Benefits

Injury/loss to natural teeth completed within 12 months.

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

Covered after OHIP excluding air and rail.

Member / Spouse / Dependent Child

CPAP, APAP, Apnea Monitors, and appliances covered

Member / Spouse / Dependent Child

Covered including replacement: No maximum for artifical limbs or eyes

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

Specializing in Cancer Care Assistance / Navigation

Member / Spouse / Dependent Child

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

Member / 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

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

Continuous Glucose Monitor $4,000 maximum a year

Member / Spouse / Dependent Child

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.

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

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

Member Only

Once a lifetime / Maximum $1,500

Member / 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.

Member / Spouse / Dependent Child

Must be Insulin Dependant
Monitor reimbursement $75.00
Sensors through Drug Card

Member / 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 CCWUcare Benefit Plan

Member / Spouse

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

Member / Spouse / Dependent Child

Access to Nurses to help navigate the healthcare system.

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

Covered: No maximum

Member / Spouse / Dependent Child

Iron Drug Injectables administered through IV or injected in hospital setting

Member / Spouse / Dependent Child

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

Member / 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

Member / Spouse

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

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

Confidential counselling services to support mental health and wellbeing.

Member / 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
F: 416-240-7047
200 Labourers Way, Suite 5400
Vaughan, ON, L4H 5H9
Send an email

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

Confidential counselling services to support mental health and wellbeing.

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

Access to second opinions.

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

1 pair every 24 months / Maximum $500

Member / Spouse / Dependent Child

50% / Maximum $250 per calendar year

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

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

Member / 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

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

$5,000 Lifetime Maximum

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

Second Medical Opinion Benefit

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

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

Member / Spouse / Dependent Child

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.

Member Only

Residential inpatient program for substance use disorders and addiction.

Member Only

Two pairs per calendar year

Member / Spouse / Dependent Child

Two pairs per calendar year

Member / Spouse / Dependent Child

Maximum of $500 per calendar year

Member / Spouse / Dependent Child

Online platform for Non-Emergency Medical Support.

Member / Spouse / Dependent Child

Home delivery for prescription medications.

Member / Spouse / Dependent Child

One set (lenses & frames) / $450 maximum every 24 months

Member / Spouse / Dependent Child

$500 Lifetime Maximum

Member / Spouse / Dependent Child