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

Section 63 Disposition versions

2012-09-01

63. Where the cost of an insured repair, adaptation or fitting of a device or of one or a combination of its components or supplements is undetermined because no price has been entered on the relevant list, 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 the time required for fitting or repair, or both, as the case may be, taking into account, up to a maximum of 4 quarter hours, the time devoted exclusively to travelling, under the circumstances set forth in the second paragraph;

(2)  the rate fixed in the Tariff per quarter hour or fraction thereof for the time required for replacing one or a combination of components or supplements, where applicable; and

(3)  the cost price of the materials is added to the cost arising from the application of subparagraph 1 and, where applicable, subparagraph 2.

Travelling time is taken into account where the insured wheel chair has broken down due to a defect or problem in the electrical or mechanical system and requires adjustment or repair work to restore it to proper working order.

O.C. 612-94, s. 63; O.C. 1334-98, s. 30; Decision 2001-11-14, s. 5; Decision 2003-06-11, s. 4; Decision 2004-04-14, s. 3; Decision 2005-04-13, s. 3; Decision 003-2006, s. 4; Decision 001-2007, s. 4; Decision 002-2008, s. 5; Decision 001-2009, s. 34.