Ocular Prostheses – Procedure to Follow
If you receive your prosthesis from one of the ocularists who have signed an agreement with the Régie, you must:
- present your valid Health Insurance Card;
- provide a medical certificate from an ophthalmologist attesting that your orbital cavity or eyeball is able to accommodate an ocular prosthesis.
The Régie will pay the ocularist up to the maximum amount to which you are entitled. If the cost of the prosthesis chosen or of the conformer installed exceeds the maximum amount, you must pay the difference.
If you receive services from a service provider who has not signed an agreement with the Régie, you must:
- pay the full cost of the prosthesis and, where applicable, the cost of the purchase and fitting of the conformer(s) required;
- apply to the Régie for a reimbursement of the amount to which you are entitled;
- include the originals of your invoices or detailed receipts.
Please note
If the prosthesis you are receiving is the first one paid for by the Régie, attach a medical prescription from an ophthalmologist attesting that your orbital cavity or eyeball is able to accommodate an ocular prosthesis.
Important
Be sure to include the following information with your request:
- full name and address;
- date of birth;
- Health Insurance Number.
For each service received, always specify whether it was for your right eye or your left eye.
