Effective April 1, 2019, OHIP+ will no longer provide drug coverage for individuals under the age of 25 who have access to private insurance. Therefore, prescription drug claims for children and youth 24 years of age and younger with private plan coverage will have to be submitted directly to their private plan. Click here for details!

Extended Health Care

Percentage Payable: 

80%, except where noted

Deductible: 

Nil

Lifetime Maximum Benefit: 

Only as noted for specific benefits

Drugs:

Prescriptive Only

100% payable with a $6.50 Dispensing Fee Maximum

Lifetime Maximums: 

$500 lifetime maximum for Smoking Cessation drugs

Private/Semi-Private Hospital: 

None  

Ambulance Benefit: 

Local Ambulance and Air Ambulance, limited to economy airfare

Out of Hospital Nursing: 

$10,000 maximum for Registered Nurse, every 3 calendar years (prior approval required)

Accidental Dental: 

Considered as an Extended Health Care Benefit, Unlimited if treated one year from accident

Health Practitioners Benefit: 

Physiotherapist, Licensed Clinical Psychologist, Registered Massage Therapist, Chiropractor, Naturopath, Osteopath, Chiropodist, Podiatrist, Speech Therapist: $500 calendar year maximum per type of practitioner (x-rays included)

Orthopedic Shoes Or Orthotics, Combined:

One pair every calendar year to a maximum of $500

Hearing Care Benefit:

$500 maximum every 3 years, excludes repairs or batteries

Durable Medical Equipment & Supplies:

Breast Prosthesis:

Every 2 calendar years

Surgical Brassieres:

2 per calendar year

Surgical Stockings:

2 pair per calendar year

Wigs:

$700 lifetime maximum

Glucometer:

50% to a maximum of $350 lifetime maximum

 

This website describes the conditions of eligibility, coverage and claims procedures under the Teamsters and Toronto Ready Mix Producers Benefit Plan Fund. The Board of Trustees are solely responsible for establishing the eligibility rules of the Trust Fund.

Downloads

Claim Forms:

Brochures:

Others:

*Please note that some changes were made to the booklet after April 2018 and these have been highlighted in red for your information.

Teamsters and Toronto Ready Mix Producers Benefit Plan Fund
c/o Benefit Plan Administrators
90 Burnhamthorpe Road West, Suite 300
Mississauga, Ontario L5B 3C3