As you may already be aware, your pay-direct benefit card provider, MDM Insurance Services
(MDM), experienced technical issues last week, including with their pay-direct benefit card
services. We are pleased to report that these services have since been restored.
The technical issues were a result of a cybersecurity incident. MDM immediately implemented
their incident response plan, and an investigation is underway to determine the cause and extent
of the incident. The Board of Trustees is monitoring the situation closely and will provide Members
with further information as it is made available.
Should you have any questions, please contact MDM using the number on your card. Thank you for
your patience.
NOTICE TO PLAN MEMBERS WHO SUBMIT CLAIMS
FOR MASSAGE THERAPY
Previously, the Plan required that in order for your massage therapy claim to be paid, the services had to be for a valid, verifiable medical condition which was identified on your doctor’s referral. Effective January 1, 2024 the requirement for a doctor’s referral to identify a valid, verifiable medical condition will be temporarily suspended to evaluate its effectiveness. A doctor’s referral will still be required for massage therapy claims to be paid. The Trustees will monitor massage therapy claims and reevaluate this change at the Annual Board Meeting on May 28, 2024.
CHANGE IN COVERAGE FOR BRACES AND COMPRESSION STOCKINGS:
Up to a maximum of $400 per calendar year for braces, including compression stockings
(on written order of a licensed medical doctor)
Claims must first be submitted to WSIB/WCB for all Braces and Compression Stockings, or any other available provincial program.
Proof of denial or reimbursement from all other sources must be provided to the Administrator at the time of claim submission.
If you have any questions regarding what is required in order to have your claim paid, please contact PBAS: 1-877-982-4170 mapleleaf@pbas.ca
