Benefit Changes
2022
Plan Enhancements
(effective January 1, 2022)
The OPP Association sponsored Basic Life and Accidental Death & Dismemberment (AD&D) policies of $6,000 is increasing to $10,000 along with extending the termination age to 75!
At retirement an additional $25,000 of AD&D coverage will be added at no cost to the member and will terminate at age 65
The OPPA will maintain these premiums for all members active and retired
Optional Basic Life and AD&D increase of $10,000 will also terminate at age 75
All Members not yet 65 at December 31st, 2021 will be eligible for this new program.
2021
Plan Enhancements
(effective October 1, 2021)
Major Dental
- Annual $2,000 coverage changing from per family to per person
Laser Eye Surgery
- Removed from Vision Care benefit with a $1,500 Lifetime maximum
Vision Care
- Eye Exams will now be reimbursed up to reasonable fees and are not part of the Vision Care maximum
- Coverage increases from $375 to $425
2019
Psychology Benefit Enhancement (effective May 6, 2019)
Currently the extended healthcare benefit includes psychology services subject to an annual maximum of $3,500 with per half hour maximum of $75.
Both of these maximums have been removed. Coverage is now unlimited
2018
Psychology Benefit Enhancement (effective June 1, 2018)
Current coverage: $50 per half hour
New coverage: $75 per half hour
Current coverage: $1500 overall annual maximum
New coverage: $3500 overall annual maximum
Plan Enhancements
(effective Mar 1, 2018)
Accidental Death & Dismemberment (AD&D) Critical Illness Rider
• Blindness and Severe Burns has been added to the existing covered Critical Illnesses; Heart Attack, Stroke, Life Threatening Cancer and Kidney Failure
Group Coverage Changes (effective April 1, 2018)
Out of Country Coverage
• The $200 per day cap to hospital room charges has been removed.
Diabetes Management
• Flash Glucose Monitoring System (FreeStyle Libre) will be covered for members and their eligible dependents who require insulin to manage their diabetes.
2017
Plan Enhancements
(effective Mar 1, 2017)
Hospital Semi and Private Room
• Increases from $200 up to $225
Paramedical
• Increases from $35 up to $45
Vaccines
• Vaccine listing available under Resources
Global Medical Assist
• For additional information, see Plan Overview, under My Benefits
2014
Plan Enhancements
(effective Jan 1, 2014)
Drug Dispensing Fee
• Increases from $8 up to $10
Vision Care
• Increases from $340 up to $375
Hearing Aids
* Annual deductible reduces by 50%
2014
New Benefit (effective Jan 1, 2014)
Expert Medical Information and Opinions
2013 & 2014
Claim Processing Changes (effective dates - see below)
Health Care Management
Generic Drug Information
Drug Solution Tips
Submitting Claims
