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

Section 23 Disposition versions

2012-09-01

23. Where the reference “S.C.” in the Tariff appears in place of the purchase or replacement price of a device that is determined to be insured or of one or a combination of its components, the total cost assumed by the Board is determined as follows:

(1)  the rate fixed in the Tariff per quarter hour or fraction thereof for manufacturing time beyond the time usually required for a similar device or component, as the case may be, specified on a list appearing in the Tariff; and

(2)  the cost price of the materials required in addition to those generally used, as the case may be, for a similar device or component specified on a list appearing in the Tariff is added to the cost arising from the application of subparagraph 1.

The Board does not assume the replacement cost of a component for which the reference “N/A” appears in the Tariff in place of the replacement price.

The Board does not assume the cost of a component for which the reference “N/A” appears in the Tariff in place of the component price when the device is purchased or replaced.

O.C. 612-94, s. 23; O.C. 150-2000, s. 3; Decision 2001-11-14, s. 1; Decision 2003-06-11, s. 1; Decision 2004-04-14, s. 1; Decision 2005-04-13, s. 1; Decision 003-2006, s. 1; Decision 001-2007, s. 1; Decision 002-2008, s. 1; Decision 001-2009, s. 13.