A-13.1.1, r. 1 - Individual and Family Assistance Regulation

Schedule Disposition versions

2024-01-01

SCHEDULE III

PROSTHESES, ORTHOSES AND ACCESSORIES

DIVISION 1

RULES OF APPLICATION

(1.1) Special benefits cover the cost of prostheses, orthoses and accessories up to the maximum amount indicated in the rates listed in Division 2, insofar as the cost is not borne by the Régie de l’assurance maladie du Québec.

(1.2) Special benefits cover the rental cost up to the maximum amount indicated in the rates listed in Division 2, insofar as the cost, considering the duration of the need, does not exceed the purchase cost.

(1.3) The cost of the articles listed under the heading “Elimination System” is not paid if the recipient already receives special benefits for paraplegia.

DIVISION 2

RATES

(2.1) Hernia belts, all sizes (including pads)

— single: $54.50

— double: $91.50

(2.2) Orthopedic supports

(2.2.1) Sacro-iliac supports, all sizes: $101

(2.2.2) Sacro-lumbar supports, all sizes (including 2 steel stays)

— men: $101

— women: $115

(2.2.3) Dorso-lumbar corsets (including garters, perineal strap and steel stays)

— men: $202

— women: $208.50

(2.3) Straps (cotton, all sizes)

(2.3.1) Straps (post-operative belts): $50

(2.3.2) Thoracic supports: $24.50

(2.3.3) Abdominal binders: $50

(2.3.4) Arm straps (supports): $11.50

(2.3.5) Shoulder straps (supports): $54.50

(2.4) Elastic stockings

(2.4.1) 20 mm compression

— knee-high: $79.50

— above-knee: $104

— tights: $122.50

— maternity: $130.50

(2.4.2) 30 to 70 mm compression

— knee-high: $79.50

— above-knee: $104

— groin: $120

— half-tights: $88

— tights: $188.50

(2.5) Cervical orthoses

(2.5.1) Cervical collars, soft or rigid: $27.50

(2.5.2) Cervical traction set, complete, with bag and chin support: $54.50

(2.6) Orthoses, upper limbs

(2.6.1) Elbow supports (elastic): $34

(2.6.2) Elbow orthoses (elastic): $47.50

(2.7) Orthoses, lower limbs

(2.7.1) Ankle supports: $34

(2.7.2) Ankle orthoses, all sizes: $54.50

(2.7.3) Knee supports: $64

(2.7.4) Elastic knee braces: $81

(2.7.5) Knee braces with metal hinges: $124

(2.7.6) Knee braces (hinge free): $86.50

(2.8) Elimination system

(2.8.1) Catheter – Probe (each)

— short duration:  $8.50

— long duration: $36.50

(2.8.2) Strips, adaptors, glue and straps (each)

— Urihesive strips: $7.50

— Self-adhesive elastic strips: $1

— Adaptors: $5.50

— Catheter glue (118-ml container): $37

— Leg bag straps: $11.50

(2.8.3) Tubes and syringes (each)

— Latex tube: $1.50

— Extension tube: $14

— Plastic tube clip: $4.50

— Plastic tube clamp: $5.50

— Disposable syringe: $3.50

— Stomach tube, all sizes: $11.50

(2.8.4) Drainage bags (unit): $19.50

(2.8.5) Urinal

— Complete, reusable bag not included (Davol type): $181.50

(2.8.6) Tray (each)

— Irrigation tray: $9

— Catheterization tray – Probe: $7.50

(2.8.7) Incontinence pants (case): $81

(2.8.8) Incontinence diapers (case): $74.50

(2.8.9) Underpads

— Disposable (each): $1.50

— Washable (package): $40.50

(2.8.10) Sodium chloride or sterile water (500 ml): $7

(2.9) Miscellaneous

(2.9.1) Commode chair

— stationary: $202

— adjustable: $419.50

(2.9.2) Adjustable toilet seat: $108

(2.9.3) Adjustable toilet safety rail

— each: $48.50

— pair: $85

(2.9.4) Bath bench

— with back: $81

— without back: $60.50

(2.9.5) Bathtub and toilet rail, all lengths

— straight: $28.50

— “L” shaped: $71.50

(2.9.6) Bandages and dressings (each)

— Bandage: $13.50

— Sterile dressing: $3

— Non-sterile dressing: $1

— Antiseptic or aseptic swab: $1

(2.9.7) Lubricant, solvent and solution

— Lubricant (packet): $1

— Lubricant (tube): $7.50

— Solvent (packet): $1.50

— Antiseptic solution (100 ml): $5

(2.9.8) Gloves and towels (each)

— Sterile glove: $1.50

— Non-sterile glove: $1

— Antiseptic or aseptic towel: $1

(2.9.9) Eggshell mattress pad: $40.50

(2.10) Ambulatory aids

(2.10.1) Canes

— wood: $22

— aluminum (adjustable): $40.50

(2.10.2) Crutches

— wood: $27.50

— aluminum: $62

— forearm: $139

(2.10.3) Adjustable walkers: $120

(2.10.4) Wheelchair: $696

(2.11) Hospital beds

(2.11.1) Hospital bed: $584.50

(2.11.2) Mattress: $147

(2.11.3) Bed rails (pair): $175

(2.12) Breathing apparatus

(2.12.1) Model suitable for home use: $347

(2.12.2) Aerosol compressor: $336

(2.13) Rental

(2.13.1) Wheelchairs: $47.50/month

(2.13.2) Ambulatory aids: $8.50/month

(2.13.3) Hospital beds: $93/month

(2.13.4) Breathing apparatus

— all kinds including: mechanical ventilators, oxygen enrichers, secretion suction devices: $671.50/month

— oxygen concentrator: $336/month.

O.C. 1073-2006, Sch. III; O.C. 511-2013, s. 5; O.C. 891-2019, s. 7; O.C. 1312-2021, s. 14.

2023-01-01

SCHEDULE III

PROSTHESES, ORTHOSES AND ACCESSORIES

DIVISION 1

RULES OF APPLICATION

(1.1) Special benefits cover the cost of prostheses, orthoses and accessories up to the maximum amount indicated in the rates listed in Division 2, insofar as the cost is not borne by the Régie de l’assurance maladie du Québec.

(1.2) Special benefits cover the rental cost up to the maximum amount indicated in the rates listed in Division 2, insofar as the cost, considering the duration of the need, does not exceed the purchase cost.

(1.3) The cost of the articles listed under the heading “Elimination System” is not paid if the recipient already receives special benefits for paraplegia.

DIVISION 2

RATES

(2.1) Hernia belts, all sizes (including pads)

— single: $51.50

— double: $87

(2.2) Orthopedic supports

(2.2.1) Sacro-iliac supports, all sizes: $96

(2.2.2) Sacro-lumbar supports, all sizes (including 2 steel stays)

— men: $96

— women: $109

(2.2.3) Dorso-lumbar corsets (including garters, perineal strap and steel stays)

— men: $192

— women: $198

(2.3) Straps (cotton, all sizes)

(2.3.1) Straps (post-operative belts): $47.50

(2.3.2) Thoracic supports: $23

(2.3.3) Abdominal binders: $47.50

(2.3.4) Arm straps (supports): $10.50

(2.3.5) Shoulder straps (supports): $51.50

(2.4) Elastic stockings

(2.4.1) 20 mm compression

— knee-high: $75.50

— above-knee: $98.50

— tights: $116.50

— maternity: $124

(2.4.2) 30 to 70 mm compression

— knee-high: $75.50

— above-knee: $98.50

— groin: $114

— half-tights: $83.50

— tights: $179

(2.5) Cervical orthoses

(2.5.1) Cervical collars, soft or rigid: $26

(2.5.2) Cervical traction set, complete, with bag and chin support: $51.50

(2.6) Orthoses, upper limbs

(2.6.1) Elbow supports (elastic): $32

(2.6.2) Elbow orthoses (elastic): $45

(2.7) Orthoses, lower limbs

(2.7.1) Ankle supports: $32

(2.7.2) Ankle orthoses, all sizes: $51.50

(2.7.3) Knee supports: $60.50

(2.7.4) Elastic knee braces: $77

(2.7.5) Knee braces with metal hinges: $118

(2.7.6) Knee braces (hinge free): $82

(2.8) Elimination system

(2.8.1) Catheter – Probe (each)

— short duration:  $8

— long duration: $34.50

(2.8.2) Strips, adaptors, glue and straps (each)

— Urihesive strips: $7

— Self-adhesive elastic strips: $0.50

— Adaptors: $5

— Catheter glue (118-ml container): $35

— Leg bag straps: $10.50

(2.8.3) Tubes and syringes (each)

— Latex tube: $1

— Extension tube: $13

— Plastic tube clip: $4

— Plastic tube clamp: $5

— Disposable syringe: $3

— Stomach tube, all sizes: $10.50

(2.8.4) Drainage bags (unit): $18.50

(2.8.5) Urinal

— Complete, reusable bag not included (Davol type): $172.50

(2.8.6) Tray (each)

— Irrigation tray: $8.50

— Catheterization tray – Probe: $7

(2.8.7) Incontinence pants (case): $77

(2.8.8) Incontinence diapers (case): $70.50

(2.8.9) Underpads

— Disposable (each): $1

— Washable (package): $38.50

(2.8.10) Sodium chloride or sterile water (500 ml): $6.50

(2.9) Miscellaneous

(2.9.1) Commode chair

— stationary: $192

— adjustable: $399

(2.9.2) Adjustable toilet seat: $102.50

(2.9.3) Adjustable toilet safety rail

— each: $46

— pair: $80.50

(2.9.4) Bath bench

— with back: $77

— without back: $57.50

(2.9.5) Bathtub and toilet rail, all lengths

— straight: $27

— “L” shaped: $68

(2.9.6) Bandages and dressings (each)

— Bandage: $12.50

— Sterile dressing: $2.50

— Non-sterile dressing: $0.50

— Antiseptic or aseptic swab: $0.50

(2.9.7) Lubricant, solvent and solution

— Lubricant (packet): $0.50

— Lubricant (tube): $7

— Solvent (packet): $1

— Antiseptic solution (100 ml): $4.50

(2.9.8) Gloves and towels (each)

— Sterile glove: $1

— Non-sterile glove: $0.50

— Antiseptic or aseptic towel: $0.50

(2.9.9) Eggshell mattress pad: $38.50

(2.10) Ambulatory aids

(2.10.1) Canes

— wood: $20.50

— aluminum (adjustable): $38.50

(2.10.2) Crutches

— wood: $26

— aluminum: $59

— forearm: $132

(2.10.3) Adjustable walkers: $114

(2.10.4) Wheelchair: $662

(2.11) Hospital beds

(2.11.1) Hospital bed: $556

(2.11.2) Mattress: $139.50

(2.11.3) Bed rails (pair): $166.50

(2.12) Breathing apparatus

(2.12.1) Model suitable for home use: $330

(2.12.2) Aerosol compressor: $319.50

(2.13) Rental

(2.13.1) Wheelchairs: $45/month

(2.13.2) Ambulatory aids: $8/month

(2.13.3) Hospital beds: $88.50/month

(2.13.4) Breathing apparatus

— all kinds including: mechanical ventilators, oxygen enrichers, secretion suction devices: $639/month

— oxygen concentrator: $319.50/month.

O.C. 1073-2006, Sch. III; O.C. 511-2013, s. 5; O.C. 891-2019, s. 7; O.C. 1312-2021, s. 14.

2022-01-01

SCHEDULE III

PROSTHESES, ORTHOSES AND ACCESSORIES

DIVISION 1

RULES OF APPLICATION

(1.1) Special benefits cover the cost of prostheses, orthoses and accessories up to the maximum amount indicated in the rates listed in Division 2, insofar as the cost is not borne by the Régie de l’assurance maladie du Québec.

(1.2) Special benefits cover the rental cost up to the maximum amount indicated in the rates listed in Division 2, insofar as the cost, considering the duration of the need, does not exceed the purchase cost.

(1.3) The cost of the articles listed under the heading “Elimination System” is not paid if the recipient already receives special benefits for paraplegia.

DIVISION 2

RATES

(2.1) Hernia belts, all sizes (including pads)

— single: $48

— double: $81.60

(2.2) Orthopedic supports

(2.2.1) Sacro-iliac supports, all sizes: $90

(2.2.2) Sacro-lumbar supports, all sizes (including 2 steel stays)

— men: $90

— women: $102

(2.2.3) Dorso-lumbar corsets (including garters, perineal strap and steel stays)

— men: $180

— women: $186

(2.3) Straps (cotton, all sizes)

(2.3.1) Straps (post-operative belts): $44.40

(2.3.2) Thoracic supports: $21.60

(2.3.3) Abdominal binders: $44.40

(2.3.4) Arm straps (supports): $9.60

(2.3.5) Shoulder straps (supports): $48

(2.4) Elastic stockings

(2.4.1) 20 mm compression

— knee-high: $70.80

— above-knee: $92.40

— tights: $109.20

— maternity: $116.40

(2.4.2) 30 to 70 mm compression

— knee-high: $70.80

— above-knee: $92.40

— groin: $106.80

— half-tights: $78

— tights: $168

(2.5) Cervical orthoses

(2.5.1) Cervical collars, soft or rigid: $24

(2.5.2) Cervical traction set, complete, with bag and chin support: $48

(2.6) Orthoses, upper limbs

(2.6.1) Elbow supports (elastic): $30

(2.6.2) Elbow orthoses (elastic): $42

(2.7) Orthoses, lower limbs

(2.7.1) Ankle supports: $30

(2.7.2) Ankle orthoses, all sizes: $48

(2.7.3) Knee supports: $56.40

(2.7.4) Elastic knee braces: $72

(2.7.5) Knee braces with metal hinges: $110.40

(2.7.6) Knee braces (hinge free): $76.80

(2.8) Elimination system

(2.8.1) Catheter – Probe (each)

— short duration:  $7.14

— long duration: $32.16

(2.8.2) Strips, adaptors, glue and straps (each)

— Urihesive strips: $6.54

— Self-adhesive elastic strips: $0.18

— Adaptors: $4.62

— Catheter glue (118-ml container): $32.88

— Leg bag straps: $9.54

(2.8.3) Tubes and syringes (each)

— Latex tube: $0.90

— Extension tube: $12.12

— Plastic tube clip: $3.30

— Plastic tube clamp: $4.62

— Disposable syringe: $2.58

— Stomach tube, all sizes: $9.60

(2.8.4) Drainage bags (unit): $17.16

(2.8.5) Urinal

— Complete, reusable bag not included (Davol type): $162

(2.8.6) Tray (each)

— Irrigation tray: $7.86

— Catheterization tray – Probe: $6.30

(2.8.7) Incontinence pants (case): $72

(2.8.8) Incontinence diapers (case): $66

(2.8.9) Underpads

— Disposable (each): $0.48

— Washable (package): $36

(2.8.10) Sodium chloride or sterile water (500 ml): $5.82

(2.9) Miscellaneous

(2.9.1) Commode chair

— stationary: $180

— adjustable: $374.40

(2.9.2) Adjustable toilet seat: $96

(2.9.3) Adjustable toilet safety rail

— each: $43.20

— pair: $75.60

(2.9.4) Bath bench

— with back: $72

— without back: $54

(2.9.5) Bathtub and toilet rail, all lengths

— straight: $25.20

— “L” shaped: $63.60

(2.9.6) Bandages and dressings (each)

— Bandage: $11.70

— Sterile dressing: $2.34

— Non-sterile dressing: $0.18

— Antiseptic or aseptic swab: $0.06

(2.9.7) Lubricant, solvent and solution

— Lubricant (packet): $0.12

— Lubricant (tube): $6.12

— Solvent (packet): $0.53

— Antiseptic solution (100 ml): $3.96

(2.9.8) Gloves and towels (each)

— Sterile glove: $0.78

— Non-sterile glove: $0.18

— Antiseptic or aseptic towel: $0.18

(2.9.9) Eggshell mattress pad: $36

(2.10) Ambulatory aids

(2.10.1) Canes

— wood: $19.20

— aluminum (adjustable): $36

(2.10.2) Crutches

— wood: $24

— aluminum: $55.20

— forearm: $123.60

(2.10.3) Adjustable walkers: $106.80

(2.10.4) Wheelchair: $621.60

(2.11) Hospital beds

(2.11.1) Hospital bed: $522

(2.11.2) Mattress: $130.80

(2.11.3) Bed rails (pair): $156

(2.12) Breathing apparatus

(2.12.1) Model suitable for home use: $309.60

(2.12.2) Aerosol compressor: $300

(2.13) Rental

(2.13.1) Wheelchairs: $42/month

(2.13.2) Ambulatory aids: $7.20/month

(2.13.3) Hospital beds: $82.80/month

(2.13.4) Breathing apparatus

— all kinds including: mechanical ventilators, oxygen enrichers, secretion suction devices: $600/month

— oxygen concentrator: $300/month.

O.C. 1073-2006, Sch. III; O.C. 511-2013, s. 5; O.C. 891-2019, s. 7; O.C. 1312-2021, s. 14.

2019-10-01

SCHEDULE III

(s. 98)

PROSTHESES, ORTHOSES AND ACCESSORIES

DIVISION 1

RULES OF APPLICATION

1.1 Special benefits cover the cost of prostheses, orthoses and accessories up to the maximum amount indicated in the rates listed in Division 2, insofar as the cost is not borne by the Régie de l’assurance maladie du Québec.

1.2 Special benefits cover the rental cost up to the maximum amount indicated in the rates listed in Division 2, insofar as the cost, considering the duration of the need, does not exceed the purchase cost.

1.3 The cost of the articles listed under the heading “Elimination System” is not paid if the recipient already receives special benefits for paraplegia.

DIVISION 2

RATES

2.1 Hernia belts, all sizes (including pads)

— single: $40

— double: $68

2.2 Orthopedic supports

2.2.1 Sacro-iliac supports, all sizes: $75

2.2.2 Sacro-lumbar supports, all sizes (including 2 steel stays)

— men: $75

— women: $85

2.2.3 Dorso-lumbar corsets (including garters, perineal strap and steel stays)

— men: $150

— women: $155

2.3 Straps (cotton, all sizes)

2.3.1 Straps (post-operative belts): $37

2.3.2 Thoracic supports: $18

2.3.3 Abdominal binders: $37

2.3.4 Arm straps (supports): $8

2.3.5 Shoulder straps (supports): $40

2.4 Elastic stockings

2.4.1 20 mm compression

— knee-high: $59

— above-knee: $77

— tights: $91

— maternity: $97

2.4.2 30 to 70 mm compression

— knee-high: $59

— above-knee: $77

— groin: $89

— half-tights: $65

— tights: $140

2.5 Cervical orthoses

2.5.1 Cervical collars, soft or rigid: $20

2.5.2 Cervical traction set, complete, with bag and chin support: $40

2.6 Orthoses, upper limbs

2.6.1 Elbow supports (elastic): $25

2.6.2 Elbow orthoses (elastic): $35

2.7 Orthoses, lower limbs

2.7.1 Ankle supports: $25

2.7.2 Ankle orthoses, all sizes: $40

2.7.3 Knee supports: $47

2.7.4 Elastic knee braces: $60

2.7.5 Knee braces with metal hinges: $92

2.7.6 Knee braces (hinge free): $64

2.8 Elimination system

2.8.1 Catheter – Probe (each)

— short duration: $5.95

— long duration: $26.80

2.8.2 Strips, adaptors, glue and straps (each)

— Urihesive strips: $5.45

— Self-adhesive elastic strips: $0.15

— Adaptors: $3.85

— Catheter glue (118-ml container): $27.40

— Leg bag straps: $7.95

2.8.3 Tubes and syringes (each)

— Latex tube: $0.75

— Extension tube: $10.10

— Plastic tube clip: $2.75

— Plastic tube clamp: $3.85

— Disposable syringe: $2.15

— Stomach tube, all sizes: $8

2.8.4 Drainage bags (unit): $14.30

2.8.5 Urinal

— Complete, reusable bag not included (Davol type): $135

2.8.6 Tray (each)

— Irrigation tray: $6.55

— Catheterization tray – Probe: $5.25

2.8.7 Incontinence pants (case): $60

2.8.8 Incontinence diapers (case): $55

2.8.9 Underpads

— Disposable (each): $0.40

— Washable (package): $30

2.8.10 Sodium chloride or sterile water (500 ml) $4.85

2.8.11 (repealed)

2.9 Miscellaneous

2.9.1 Commode chair

— stationary: $150

— adjustable: $312

2.9.2 Adjustable toilet seat: $80

2.9.3 Adjustable toilet safety rail

— each: $36

— pair: $63

2.9.4 Bath bench

— with back: $60

— without back: $45

2.9.5 Bathtub and toilet rail, all lengths

— straight: $21

— “L” shaped: $53

2.9.6 Bandages and dressings (each)

— Bandage: $9.75

— Sterile dressing: $1.95

— Non-sterile dressing: $0.15

— Antiseptic or aseptic swab: $0.05

2.9.7 Lubricant, solvent and solution

— Lubricant (packet): $0.10

— Lubricant (tube): $5.10

— Solvent (packet): $0.44

— Antiseptic solution (100 ml): $3.30

2.9.8 Gloves and towels (each)

— Sterile glove: $0.65

— Non-sterile glove: $0.15

— Antiseptic or aseptic towel: $0.15

2.9.9 Eggshell mattress pad: $30

2.10 Ambulatory aids

2.10.1 Canes

— wood: $16

— aluminum (adjustable): $30

2.10.2 Crutches

— wood: $20

— aluminum: $46

— forearm: $103

2.10.3 Adjustable walkers: $89

2.10.4 Wheelchair: $518

2.11 Hospital beds

2.11.1 Hospital bed: $435

2.11.2 Mattress: $109

2.11.3 Bed rails (pair): $130

2.12 Breathing apparatus

2.12.1 Model suitable for home use: $258

2.12.2 Aerosol compressor: $250

2.13 Rental

2.13.1 Wheelchairs: $35/month

2.13.2 Ambulatory aids: $6/month

2.13.3 Hospital beds: $69/month

2.13.4 Breathing apparatus

— all kinds including: mechanical ventilators, oxygen enrichers, secretion suction devices: $500/month

— oxygen concentrator: $250/month

O.C. 1073-2006, Sch. III; O.C. 511-2013, s. 5; O.C. 891-2019, s. 7.

2013-07-01

SCHEDULE III

(s. 98)

PROSTHESES, ORTHOSES AND ACCESSORIES

DIVISION 1

RULES OF APPLICATION

1.1 Special benefits cover the cost of prostheses, orthoses and accessories up to the maximum amount indicated in the rates listed in Division 2, insofar as the cost is not borne by the Régie de l’assurance maladie du Québec.

1.2 Special benefits cover the rental cost up to the maximum amount indicated in the rates listed in Division 2, insofar as the cost, considering the duration of the need, does not exceed the purchase cost.

1.3 The cost of the articles listed under the heading “Elimination System” is not paid if the recipient already receives special benefits for temporary urostomy, ileostomy or colostomy or special benefits for paraplegia.

The cost is not paid if the recipient receives benefits under a program providing devices free of charge for ostomates.

DIVISION 2

RATES

2.1 Hernia belts, all sizes (including pads)

— single: $40

— double: $68

2.2 Orthopedic supports

2.2.1 Sacro-iliac supports, all sizes: $75

2.2.2 Sacro-lumbar supports, all sizes (including 2 steel stays)

— men: $75

— women: $85

2.2.3 Dorso-lumbar corsets (including garters, perineal strap and steel stays)

— men: $150

— women: $155

2.3 Straps (cotton, all sizes)

2.3.1 Straps (post-operative belts): $37

2.3.2 Thoracic supports: $18

2.3.3 Abdominal binders: $37

2.3.4 Arm straps (supports): $8

2.3.5 Shoulder straps (supports): $40

2.4 Elastic stockings

2.4.1 20 mm compression

— knee-high: $59

— above-knee: $77

— tights: $91

— maternity: $97

2.4.2 30 to 70 mm compression

— knee-high: $59

— above-knee: $77

— groin: $89

— half-tights: $65

— tights: $140

2.5 Cervical orthoses

2.5.1 Cervical collars, soft or rigid: $20

2.5.2 Cervical traction set, complete, with bag and chin support: $40

2.6 Orthoses, upper limbs

2.6.1 Elbow supports (elastic): $25

2.6.2 Elbow orthoses (elastic): $35

2.7 Orthoses, lower limbs

2.7.1 Ankle supports: $25

2.7.2 Ankle orthoses, all sizes: $40

2.7.3 Knee supports: $47

2.7.4 Elastic knee braces: $60

2.7.5 Knee braces with metal hinges: $92

2.7.6 Knee braces (hinge free): $64

2.8 Elimination system

2.8.1 Catheter – Probe (each)

— short duration: $5.95

— long duration: $26.80

2.8.2 Strips, adaptors, glue and straps (each)

— Urihesive strips: $5.45

— Self-adhesive elastic strips: $0.15

— Adaptors: $3.85

— Catheter glue (118-ml container): $27.40

— Leg bag straps: $7.95

2.8.3 Tubes and syringes (each)

— Latex tube: $0.75

— Extension tube: $10.10

— Plastic tube clip: $2.75

— Plastic tube clamp: $3.85

— Disposable syringe: $2.15

— Stomach tube, all sizes: $8

2.8.4 Drainage bags (unit): $14.30

2.8.5 Urinal

— Complete, reusable bag not included (Davol type): $135

2.8.6 Tray (each)

— Irrigation tray: $6.55

— Catheterization tray – Probe: $5.25

2.8.7 Incontinence pants (case): $60

2.8.8 Incontinence diapers (case): $55

2.8.9 Underpads

— Disposable (each): $0.40

— Washable (package): $30

2.8.10 Sodium chloride or sterile water (500 ml) $4.85

2.8.11 Ostomy (unit)

— Adhesive: $15.95

— Skin barrier ring: $8.80

— Skin protector: $4.85

— Solvent or cleansing pad: $0.60

— Flange: $17.50

— Medium belt or elastic band: $16.75

— Skin revitalizing cream: $2.25

— Ostomy pouch closure: $4.35

— Two-piece ostomy pouch: $4.70

— Ostomy paste: $16.25

— Ostomy powder: $11.45

— One-piece ostomy pouch: $18

— Deodorant: $3.90

— Skin barrier: $9.70

— Wet wipe: $0.28

2.9 Miscellaneous

2.9.1 Commode chair

— stationary: $150

— adjustable: $312

2.9.2 Adjustable toilet seat: $80

2.9.3 Adjustable toilet safety rail

— each: $36

— pair: $63

2.9.4 Bath bench

— with back: $60

— without back: $45

2.9.5 Bathtub and toilet rail, all lengths

— straight: $21

— “L” shaped: $53

2.9.6 Bandages and dressings (each)

— Bandage: $9.75

— Sterile dressing: $1.95

— Non-sterile dressing: $0.15

— Antiseptic or aseptic swab: $0.05

2.9.7 Lubricant, solvent and solution

— Lubricant (packet): $0.10

— Lubricant (tube): $5.10

— Solvent (packet): $0.44

— Antiseptic solution (100 ml): $3.30

2.9.8 Gloves and towels (each)

— Sterile glove: $0.65

— Non-sterile glove: $0.15

— Antiseptic or aseptic towel: $0.15

2.9.9 Eggshell mattress pad: $30

2.10 Ambulatory aids

2.10.1 Canes

— wood: $16

— aluminum (adjustable): $30

2.10.2 Crutches

— wood: $20

— aluminum: $46

— forearm: $103

2.10.3 Adjustable walkers: $89

2.10.4 Wheelchair: $518

2.11 Hospital beds

2.11.1 Hospital bed: $435

2.11.2 Mattress: $109

2.11.3 Bed rails (pair): $130

2.12 Breathing apparatus

2.12.1 Model suitable for home use: $258

2.12.2 Aerosol compressor: $250

2.13 Rental

2.13.1 Wheelchairs: $35/month

2.13.2 Ambulatory aids: $6/month

2.13.3 Hospital beds: $69/month

2.13.4 Breathing apparatus

— all kinds including: mechanical ventilators, oxygen enrichers, secretion suction devices: $500/month

— oxygen concentrator: $250/month

O.C. 1073-2006, Sch. III; O.C. 511-2013, s. 5.

2012-09-01

SCHEDULE III

(s. 98)

PROSTHESES, ORTHOSES AND ACCESSORIES

DIVISION 1

RULES OF APPLICATION

1.1 Special benefits cover the cost of prostheses, orthoses and accessories up to the maximum amount indicated in the rates listed in Division 2, insofar as the cost is not borne by the Régie de l’assurance maladie du Québec.

1.2 Special benefits cover the rental cost up to the maximum amount indicated in the rates listed in Division 2, insofar as the cost, considering the duration of the need, does not exceed the purchase cost.

1.3 The cost of the articles listed under the heading “Elimination System” is not paid if the recipient already receives special benefits for temporary urostomy, ileostomy or colostomy or special benefits for paraplegia.

The cost is not paid if the recipient receives benefits under a program providing devices free of charge for ostomates.

DIVISION 2

RATES

2.1 Hernia belts, all sizes (including pads)

— single: $40

— double: $68

2.2 Orthopedic supports

2.2.1 Sacro-iliac supports, all sizes: $75

2.2.2 Sacro-lumbar supports, all sizes (including 2 steel stays)

— men: $75

— women: $85

2.2.3 Dorso-lumbar corsets (including garters, perineal strap and steel stays)

— men: $150

— women: $155

2.3 Straps (cotton, all sizes)

2.3.1 Straps (post-operative belts): $37

2.3.2 Thoracic supports: $18

2.3.3 Abdominal binders: $37

2.3.4 Arm straps (supports): $8

2.3.5 Shoulder straps (supports): $40

2.4 Elastic stockings

2.4.1 20 mm compression

— knee-high: $59

— above-knee: $77

— tights: $91

— maternity: $97

2.4.2 30 to 70 mm compression

— knee-high: $59

— above-knee: $77

— groin: $89

— half-tights: $65

— tights: $140

2.5 Cervical orthoses

2.5.1 Cervical collars, soft or rigid: $20

2.5.2 Cervical traction set, complete, with bag and chin support: $40

2.6 Orthoses, upper limbs

2.6.1 Elbow supports (elastic): $25

2.6.2 Elbow orthoses (elastic): $35

2.7 Orthoses, lower limbs

2.7.1 Ankle supports: $25

2.7.2 Ankle orthoses, all sizes: $40

2.7.3 Knee supports: $47

2.7.4 Elastic knee braces: $60

2.7.5 Knee braces with metal hinges: $92

2.7.6 Knee braces (hinge free): $64

2.8 Elimination system

2.8.1 Catheters (each)

— short duration: $3.50

— long duration: $15

2.8.2 Strips, adaptors, glue and straps (each)

— Urihesive strips: $1.30

— Self-adhesive elastic strips: $0.15

— Adaptors: $1.50

— Catheter glue (118-ml container): $9.50

— Leg bag straps: $6.50

2.8.3 Tubes and syringes (each)

— Latex tube: $0.75

— Extension tube: $1.75

— Plastic tube clip: $1.50

— Plastic tube clamp: $1

— Disposable syringe: $0.05

— Stomach tube, all sizes: $8

2.8.4 Drainage bags (case): $125

2.8.5 Urinal

— Complete, reusable bag not included (Davol type): $135

2.8.6 Trays (each)

— Irrigation tray: $4.20

— Catheterization tray: $5.25

2.8.7 Incontinence pants (case): $60

2.8.8 Incontinence diapers (case): $55

2.8.9 Underpads

— Disposable (each): $0.30

— Washable (package): $30

2.9 Miscellaneous

2.9.1 Commode chair

— stationary: $150

— adjustable: $312

2.9.2 Adjustable toilet seat: $80

2.9.3 Adjustable toilet safety rail

— each: $36

— pair: $63

2.9.4 Bath bench

— with back: $60

— without back: $45

2.9.5 Bathtub and toilet rail, all lengths

— straight: $21

— “L” shaped: $53

2.9.6 Bandages and dressings (each)

— Bandage: $2.50

— Sterile dressing: $0.35

— Non-sterile dressing: $0.15

— Antiseptic or aseptic swab: $0.05

2.9.7 Lubricant, solvent and solution

— Lubricant (packet): $0.10

— Lubricant (tube): $4

— Solvent (packet): $0.10

— Antiseptic solution (100 ml): $0.15

2.9.8 Gloves and towels (each)

— Sterile glove: $0.25

— Non-sterile glove: $0.15

— Antiseptic or aseptic towel: $0.15

2.9.9 Eggshell mattress pad: $30

2.10 Ambulatory aids

2.10.1 Canes

— wood: $16

— aluminum (adjustable): $30

2.10.2 Crutches

— wood: $20

— aluminum: $46

— forearm: $103

2.10.3 Adjustable walkers: $89

2.10.4 Wheelchair: $518

2.11 Hospital beds

2.11.1 Hospital bed: $435

2.11.2 Mattress: $109

2.11.3 Bed rails (pair): $130

2.12 Breathing apparatus

2.12.1 Model suitable for home use: $258

2.12.2 Aerosol compressor: $250

2.13 Rental

2.13.1 Wheelchairs: $35/month

2.13.2 Ambulatory aids: $6/month

2.13.3 Hospital beds: $69/month

2.13.4 Breathing apparatus

— all kinds including: mechanical ventilators, oxygen enrichers, secretion suction devices: $500/month

— oxygen concentrator: $250/month

O.C. 1073-2006, Sch. III.