A-29, r. 4 - Regulation respecting devices which compensate for a physical deficiency and are insured under the Health Insurance Act

Section 9 Disposition versions

2012-09-01

9. The replacement of an insured device is insured during its minimum duration period where the written prescription from a physician referred to in this Title certifies that such a replacement is necessary following a significant change in the insured person’s physical condition or where it is shown, by means of an evaluation conducted by a person referred to in section 30 or 31, as the case may be, that an insured person under the age of 19 has grown.

The minimum duration period for a device, which runs from the time of the final installation, is determined as follows:

(1)  5 years for a lower-limb prosthesis;

(2)  6 years for an upper-limb prosthesis;

(3)  1 year for prosthetic finger or partial hand restoration;

(4)  6 months for a prosthetic glove for an upper-limb prosthesis; and

(5)  2 years for an orthosis;

(6)  10 years for a cane, crutch or children’s depth-adjustable, height-adjustable, 4-wheeled walker with thoracic support; and

(7)  5 years for a walker.

The final installation of a device occurs at the end of the period required for the necessary fittings during its manufacture, when the insured person, once those fittings have been completed, takes final receipt of the device.

O.C. 612-94, s. 9; O.C. 1334-98, s. 2.