Benefits

Member: Up to $300,000
Spouse: Up to $60,000
Dependent Child: Up to $8,000
Age Limitation: Up to age 70

Members / Eligible Dependents
Coverage terminates at age 70

Injury/loss to natural teeth completed within 12 months.

Members / Spouse / Dependent Child

Member: Up to $300,000
Spouse: Up to $60,000
Dependent Child: Up to $8,000
Age Limitation: Up to age 70

Members / Eligible Dependents
Coverage terminates at age 70

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

Members / Spouse / Dependent Child

Covered after OHIP excluding air and rail.

Members / Spouse / Dependent Child

CPAP, APAP, Apnea Monitors, and appliances covered

Members / Spouse / Dependent Child

Covered including replacement: No maximum for artificial limbs or eyes

Members / Spouse / Dependent Child

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

Members / Spouse / Dependent Child

Benefit Maximum: $300 per day
Benefit Duration: Maximum of 3 days for the death of family members.

Members Only

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

Members / Spouse / Dependent Child

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

Members / Spouse / Dependent Child

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

Members / Spouse / Dependent Child

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

Members / Spouse / Dependent Child

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

Members / Spouse / Dependent Child

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

Members / Spouse / Dependent Child

Member: Up to $40,000
Spouse: Up to $15,000
Dependent Child: Up to $10,000

Members / Eligible Dependents
Coverage terminates at age 70

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 booklet for specific coverage details.

Members / Eligible Dependents

Covered: Dexcom $4000.00 maximum a year

Members / Spouse / Dependent Child

WSIB / STD Integration

Members Only

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

Members / Spouse / Dependent Child
Under the age of 99

Diagnostics Services:
MRI / CT Scans / Ultrasound / Endoscopy / Colonoscopy

Specialists Services:
Dermatologist, Endocrinologist, Gynecologist, Podiatrist, Respirologist, Cardiology, Gastroenterology, General Surgery, Neurosurgery, Ear, nose & throat, Orthopedics, Ophthalmology, Rheumatology, Urology, Neurology

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

Members / Spouse / Dependent Child

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

Members Only

Once a lifetime / Maximum $1,500

Members / Spouse / Dependent Child

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

Members / Spouse / Dependent Child

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

Members / Spouse / Dependent Child

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

Member / Spouse

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

Members / Spouse / Dependent Child

Access to Nurses to help navigate the healthcare system.

Members / Spouse / Dependent Child

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

Members / Spouse / Dependent Child

$10,000 for member and spouse

Member / Spouse

Daily Maximum Benefit: $225 (50% after Age 70)
Benefit Duration: Maximum of 120 consecutive days
Waiting Period: 3 consecutive days commencing upon arrival
Waiting Period for Birth: 24 Hours

Members / Spouse / Dependent Child
Up to age 75

Covered: No maximum

Members / Spouse / Dependent Child

Iron Drug Injectables adminstered through IV or injected in hospital setting.

Members / Spouse / Dependent Child

Benefit Maximum: $200 per day
Benefit Duration: Maximum of 100 days

Members Only

Member / Eligible Dependents

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

Member / Spouse
Over the age of 18

Waiting Period: 104 weeks
Benefit Maximum: 10 years, age 65, or recovery, whichever occurs first
Monthly Benefit Maximum (Years 1-5): $1,000 per month
Monthly Benefit Maximum (Years 6-10): $600 per month

Members Only
Up to age 65

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

Members / Spouse / Dependent Child

Confidential counselling services to support mental health and wellbeing.

Members / Spouse / Dependent Child

In-house destination for support on matters relating to disability, workers compensation, and other medical benefits and services.

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

Members / Spouse / Dependent Child

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

Members / 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

Members / Spouse / Dependent Child

Access to second opinions.

Members / Spouse / Dependent Child

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

Members / Spouse / Dependent Child

Up to $2,000 every 36 months (not eligible for cosmetic purposes)

Members / Spouse / Dependent Child

Assistance with workplace accidents and illnesses (WSIB) claims.

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

Members Only

Member: Up to $500,000

Members Only
Coverage terminates at age 70

Member: Up to $500,000

Members Only
Coverage terminates at age 70

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

Members / Spouse / Dependent Child

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

Members / Spouse / Dependent Child

1 pair every 24 months / Maximum $500

Members / Spouse / Dependent Child

50% / Maximum $250 per calendar year

Members / Spouse / Dependent Child

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

Members / Spouse / Dependent Child

Benefit: $300 per day
Duration: Maximum of 3 days immediately following the birth of a newborn.

Members Only

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

Members / Spouse

$300,000 – Member

Members only up to age 70

Member – Maximum benefit of $300,000

Members Only
Coverage terminates at age 70

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

Members / Spouse / Dependent Child

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

Members / Spouse / Dependent Child

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

Members / Spouse / Dependent Child

$5,000 Lifetime Maximum

Members / Spouse / Dependent Child

$500 for each child/grandchild born on or after January 1, 2017
$100 for each child/grandchild born on or after January 1, 2000

Active Members Only

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

Members / Spouse / Dependent Child

$20 per visit
$2,500 Calendar Year Maximum

Members / Spouse / Dependent Child

Online training platform to tackle a variety of lifestyle goals including smoking cessation, weight loss, sleep, alcohol, stress, diabetes, and more.

Members / Spouse / Dependent Child

Benefits Payable: 1st day of Accident
Benefits Payable: 8th day of Illness
Total Period of Coverage: Maximum of 104 weeks
Integrated: Employment Insurance Sickness Benefits
Maximum Weekly Benefit: Weekly Benefit is $500

Members
Up to age 65

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

Members / Spouse / Dependent Child

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

Members / Spouse / Dependent Child

Benefit: $25,000 per occurrence
Lifetime Maximum: $250,000 per individual
Coverage: Hospital, Surgeon, Physician Fees

Members / Spouse / Dependent Child
Up to age 70

$100,000 – Member

Members only up to age 75

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

Dependent Child

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

Members Only

Residential inpatient program for substance use disorders and addiction.

Members Only

Two pairs per calendar year.

Members / Spouse / Dependent Child

Two pairs per calendar year.

Members / Spouse / Dependent Child

Maximum of $500 per calendar year.

Members / Spouse / Dependent Child

Online platform for Non-Emergency Medical Support.

Members / Spouse / Dependent Child

Home delivery for prescription medications.

Members / Spouse / Dependent Child