© District 3 RTO/ERO           Legal Notice Human Rights Statement 

Health Care-HIS

Johnson Health Plan Service

416-920-7248

1-877-406-9007

(Fax: 416-920-0939)

Claims

905-764-4888

1-800-638-4753

(Fax: 905-764-4041 or 1-888-895-2209

www.johnson.ca

 Local Health Care Resources

Alzheimer Society of Sault Ste. Marie     SSM & District Canadian Diabetes Assoc.     Canadian Cancer Society       Heart and Stroke Foundation

Click a link (above) to access a datasheet of the resource.  You can also print the datasheet!  If you have any suggestions for future datasheets, please forward your

thoughts to District 3 RTO (garyrwills@gmail.com)  Thank you!

Health Insurance and Services Updates  --  Bruce Avery & Page Nicolson, HIS Reps
RTO/ERO Group Benefits Program, 2018 Plan Enhancements   Prescription Drugs to $3,400 per insured person per calendar year       Paramedical Practitioners to will cover Social Workers and       Psychotherapists       All Diagnostic Tests, including screening tests, will be covered       at 80% reimbursement to a max of $250 per insured       Dental Plan:  Updated to cover the 2018 Ontario Dental Association       Fee Guide (increase to rates of 2%)       Hospital and Convalescent Care:  No changes to the plan and no       increases to rates
Local member, Gayle Manley, is the Provincial Chair of the HIS Committee!
Video Links "23 and 1/2 hours: What is the single best thing we can do for our health?" "Let's Make our Day Harder" Elaine Dembe - Health & Wellness
In the event of a claim, EACH out of province traveller, covered under the RTO Group Benefit Plan, will require proof that he/she was in the province of Ontario the day of, or the day before the date of departure.       -- “RTO/ERO Out of Province Booklet
Powers of AttorneyA power of attorney is a legal document in which you appoint a person of your choice to act as your representative in the event that you are unable to do so. If you have an assigned Power of Attorney, Johnson Inc. Plan Benefits Service will require an original or notarized copy of the general or continuing Power of Attorney for property.  This original or notarized copy will be returned to you. The basic standard for authenticating documents for legal purposes is a lawyer (barrister/solicitor), commissioner of oaths or notary public.  Please note that a faxed or emailed copy of a power of attorney cannot be considered an original document. There are TWO Powers of Attorney, Property & Personal.  Property aka Financial is the one that covers your Johnson Plan!  Also, Allianz has the FINAL SAY re OUT OF PROVINCE TRAVEL.   NB:  If in doubt .... CALL ALLIANZ!
REMINDER: When travelling outside the province, contact ALLIANZ GLOBAL ASSISTANCE (AGA) within 48 hours of a medical emergency. Bring the current Out- of-Province/Canada Travel Booklet in your luggage. Be sure that a travel companion and/or someone at home is aware of the need to contact ALLIANZ. Your AGA ID number is in the Booklet.  Consider bringing an “ICE” card, with your info.
Good News from the RTO Geriatric Charitable Foundation Local Funeral Homes will be given RTO donation forms so that members and friends may make donations directly at the Funeral Home to the RTO Charitable Foundation in the name of a deceased member or friend.  There will also be appreciation cards available.  Please contact President Rich Prophet for further information.
Patients First: An RTO/ERO Perspective   RTO/ERO responded to a discussion paper entitled Patients First, proposed by the Ontario Ministry of Health and Long-Term care. The ministry was seeking public feedback on a action plan to strengthen patient-centred health care in Ontario.   The RTO/ERO members who took the opportunity to provide their perspectives have considerable background on the health care issues at hand and the proposals of the Ministry of Health and Long-Term Care.  Patients First: An RTO/ERO Perspective  reflects the informed opinions of our members in their words; it does not constitute an official RTO/ERO recommendation. By summarizing the member responses, RTO/ERO presents the high-level themes that emerged, to help guide Ministry staff.                    http://www.rto-ero.org/publications/government-relations
5 Questions to Ask About Your Medications Video
Best Doctors Resources:
SHINGLES VACCINATION The Ontario Government will now cover the cost Zostavaz, the shingles vaccine, for people between the ages of 65 and 70. For members of the RTO/ERO Extended Health Care Plan, outside this age bracket, 85% of the cost is covered. MEDICAL EMERGENCY OUTSIDE ONTARIO If you have a medical emergency while travelling outside Ontario, you, a family member or travelling companion must contact Allianz Global Assistance  within 48 hours of the emergency or payments will be limited  to $2,000 per insured person per trip. In addition to the identification number on your RTO/ERO Johnson card, Allianz Global Assistance will require your Ontario Health Insurance Plan (OHIP) number and the Allianz Global Assistance identification number 9092 (Base Plan) or 9265 (Supplemental Travel Plan) to process payments. TRIP CANCELLATION, INTERRUPTION/DELAY BENEFITS Details of this coverage are found in the 2014 OUT-OF-PROVINCE-CANADA TRAVEL BOOKLET (pg. 11,12). Trip cancellation claims must be reported to Allianz Global Assistance before the scheduled departure date from the province of residence  and within 48 hours of the cancellation.  Trip Interruption/Delay expenses beyond the province of residence must be reported to Allianz Global Assistance. RECEIPT DEADLINE All claims must be submitted  no later than the end of the calendar year following the year in which the expenses were incurred. For example, all claims incurred in 2015 must be submitted by December 31, 2016. Details on p. 10, 2014  Insurance Plans Booklet.
NEW, NEW, NEW    -----    MemberPerks with Venngo MemberPerks® is included in RTO/ERO’s Extended Health Care Plan starting January 1, 2017.  RTO/ERO members and their families without RTO/ERO’s Extended Health Care Plan can join MemberPerks® for only $24.95/year, plus HST.  Click the MemberPerks graphic for more! >>
RTO/ERO MemberPerks®
Ontario’s Action Plan for Seniors Ontario’s Action Plan for Seniors
DON’T  GET  SCAMMED!
CANADA   REVENUE   WILL   NEVER:
USE AGGRESSIVE LANGUAGE OR TONE
ASK FOR PREPAID CREDIT CARDS
THREATEN ARREST OR SEND POLICE
AND… Those calls from Microsoft…. Aren’t from Microsoft! (No, you don’t have 6,000 viruses!) Never let anyone access your computer via the Internet, UNLESS YOU MADE THE CONTACT
NB: If you FORWARD Scam Emails to the following email address  me@rescam.org, Rescam.org will engage the scammers, wasting their time -- giving them less time to find other victims.  Visit  https://www.rescam.org/  to learn more!  Your contact info is never used!  It’s all through Artificial Intelligence!
Below, you will find attached a document often requested by members. It contains general useful information and lists documents your spouse/family member should know the location of -- power of attorney, will, birth certificate, social insurance number, bank accounts, health card, and so many more.   Click on the (8 page) fillable PDF to open your own copy.  Complete, Save, Print, Edit, Save, Print …
FAQs: Are Dental Specialist fees a covered expense? No.  Under the RTO/ERO Dental Plan, expenses are based on the current General Practitioner’s fee guide.  If you choose to receive treatment from a Specialist, the claim would be adjudicated based on the General Practitioner’s fee guide in the province where the dental services are performed, and you would be responsible for the difference. When should I submit a dental pre-determination? If the cost of proposed dental work is expected to exceed $600, you should submit a detailed pre-determination plan to Johnson Inc.  Plan Benefits Claims.  They will then advise you, before the work begins, of the amount payable under the Plan.  For major restorative treatment, the pre-treatment radiograph will be requested.  For Plan details, please refer to the RTO/ERO Insurance Plans Booklet. Can I purchase glasses, hearing aids, etc. in another country and submit the receipt for reimbursement? Purchases can made outside Canada; however, reimbursement would be made as if the expense was incurred in your province of residence subject to the RTO/ERO Plans’ maximums and limitations.  All reimbursements are made in Canadian funds. I live close to the U.S. border and go across the border for medical care.  Am I covered for these expenses? No.  Out-of-Canada elective services and resulting treatments are not eligible expenses under the RTO/ERO Group Insurance Plans. If my doctor refers me for treatment in the U.S., are my medical expenses eligible for reimbursement? Expenses for this referred treatment would be covered only if the service was not available in Canada and the Government Health Insurance Plan agreed to pay its portion of the cost.  Approval should be obtained from the provincial plan before you obtain treatment.  If treatment were available in Canada, expenses would not be paid by the RTO/ERO Plans.
Did you know...   >     8 of 10 retirees choose  RTO-ERO Insurance.    >    9.9 of 10 participants in the RTO-ERO Group         Benefits  Program were satisfied.
TIP Each January 1st brings changes to the Plan.  Once announced, just write the updates into your booklet to keep it updated! 2018 Changes Below…
Click Booklet to download.
Patients First: An RTO/ERO Perspective   RTO/ERO responded to a discussion paper entitled Patients First, proposed by the Ontario Ministry of Health and Long-Term care. The ministry was seeking public feedback on a action plan to strengthen patient-centred health care in Ontario. The RTO/ERO members who took the opportunity to provide their perspectives have considerable background on the health care issues at hand and the proposals of the Ministry of Health and Long-Term Care.  Patients First: An RTO/ERO Perspective reflects the informed opinions of our members in their words; it does not constitute an official RTO/ERO recommendation. By summarizing the member responses, RTO/ERO presents the high-level themes that emerged, to help guide Ministry staff.                    http://www.rto-ero.org/publications/government-relations
Did you know...   >     8 of 10 retirees choose  RTO-ERO Insurance.   >    9.9 of 10 participants in the RTO-ERO Group         Benefits  Program were satisfied.
Click to compare RTO’s Johnson Insurance  with OTIP’s RTIP Plus and MROO!
© RTO / ERO District 3 Legal Notice       Human Rights Statement  

Health Care-HIS

Johnson Health Plan Service

416-920-7248

1-877-406-9007

(Fax: 416-920-0939)

Claims

905-764-4888

1-800-638-4753

(Fax: 905-764-4041 or 1-888-895-2209

www.johnson.ca

 Local Health Care Resources

Alzheimer Society of Sault Ste. Marie     SSM & District Canadian Diabetes Assoc.

Canadian Cancer Society       Heart and Stroke Foundation

Click a link (above) to access a datasheet of the resource.  You can also print the

datasheet!  If you have any suggestions for future datasheets, please forward your

thoughts to District 3 RTO (garyrwills@gmail.com)  Thank you!

Powers of AttorneyA power of attorney is a legal document in which you appoint a person of your choice to act as your representative in the event that you are unable to do so. If you have an assigned Power of Attorney, Johnson Inc. Plan Benefits Service will require an original or notarized copy of the general or continuing Power of Attorney for property.  This original or notarized copy will be returned to you. The basic standard for authenticating documents for legal purposes is a lawyer (barrister/solicitor), commissioner of oaths or notary public.  Please note that a faxed or emailed copy of a power of attorney cannot be considered an original document. There are TWO Powers of Attorney, Property & Personal.  Property aka Financial is the one that covers your Johnson Plan!  Also, Allianz has the FINAL SAY re OUT OF PROVINCE TRAVEL.   NB:  If in doubt .... CALL ALLIANZ!
Health Insurance and Services Updates Bruce Avery & Page Nicolson, HIS Reps
Local member, Gayle Manley, is the Provincial Chair of the HIS Committee!
Video Links "23 and 1/2 hours: What is the single best thing we can do for our health?" "Let's Make our Day Harder" Elaine Dembe - Health & Wellness
RTO/ERO Group Benefits Program, 2018 Plan Enhancements Prescription Drugs to $3,400 per insured person per calendar year       Paramedical Practitioners to will cover Social Workers and       Psychotherapists       All Diagnostic Tests, including screening tests, will be covered       at 80% reimbursement to a max of $250 per insured       Dental Plan:  Updated to cover the 2018 Ontario Dental Association       Fee Guide (increase to rates of 2%)       Hospital and Convalescent Care:  No changes to the plan and no       increases to rates
In the event of a claim, EACH out of province traveller, covered under the RTO Group Benefit Plan, will require proof that he/she was in the province of Ontario the day of,  or the day before the date of departure.       -- “RTO/ERO Out of Province Booklet
Did you know  > 8 of 10 retirees     choose  RTO-ERO     Insurance.  >  9.9 of 10     participants in the     RTO-ERO Group    Benefits Program    were satisfied.
Good News from the RTO Geriatric Charitable Foundation Local Funeral Homes will be given RTO donation forms so that members and friends may make donations directly at the Funeral Home to the RTO Charitable Foundation in the name of a deceased member or friend.  There will also be appreciation cards available.  Please contact President Rich Prophet for further information.
REMINDER: When travelling outside the province, contact ALLIANZ GLOBAL ASSISTANCE (AGA) within 48 hours of a medical emergency. Bring the current Out-of-Province/Canada Travel Booklet in your luggage. Be sure that a travel companion and/or someone at home is aware of the need to contact ALLIANZ. Your AGA ID number is in the Booklet.  Consider bringing an “ICE” card, with your info.
Patients First: An RTO/ERO Perspective   RTO/ERO responded to a discussion paper entitled Patients First, proposed by the Ontario Ministry of Health and Long-Term care. The ministry was seeking public feedback on a action plan to strengthen patient-centred health care in Ontario. The RTO/ERO members who took the opportunity to provide their perspectives have considerable background on the health care issues at hand and the proposals of the Ministry of Health and Long-Term Care.  Patients First: An RTO/ERO Perspective reflects the informed opinions of our members in their words; it does not constitute an official RTO/ERO recommendation. By summarizing the member responses, RTO/ERO presents the high-level themes that emerged, to help guide Ministry staff.                    http://www.rto-ero.org/publications/government-relations
5 Questions to Ask About Your Medications Video
Best Doctors Resources:
SHINGLES VACCINATION The Ontario Government will now cover the cost Zostavaz, the shingles vaccine, for people between the ages of 65 and 70. For members of the RTO/ERO Extended Health Care Plan, outside this age bracket, 85% of the cost is covered. MEDICAL EMERGENCY OUTSIDE ONTARIO If you have a medical emergency while travelling outside Ontario, you, a family member or travelling companion must contact Allianz Global Assistance  within 48 hours of the emergency or payments will be limited  to $2,000 per insured person per trip. In addition to the identification number on your RTO/ERO Johnson card, Allianz Global Assistance will require your Ontario Health Insurance Plan (OHIP) number and the Allianz Global Assistance identification number 9092 (Base Plan) or 9265 (Supplemental Travel Plan) to process payments. TRIP CANCELLATION, INTERRUPTION/DELAY BENEFITS Details of this coverage are found in the 2014 OUT-OF-PROVINCE- CANADA TRAVEL BOOKLET (pg. 11,12). Trip cancellation claims must be reported to Allianz Global Assistance before the scheduled departure date from the province of residence  and within 48 hours of the cancellation.  Trip Interruption/Delay expenses beyond the province of residence must be reported to Allianz Global Assistance. RECEIPT DEADLINE All claims must be submitted  no later than the end of the calendar year following the year in which the expenses were incurred. For example, all claims incurred in 2015 must be submitted by December 31, 2016. Details on p. 10, 2014  Insurance Plans Booklet.
NEW !!!!!     MemberPerks with Venngo MemberPerks® is included in RTO/ERO’s Extended Health Care Plan as of January 1, 2017.  RTO/ERO members and their families without RTO/ERO’s Extended Health Care Plan can join MemberPerks® for only $24.95/year, plus HST. Click the MemberPerks graphic for more! >>
RTO/ERO MemberPerks®
Ontario’s Action Plan for Seniors
DON’T  GET  SCAMMED!
CANADA   REVENUE   WILL   NEVER:
USE AGGRESSIVE LANGUAGE OR TONE
ASK FOR PREPAID CREDIT CARDS
THREATEN ARREST OR SEND POLICE
AND… Those calls from Microsoft…. Aren’t from Microsoft! (No, you don’t have 6,000 viruses!) Never let anyone access your computer via the Internet, UNLESS YOU MADE THE CONTACT
NB: If you FORWARD Scam Emails to the following email address  me@rescam.org, Rescam.org will engage the scammers, wasting their time -- giving them less time to find other victims.  Visit  https://www.rescam.org/  to learn more!  Your contact info is never used!  It’s all through Artificial Intelligence!
Below, you will find attached a document often requested by members. It contains general useful information and lists documents your spouse/family member should know the location of -- power of attorney, will, birth certificate, social insurance number, bank accounts, health card, and so many more.   Click on the (8 page) fillable PDF to open your own copy.  Complete, Save, Print, Edit, Save, Print …
FAQs: Are Dental Specialist fees a covered expense? No.  Under the RTO/ERO Dental Plan, expenses are based on the current General Practitioner’s fee guide.  If you choose to receive treatment from a Specialist, the claim would be adjudicated based on the General Practitioner’s fee guide in the province where the dental services are performed, and you would be responsible for the difference. When should I submit a dental pre-determination? If the cost of proposed dental work is expected to exceed $600, you should submit a detailed pre-determination plan to Johnson Inc.  Plan Benefits Claims.  They will then advise you, before the work begins, of the amount payable under the Plan.  For major restorative treatment, the pre-treatment radiograph will be requested.  For Plan details, please refer to the RTO/ERO Insurance Plans Booklet. Can I purchase glasses, hearing aids, etc. in another country and submit the receipt for reimbursement? Purchases can made outside Canada; however, reimbursement would be made as if the expense was incurred in your province of residence subject to the RTO/ERO Plans’ maximums and limitations.  All reimbursements are made in Canadian funds. I live close to the U.S. border and go across the border for medical care.  Am I covered for these expenses? No.  Out-of-Canada elective services and resulting treatments are not eligible expenses under the RTO/ERO Group Insurance Plans. If my doctor refers me for treatment in the U.S., are my medical expenses eligible for reimbursement? Expenses for this referred treatment would be covered only if the service was not available in Canada and the Government Health Insurance Plan agreed to pay its portion of the cost.  Approval should be obtained from the provincial plan before you obtain treatment.  If treatment were available in Canada, expenses would not be paid by the RTO/ERO Plans.
TIP Each January 1st brings changes to the Plan.  Once announced, just write the updates into your booklet to keep it updated! 2018 Changes Below…
Click Booklet to download.