cataract surgery: Maximum $450 per eye, per lifetime
Intra-ocular lens (IOL) – Post cataract surgery: Single-focal – max $250 per eye per lifetime / Multi-focal – max $600 per eye per lifetime

Retirees / Spouse / Dependent Children

$500 Lifetime Maximum

Retirees / Spouse / Dependent Children