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A-29 - Health Insurance Act

Section 13
Disposition versions

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13. An insured person is also entitled to exact from the Board payment of the cost determined by regulation for services and for devices or other equipment that compensate for a physical deficiency contemplated in the fifth, ninth and tenth paragraphs of section 3 furnished to him in Québec, by an institution or laboratory or by a person contemplated in subparagraph h.3 of the first paragraph of section 69 or furnished to him outside Québec by an institution or laboratory recognized by the Minister, or by a person contemplated in subparagraph h.3 of the first paragraph of section 69, on presentation of a statement of account the form of which is accepted by the Board, provided that the Board has obtained from such insured person the information it needs to justify the payment claimed.
Such insured person is not entitled to exact more than the cost determined by regulation for an insured service contemplated in the fifth, ninth and tenth paragraphs of section 3.
The Board itself may also assume for the account of an insured person, up to the costs determined by regulation, the payment of the cost of the services contemplated in the first paragraph. It shall do so however only if such insured person presents a statement of account and furnishes the appropriate information to it.
An institution, a laboratory or a person referred to in subparagraph h.3 of the first paragraph of section 69 that furnishes an insured service contemplated in the fifth, ninth and tenth paragraphs of section 3 shall be paid only for what it has actually executed and only up to the costs determined by regulation.
1973, c. 30, s. 4; 1974, c. 40, s. 5; 1979, c. 1, s. 10; 1989, c. 50, s. 14; 1990, c. 56, s. 1; 1992, c. 21, s. 375; 1994, c. 8, s. 6; 1999, c. 89, s. 12, s. 42; 2016, c. 28, s. 37.
13. An insured person is also entitled to exact from the Board payment of the cost determined by regulation for services and for devices or other equipment that compensate for a physical deficiency contemplated in the fifth, ninth and tenth paragraphs of section 3 furnished to him in Québec, by an institution or laboratory or by a person contemplated in subparagraph h.3 of the first paragraph of section 69 or furnished to him outside Québec by an institution or laboratory recognized by the Minister, or by a person contemplated in subparagraph h.3 of the first paragraph of section 69, on presentation of a statement of account the form of which is accepted by the Board and the content of which is in conformity with the regulations, provided that the Board has obtained from such insured person the information it needs to justify the payment claimed.
Such insured person is not entitled to exact more than the cost determined by regulation for an insured service contemplated in the fifth, ninth and tenth paragraphs of section 3.
The Board itself may also assume for the account of an insured person, up to the costs determined by regulation, the payment of the cost of the services contemplated in the first paragraph. It shall do so however only if such insured person presents a statement of account and furnishes the appropriate information to it.
An institution, a laboratory or a person referred to in subparagraph h.3 of the first paragraph of section 69 that furnishes an insured service contemplated in the fifth, ninth and tenth paragraphs of section 3 shall be paid only for what it has actually executed and only up to the costs determined by regulation.
1973, c. 30, s. 4; 1974, c. 40, s. 5; 1979, c. 1, s. 10; 1989, c. 50, s. 14; 1990, c. 56, s. 1; 1992, c. 21, s. 375; 1994, c. 8, s. 6; 1999, c. 89, s. 12, s. 42.
13. A beneficiary is also entitled to exact from the Board payment of the amount fixed by regulation for the services and prostheses, orthopedic devices, locomotor or posture assists, medical supplies or other equipment contemplated in the fifth paragraph of section 3 furnished to him in Québec, by an institution or laboratory or by a person contemplated in subparagraph h.3 of the first paragraph of section 69 or furnished to him outside Québec by an institution or laboratory recognized by the Minister, or by a person contemplated in subparagraph h.3 of the first paragraph of section 69, on presentation of a statement of account the form of which is accepted by the Board and the content of which is in conformity with the regulations, provided that the Board has obtained from such beneficiary the information it needs to justify the payment claimed.
Such beneficiary is not entitled to exact more than the price fixed by regulation for an insured service contemplated in the fifth paragraph of section 3.
The Board itself may also assume for the account of a beneficiary, up to the maximum amounts fixed by regulation, the payment of the cost of the services contemplated in the first paragraph. It shall do so however only if such beneficiary presents a statement of account and furnishes the appropriate information to it.
An institution, a laboratory or a person referred to in subparagraph h.3 of the first paragraph of section 69 that furnishes an insured service contemplated in the fifth paragraph of section 3 shall be paid only for what it has actually executed and only up to the maximum prices fixed by regulation.
1973, c. 30, s. 4; 1974, c. 40, s. 5; 1979, c. 1, s. 10; 1989, c. 50, s. 14; 1990, c. 56, s. 1; 1992, c. 21, s. 375; 1994, c. 8, s. 6.
13. A beneficiary is also entitled to exact from the Board payment of the amount fixed by regulation for the purchase, fittings, replacement or repair of prostheses, orthopedic devices, apparatus, wheel chairs or other equipment contemplated in the fifth paragraph of section 3 furnished to him in Québec, by an institution or laboratory or by a person contemplated in subparagraph h.3 of the first paragraph of section 69 or furnished to him outside Québec by an institution or laboratory recognized by the Minister, or by a person contemplated in subparagraph h.3 of the first paragraph of section 69, on presentation of a statement of account the form of which is accepted by the Board and the content of which is in conformity with the regulations, provided that the Board has obtained from such beneficiary the information it needs to justify the payment claimed.
Such beneficiary is not entitled to exact more than the price fixed by regulation for purchase, fitting, replacement or repair of such prostheses, orthopedic devices, apparatus, wheel chairs or other equipment.
The Board itself may also assume for the account of a beneficiary, up to the maximum amounts fixed by regulation, the payment of the cost of the services contemplated in the first paragraph. It shall do so however only if such beneficiary presents a statement of account and furnishes the appropriate information to it.
An institution or laboratory which sells, adjusts, replaces or repairs prostheses, orthopedic devices, apparatus, wheel chairs or other equipment contemplated in section 3 shall be paid only for what it has actually executed and only up to the maximum prices fixed by regulation.
1973, c. 30, s. 4; 1974, c. 40, s. 5; 1979, c. 1, s. 10; 1989, c. 50, s. 14; 1990, c. 56, s. 1; 1992, c. 21, s. 375.
13. A beneficiary is also entitled to exact from the Board payment of the amount fixed by regulation for the purchase, fittings, replacement or repair of prostheses, orthopedic devices, apparatus, wheel chairs or other equipment contemplated in the fifth paragraph of section 3 furnished to him in Québec, by an establishment or laboratory or by a person contemplated in subparagraph h.3 of the first paragraph of section 69 or furnished to him outside Québec by an establishment or laboratory recognized by the Minister, or by a person contemplated in subparagraph h.3 of the first paragraph of section 69, on presentation of a statement of account the form of which is accepted by the Board and the content of which is in conformity with the regulations, provided that the Board has obtained from such beneficiary the information it needs to justify the payment claimed.
Such beneficiary is not entitled to exact more than the price fixed by regulation for purchase, fitting, replacement or repair of such prostheses, orthopedic devices, apparatus, wheel chairs or other equipment.
The Board itself may also assume for the account of a beneficiary, up to the maximum amounts fixed by regulation, the payment of the cost of the services contemplated in the first paragraph. It shall do so however only if such beneficiary presents a statement of account and furnishes the appropriate information to it.
An establishment or laboratory which sells, adjusts, replaces or repairs prostheses, orthopedic devices, apparatus, wheel chairs or other equipment contemplated in section 3 shall be paid only for what it has actually executed and only up to the maximum prices fixed by regulation.
1973, c. 30, s. 4; 1974, c. 40, s. 5; 1979, c. 1, s. 10; 1989, c. 50, s. 14; 1990, c. 56, s. 1.
13. A beneficiary is also entitled to exact from the Board payment of the amount fixed by regulation for the purchase, fittings, replacement or repair of prostheses, orthopedic devices, apparatus, wheel chairs or other equipment contemplated in the fifth paragraph of section 3 furnished to him in Québec, by an establishment or laboratory or by a person contemplated in subparagraph h.3 of the first paragraph of section 69 or furnished to him outside Québec by an establishment or laboratory recognized by the Minister, or by a person contemplated in subparagraph h.3 of the first paragraph of section 69, on presentation of a statement of account the form of which is accepted by the Board and the content of which is in conformity with the regulations, provided that the Board has obtained from such beneficiary the information it needs to justify the payment claimed.
Such beneficiary is not entitled to exact more than the price fixed by regulation for purchase, fitting, replacement or repair of such prostheses, orthopedic devices, apparatus or other equipment.
The Board itself may also assume for the account of a beneficiary, up to the maximum amounts fixed by regulation, the payment of the cost of the services contemplated in the first paragraph. It shall do so however only if such beneficiary presents a statement of account and furnishes the appropriate information to it.
An establishment or laboratory which sells, adjusts, replaces or repairs prostheses, orthopedic devices, apparatus or other equipment contemplated in section 3 shall be paid only for what it has actually executed and only up to the maximum prices fixed by regulation.
1973, c. 30, s. 4; 1974, c. 40, s. 5; 1979, c. 1, s. 10; 1989, c. 50, s. 14.
13. A beneficiary is also entitled to exact from the Board payment of the amount fixed by regulation for the purchase, fittings, replacement or repair of prostheses, orthopedic devices, apparatus or other equipment contemplated in the fifth paragraph of section 3 furnished to him in Québec, by an establishment or laboratory or by a person contemplated in subparagraph h.3 of the first paragraph of section 69 or furnished to him outside Québec by an establishment or laboratory recognized by the Minister, or by a person contemplated in subparagraph h.3 of the first paragraph of section 69, on presentation of a statement of account prescribed in accordance with section 72, provided that the Board has obtained from such beneficiary the information it needs to justify the payment claimed.
Such beneficiary is not entitled to exact more than the price fixed by regulation for purchase, fitting, replacement or repair of such prostheses, orthopedic devices, apparatus or other equipment.
The Board itself may also assume for the account of a beneficiary, up to the maximum amounts fixed by regulation, the payment of the cost of the services contemplated in the first paragraph. It shall do so however only if such beneficiary presents a statement of account and furnishes the appropriate information to it.
An establishment or laboratory which sells, adjusts, replaces or repairs prostheses, orthopedic devices, apparatus or other equipment contemplated in section 3 shall be paid only for what it has actually executed and only up to the maximum prices fixed by regulation.
1973, c. 30, s. 4; 1974, c. 40, s. 5; 1979, c. 1, s. 10.
13. A resident of Québec shall also be entitled to exact from the Board payment of the cost of purchase, fitting, replacement or repair of prostheses or orthopedic or other devices contemplated by section 3 furnished to him in Québec, by an establishment or laboratory, or furnished to him outside Québec by an establishment or laboratory recognized for such purpose by the Minister, on presentation of a statement of account prescribed in accordance with section 72, provided that the Board has obtained from such person the information it needs to justify the payment claimed.
Such person shall not be entitled to exact more than the price fixed by regulation for purchase, fitting, replacement or repair of such prostheses and orthopedic or other devices.
The Board itself may also assume for the account of a resident of Québec, up to the maximum amounts fixed by regulation, the payment of the cost of the services contemplated in the first paragraph. It shall do so however only if such person presents a statement of account and furnishes the appropriate information to it.
A person who sells, adjusts, replaces or repairs prostheses or orthopedic or other devices contemplated in section 3 shall be paid only for what he has actually executed and only up to the maximum prices fixed by regulation.
1973, c. 30, s. 4; 1974, c. 40, s. 5.
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