r- ii ii read carefully here is complete information about your csmmtfnin health plan for acton through the services of physicians services inc psi what it offers the benefits the cost all details what it is rhyslclaw services incorporated it a nn profit provincewide lervke tpentered by the ontario medical a mo elation and the dorter of ontorfe at a method l bringing medical turgkal and obitetrkal ervke 1o the people ol hit province n a low ceil monthly prepayment batli there or no track notaw no dividend or camrntiiion a pard to anyone who can join benefit of the mwllcal surgical and obtletrlcal plan of phytlcian service incorporated may now be obtained by resident of an approved community minimum requirement ore 60 of the reiident ol the community who may be included a a reivdent lubtcriber of the approved community b wife ol hutband of tubicrlber d subicribert unmarried children under 19 yean of age 80 red tap e there it no arolmenl fee e no modtcaf kammalfon t no medicat totement of eortditton of htoflh m no ago limit for oduht f no xefvtron for cfvopk or preexrtlnig eoedrtwm this is a service plan jvit freent your identification card to any participating medical practitioner who will then itnd hit account directly to phyirclant service incorporated for eligible itrvlcei at set forth in your agreement your agreement does not cover 1 doptndenl father mother brother liter uncle aunt etc 2 drug vaccine appliance biological tera or extract hoipltaitxa- hon dentitlry nurtlng ambulance teivko or doctor t mileage 3 laboratory tettt performed other than in a pftyticlant office phytical therapy and similar treatment and all lervlcet for condition not detrimental to health your benefits the perianal tervlcoi of a reglitered medical doctor in office home or hospital with tho following i ature o plan payi rfpm from tho firtt calf h ttiatkh dependents ore ertfjfm to the tame benefrti at the tufmrrber e no mil lo number of coft for mmftaf medical core during ony period of time i dlagnotlt of dlieat lnury or condition 7 medical care for lllnet by your participating phyiuian 3 consultation 4 surgical operation any culling procedure 5 service of anaetthellilt 6 confinement childbirth and pre arid pott natal care 7 treatment of fracture and dlilacatlont including unlimited dlagna ik x ray tor vice in connection therewith i x ray up to 90 00 per perton in any 1 2 month period for dlagnotlt 9 deep x ray therapy when author lied by p s i 10 cyttoicaplc and bionchoicaplc examination ii inoculation and vaccination 12 refraction le letting for eye glatiet 13 treatment of burn and laceration exceptions 1 lllneit or accident provided for by the workmen t compensation board or other government agency including lllnet or condition retulllng from tervke in the armed force or care or ireatmenl pro vided under the hotpltal service cammittion act 2 tuberculoid mental lllnet alcoholttm epilepty drug addiction when patient i confined to special tntlifuftont for treatment or ought to to be 3 any lervlce or examination for lnuranca tchool comp aoclation vita employment including tafely glattet and group inaculaliant or limllar purpotet waiting periods 1 confinement service for any condition due lo pregnancy including prenatal and pott natal care except ectopic pregnancy hall not be available until both hue band and wife thall be enrolled for at leatt ft full conecutlve month prior thereto on the tame agreement 2 eyo tettt require enrolment tor 12 full contocutlve month prior thereto and tubtequent let are only available after a 24 month interval 3 tontllleclomy herniotomy reparative turgery lo female perineum ond cervix require enrolment for al leatt t full contecullv month prior thereto other important features omohion for newborn children it immediate your choice of doctor ji mud you have free choice of any duly qualified participating phytlcian if you wish la be attended by a non participating phytlcian it can be to arranged and the corporation will pay the tame amount at that payable to a parti cipating phytlcian for the tame tervlce where the annual income of a subscriber without dependent it lett than 7 000 00 or that of a tub triber with dependent l leit than 10 000 00 the tubtcxiber should no receive an account for the personal eligible services of a participating general physician protection for newborn children it immediate provided noliflcat on it received by p s i within 1 5 day of birth newly acquired tpouie may be included for benefit h el ween group opening by notification lo p s i within 30 day of marriage yoa may now obtain the benefit of the plan if you are retident of an approved community if you are a permanent boarder or non home owner you still may oin e if you leave your community you may continue your coverage for yourself and dependents by notifying psi o your change of oddreii immediately monthly rates y iy subscriber subicnber and one dependent tpoute or child subscriber and more thou one dependent i e the family s3 00 7 00 1000 visit our headquarters at 75 mill street east coner of mill aad bain or telephone 8531710 our office will be open daily from 9 am psi representatives will be on hand to answer any questions you may have to accept your application if you wish to sub scribe bring in or mail this coupon i i re are two good reasons for signing now your chance for group benefits join your community health plan today send this coupon to 75 mill st e acton a 3 1 this is a hmited time opportunity if you do not sign up before june 23rd you cannot subscribe even if you wish and are eligible until we open the group for further entries 2 in order to put your community hearth plan into operation at least 60 of the residents of acton must subscribe if you neglect to sign up it may mean that ybur friends and neighbours will be unable to enjoy the group benefits outlined above for further in ttritphone or visit acton community health plan headquarters at 75 mill st e mthe van gils building next to loveus meat market c i ish to mjn up for lh croup bmiliii jjiljbk ihruuh iht community hullh pljn lor attun through the scrtitw of ph vn un sinius likorporjinj i jm sink married i hj ihildnn unikr n i undtrmind 1 will pnpj or the ibut tuiral on a qujrtirl buii beginning address