77. (1) The Supplementary Health and Hospital Insurance Plan shall provide to every employee who joins the Plan, subject to any restrictions set out in this section, (a) reimbursement for 90 per cent of the cost of drugs and medicine listed in the Canadian Pharmaceutical Association Compendium of Pharmaceuticals and Specialities and dispensed by a legally qualified medical practitioner or by a pharmacist as defined in subsection 117 (1) of the Drug and Pharmacies Regulation Act on the written prescription of a legally qualified medical practitioner; (b) reimbursement for charges for private or semi-private room hospital care made by a hospital within the meaning of the Public Hospitals Act or by a hospital that is licensed or approved by the governing body in the jurisdiction in which the hospital is located, (i) for charges incurred before August 1, 2006, not exceeding $200 more than the charge by the hospital for standard ward room hospital care, to every commissioned officer in the Ontario Provincial Police Force below the rank of deputy Commissioner, (ii) for charges incurred on and after August 1, 2006, equal to 100 per cent of the charges for semi-private rooms and not exceeding $200 more than the charge by the hospital for standard ward room hospital care for private rooms, to every commissioned officer in the Ontario Provincial Police Force below the rank of deputy Commissioner, (iii) not exceeding the following amount to every employee who is represented by the Association of Law Officers of the Crown or by the Ontario Crown Attorneys’ Association, (A) $120 more than the charge by the hospital for standard ward room hospital care, and (B) despite sub-subclause (A), $100 more than the charge by the hospital for standard ward room hospital care, for private or semi-private hospital room care received on or after January 1, 2008 in respect of an employee who is in a class of position of Crown Counsel 1, 3 or 4, or (iv) not exceeding the following amount to every employee to whom subclause (i), (ii) or (iii) does not apply, (A) $75 more than the charge by the hospital for standard ward room hospital care, for private or semi-private hospital room care received before April 1, 2004, and (B) $130 more than the charge by the hospital for standard ward room hospital care, for private or semi-private hospital room care received on and after April 1, 2004; and (c) such other health and hospital expenses as result from treatment and services recommended or approved by a legally qualified medical practitioner as may be provided by the Plan.  O. Reg. 1/04, s. 19; O. Reg. 454/06, s. 3 (1); O. Reg. 571/06, s. 2 (1). (2) The Supplementary Health and Hospital Insurance Plan shall provide the benefits described in subsection (1) to every commissioned officer in the Ontario Provincial Police Force below the rank of deputy Commissioner who joins the Plan, subject to the following conditions and restrictions: 1. The maximum amount of the reimbursement for the dispensing fee for drugs and medicine is $8 for each prescription. 2. The employee is not entitled to be reimbursed for drugs or medicine that is available without a prescription. 3. The maximum amount of the reimbursement for a drug or medicine (excluding the dispensing fee) is the reasonable and customary cost of the generic form of the drug or medicine. 4. The employee is not entitled to be reimbursed for more than one pair of orthotics per person in a calendar year and the maximum amount of the reimbursement for a pair of orthotics is $500. 5. The employee is not entitled to be reimbursed for more than 75 per cent of the cost of one pair of orthopaedic shoes per person in a calendar year and the maximum amount of the reimbursement for a pair of orthopaedic shoes is $500.  O. Reg. 1/04, s. 19. (3) The Supplementary Health and Hospital Insurance Plan shall provide the benefits described in subsection (1) to every term classified employee who joins the Plan, subject to the following conditions and restrictions: 1. The maximum amount of the reimbursement for a drug or medicine (excluding the dispensing fee) is the reasonable and customary cost of the generic form of the drug or medicine. 2. The maximum amount of the reimbursement for the dispensing fee for drugs and medicine is $8 for each prescription. 3. The employee is not entitled to be reimbursed for drugs or medicine that is available without a prescription. 4. No benefits are payable for expenses incurred outside Canada. 5. The employee is not entitled to be reimbursed for more than one pair of orthotics per person in a calendar year and the maximum amount of the reimbursement for a pair of orthotics is $500. 6. The employee is not entitled to be reimbursed for more than 75 per cent of the cost of one pair of orthopaedic shoes per person in a calendar year and the maximum amount of the reimbursement for a pair of orthopaedic shoes is $500.  O. Reg. 1/04, s. 19. (4) The Supplementary Health and Hospital Insurance Plan shall provide the benefits described in subsection (1) to every employee represented by the Association of Law Officers of the Crown or Ontario Crown Attorneys’ Association who joins the Plan, subject to the following conditions and restrictions: 1. The employee is not entitled to be reimbursed for drugs or medicine that is available without a prescription. 2. The payment of 90 per cent mentioned in clause (1) (a) is subject to a deductible amount of $5 for each Drug Identification Number (DIN). 3. The employee is not entitled to be reimbursed for more than one pair of orthotics per person in a calendar year and the maximum amount of the reimbursement for a pair of orthotics is $500. 4. The employee is not entitled to be reimbursed for more than 75 per cent of the cost of one pair of orthopaedic shoes per person in a calendar year and the maximum amount of the reimbursement for a pair of orthopaedic shoes is $500.  O. Reg. 1/04, s. 19. (5) The Supplementary Health and Hospital Insurance Plan shall provide the benefits described in subsection (1) to every employee to whom subsection (1) applies, other than an employee to whom subsection (2), (3) or (4) applies, subject to the following restrictions: 1. The maximum amount of the reimbursement for a drug or medicine is the reasonable and customary cost of the generic form of the drug or medicine. 2. The employee is not entitled to be reimbursed for drugs or medicine that is available without a prescription. 3. No benefits are payable for expenses incurred outside Canada. 4. The employee is not entitled to be reimbursed for more than one pair of orthotics per person in a calendar year and the maximum amount of the reimbursement for a pair of orthotics is $500. 5. The employee is not entitled to be reimbursed for more than 75 per cent of the cost of one pair of orthopaedic shoes per person in a calendar year and the maximum amount of the reimbursement for a pair of orthopaedic shoes is $500.  O. Reg. 1/04, s. 19. (6) Subsection (5) applies with respect to health and hospital expenses incurred for treatment or services provided on and after April 1, 2004.  O. Reg. 1/04, s. 19. (7) The employer shall pay, (a) the premiums for every full-time employee who joins the Supplementary Health and Hospital Insurance Plan; and (b) 40, 50, 60, 70 or 80 per cent of the premiums for every part-time employee who joins the Supplementary Health and Hospital Insurance Plan, whichever percentage is closest to the relation that the employee’s regularly scheduled hours of work bear to full employment, and the employee shall pay the balance of the premium through payroll deduction.  O. Reg. 1/04, s. 19. (8) An employee may elect to participate in the Supplementary Health and Hospital Insurance Plan, (a) on appointment; (b) in December of any year, for coverage commencing on the 1st day of January next following, if the employee has satisfied the waiting period of the Plan and the employee, (i) did not join the Plan on appointment, or (ii) previously opted out of the Plan; or (c) on providing evidence that similar coverage available to the employee under the Plan of another person has been terminated, for coverage commencing on the 1st day of the month coinciding with or following the presentation of the evidence.  O. Reg. 1/04, s. 19. (9) An employee may elect in December of any year to opt out of the Supplementary Health and Hospital Insurance Plan and coverage shall cease at the end of that month.  O. Reg. 1/04, s. 19. (10) The Supplementary Health and Hospital Insurance Plan shall provide the cost of vision care, (a) to a maximum of the following amount for every commissioned officer in the Ontario Provincial Police Force below the rank of deputy Commissioner: (i) $300 per person every 24 months for vision care provided before August 1, 2006, and (ii) $340 per person every 24 months for vision care provided on and after August 1, 2006; (b) to a maximum of the following amount for each child aged 12 years of age or less of a commissioned officer in the Ontario Provincial Police Force below the rank of deputy Commissioner: (i) $300 per child every six months for a change in prescription provided before August 1, 2006, and (ii) $340 per child every six months for a change in prescription provided on and after August 1, 2006; (c) to a maximum of the following amount, to every employee who is represented by the Association of Law Officers of the Crown or by the Ontario Crown Attorneys’ Association, who is in a class of position of Crown Counsel 1, 3 or 4 and who elects to participate in the Plan’s additional coverage for vision care and hearing aids, (i) $300 per person every 24 months for vision care provided before January 1, 2008, and (ii) $350 per person every 24 months for vision care provided on or after January 1, 2008, which amount includes a maximum of $75 per person every 24 months for one routine eye examination; and (d) to a maximum of the following amount, to every employee to whom clause (a) or (c) does not apply and who elects to participate in the Plan’s additional coverage for vision care and hearing aids, (i) $200 per person every 24 months for vision care provided before April 1, 2004, and (ii) $300 per person every 24 months for vision care provided on and after April 1, 2004.  O. Reg. 1/04, s. 19; O. Reg. 454/06, s. 3 (2); O. Reg. 571/06, s. 2 (2, 3). (10.1) For the purposes of clauses (10) (a) and (b), the costs of the following shall be included in vision care for costs incurred on or after August 1, 2006: 1. Laser surgery treatment. 2. One eye examination in a 24-month period.  O. Reg. 571/06, s. 2 (4). (11) The Supplementary Health and Hospital Insurance Plan shall provide the cost of the purchase and repair of a hearing aid (other than the replacement of a battery), (a) to a maximum of $1,000 per person every three years, to every commissioned officer in the Ontario Provincial Police Force below the rank of deputy Commissioner; and (b)  Revoked:  O. Reg. 454/06, s. 3 (3). (c) to the following maximum, to every employee to whom clause (a) or (b) does not apply and who elects to participate in the Plan’s additional coverage for vision care and hearing aids, (i) a lifetime maximum of $200 per person for the cost of purchasing or repairing a hearing aid incurred before April 1, 2004, and (ii) a maximum of $2,500 per person every five years for the cost of purchasing or repairing a hearing aid incurred on or after April 1, 2004.  O. Reg. 1/04, s. 19; O. Reg. 454/06, s. 3 (3). (11.1) The Supplementary Health and Hospital Insurance Plan shall provide, to a maximum of $2,500 per person every five years, the cost of the purchase and repair of a hearing aid, other than the replacement of a battery, to each employee represented by the Association of Law Officers of the Crown or by the Ontario Crown Attorneys’ Association who elects to participate in the Plan’s additional coverage for vision care and hearing aids.  O. Reg. 454/06, s. 3 (4). (11.2) Despite subsection (11.1), on and after January 1, 2008, the Supplementary Health and Hospital Insurance Plan shall provide, to a maximum of $2,500 per person every five years, the cost of the purchase and repair of a hearing aid, including the replacement of a battery, to each employee represented by the Association of Law Officers of the Crown or by the Ontario Crown Attorneys’ Association who elects to participate in the Plan’s additional coverage for vision care and hearing aids and who is in a class of position of Crown Counsel 1, 3 or 4.  O. Reg. 454/06, s. 3 (4). (12) The additional coverage described in subsections (10) to (11.2) is subject to the following deductible amount, other than for commissioned officers in the Ontario Provincial Police Force below the rank of deputy Commissioner: 1. $10 for each calendar year for an employee with single coverage. 2. $10 per person for each calendar year to a maximum of $20 for an employee with family coverage.  O. Reg. 1/04, s. 19; O. Reg. 454/06, s. 3 (5). (13) An employee represented by the Association of Law Officers of the Crown or the Ontario Crown Attorneys’ Association and who elects to participate in the Plan’s additional coverage for vision care and hearing aids is not subject to the deductible amount imposed under subsection (12) for vision care provided on or after January 1, 2004 or for hearing aids purchased or repaired on or after January 1, 2004.  O. Reg. 1/04, s. 19. (14) For the additional coverage described in subsection (10), the employer shall pay 100 per cent of the premiums for each commissioned officer in the Ontario Provincial Police Force below the rank of deputy Commissioner.  O. Reg. 1/04, s. 19. (15) For the additional coverage described in subsection (10),  the employer shall pay the following percentage of the premiums for each participating full-time employee who is represented by the Association of Law Officers of the Crown or the Ontario Crown Attorneys’ Association, (a) for premiums payable before January 1, 2004, 60 per cent; (b) for premiums payable on or after January 1, 2004, 80 per cent.  O. Reg. 1/04, s. 19. (16) For the additional coverage described in subsection (10), the employer shall pay the following percentage of the premiums for each participating full-time employee other than an employee to whom subsection (14) or (15) applies, (a) for premiums payable before April 1, 2004, 60 per cent; and (b) for premiums payable on or after April 1, 2004, 80 per cent.  O. Reg. 1/04, s. 19. (17) For the additional coverage described in subsection (10),  the employer shall pay 60 per cent of the percentage of monthly premiums that apply in clause (7) (b) for each participating part-time employee other than an employee to whom subsection (14) applies.  O. Reg. 1/04, s. 19. (18) For the additional coverage described in subsection (11), the employer shall pay 60 per cent of the premiums for each participating full-time employee other than an employee to whom subsection (14) applies.  O. Reg. 1/04, s. 19. (19) For the additional coverage described in subsection (11), the employer shall pay 60 per cent of the percentage of monthly premiums that apply in clause (7) (b) for each participating part-time employee other than an employee to whom subsection (14) applies.  O. Reg. 1/04, s. 19. (20) In this section, “optometrist” means a member of the College of Optometrists of Ontario; “physician” means a member of the College of Physicians and Surgeons of Ontario; “vision care” means eyeglasses, frames and lenses for eyeglasses and contact lenses prescribed by a physician or an optometrist, and includes the fitting of such eyeglasses, frames, lenses and contact lenses, but does not include eyeglasses for cosmetic purposes or sunglasses.  O. Reg. 1/04, s. 19.