Régie de l'assurance maladie du Québec
If you have a motor impairment and must wear or use a device to go about your daily activities, and are insured under the Québec health insurance plan, you may be eligible for the program respecting devices that compensate for physical deficiencies.
The Program for Devices That Compensate for Physical Deficiencies is intended for persons insured by the Québec health insurance plan who have a physical deficiency and need to wear or use a device to compensate for the deficiency.
The devices covered are orthotics, prosthetics, ambulation aids, standing aids, locomotor assists and posture assists (refer to the definitions), as well as their components, supplements and accessories. A person who is eligible for this program is entitled to the purchase, adjustment, replacement, repair and, in some cases, the adaptation of these devices.
Ambulation aid A device that facilitates or permits walking. Ambulation aids include crutches, canes, walking frames and walkers.
Standing aid A device that supports the trunk and lower limbs, thus enabling a person to assume an upright position (for example, a parapodium or an orthopodium).
Locomotor assist A device used for moving about. Locomotor assists include manual and powered wheelchairs, wheelbase systems, orthomobiles and children's strollers.
Posture assist Device used to support one or more parts of the body (head, upper or lower limbs, spine) in a sitting position in a wheelchair or on a wheelbase system.
Orthotic A device that is designed to correct a deficient function, to compensate for a deficiency or to increase the physiological performance of the trunk or of a limb that has lost its primary function, never fully developed or is affected by a birth defect (for example, a tibial orthotic).
Prosthetic A device that is designed to fully or partially replace an amputated limb or a limb that is completely or partially missing, and to restore its primary function or original appearance (for example, a leg or foot prosthetic).
Clientele Any person insured by the Québec health insurance plan who has a physical deficiency.
General requirements It is necessary to have a medical prescription written by a medical specialist (orthopedist, physiatrist, neurologist, neurosurgeon, rheumatologist or geriatrician) or a general practitioner or pediatrician associated with a hospital or rehabilitation centre. A general surgeon may write prescriptions for lower-limb prostheses and a plastic surgeon may write them for upper-limb or lower-limb orthoses. Certain devices and services provided in cases of severe cardiovascular or cardiorespiratory failure must be prescribed by a cardiologist or pneumonologist.
The medical prescription must
The devices and services must be provided by a public facility or a private laboratory accredited by the ministère de la Santé et des Services sociaux.
An orthotic is insured if, on the recommendation of a physician, it has to be worn every day for a minimum of
In the case of an insured person under age 19 who needs an orthosis to correct a deformation, there is no set minimum period. A walking assist device (see the Definitions) is eligible only as part of a rehabilitation process and if it is used daily for at least one year.