Accommodation in a public facility
RAMQ manages the Financial Contribution Program for Accommodated Adults. The contribution is the amount required by the Government that you have to pay for your accommodation in a health and social services facility in Québec (e.g., a residential and long-term care centre (CHSLD), rehabilitation centre). You can apply to be exempted from paying this amount, or to pay a reduced amount, depending on your ability to pay.
To qualify for the program, you must be:
- covered by the Québec Health Insurance Plan
- age 18 or over
- accommodated in a public facility
You must also undergo an assessment at an integrated health and social services centre (CISSS) or an integrated university health and social services centre (CIUSSS). These facilities take into consideration your health condition, the urgency of your situation and the availability of accommodation places for your admission. RAMQ has no say in this process.
Accommodation of children under age 18 falls under the responsibility of child and youth protection centres. More information is available from your CISSS or CIUSSS.
Setting the contribution amount
The contribution is established with a concern for fairness for accommodated adults and those living at home. Indeed, when you are accommodated, you must pay the expenses related to your room and board. The required social services and health services are free for all Quebeckers.
Maximum contribution and notice of decision
Upon your arrival, the facility welcoming you sends us your admission form. We then issue to you or your representative a notice of decision indicating the following:
- the amount to be paid for the room you occupy
- the procedure to follow if you believe that your financial or family situation justifies a reduction on your contribution
To authorize us to disclose information to your representative, you must also fill out and attach the form entitled Identity of Representative and Authorization to Release Information.
Amount for the room
The amount of your contribution is calculated based on the type of room you occupy:
- Individual room: $1,966.20
- 2-bed room: $1,642.50
- 3-bed or more room: $1,223.70
These amounts are indexed on January 1 of each year.
Payment of your contribution
On the 1st day of each month, you have to pay the facility in which you are accommodated the amount indicated on your notice of decision. The contribution is payable as of the 1st day of accommodation indicated by the facility. It is calculated according to the number of days of accommodation (30 days for a full month). The arrival date is included but not your departure date.
Applying to have your contribution reduced
The prices for rooms are a maximum rate. If you consider that you are unable to pay the amount indicated on your notice of decision, you may apply for a reduction by filling out the form entitled Application for Exemption or for Re-Evaluation. Your contribution will then be established by taking into consideration your ability to pay.
After your application has been evaluated, you will receive a new notice of decision indicating the amount you are required to pay for your room. This amount may be lower than or equal to the amount previously set.
Change to the rules in effect for the calculation of the contribution
On January 1, 2021, the following changes will take effect for the calculation of your contribution.
- The amount for a main residence will be increased from $40,000 to $235,401.
- The total amount for property will be increased from $1,500 to $2,500 for a single adult and from $2,500 to $5,000 for a family.
- An amount of $10,000 will be added for an automobile.
- The amount for liquid assets will remain at $2,500 for a single adult and increased from $2,500 to $5,000 for a family.
- The amount for a person with a spouse (non-accommodated, married or in a civil union) will be increased from $1,252 to $1,265.
- The amount for a dependent child under age 18 will be increased from $501 to $506, and for a dependent child age 18 or over pursuing full-time studies increased from $629 to $635.
- The personal expense allowance will be increased from $260 to $273.
- The cost for lodging will be increased from the fixed amount of $325 or $650 (depending on your age) to the actual amount paid for 2 months as of the first day of accommodation (excluding services).
- Certain government compensations are to be excluded (e.g., Hôpital Saint-Julien, Duplessis orphans).
Registered retirement savings plan (RRSP)
This amount is now excluded up to age 65.
Registered disability savings plan (RDSP)
This amount is now excluded until the sums can be cashed in without a penalty. Furthermore, if the sums are converted to a life annuity, an exclusion applies up to the maximum amount of $950 per month.
Renouncing, disposing of or squandering property or liquid assets
If you or your spouse decide to renounce your rights, squander your property or liquid assets or dispose of them without due consideration, a penalty will be applied, in effect for a maximum period of 24 months.
Obligation to obtain aid
If you or your spouse are entitled to aid, a benefit or any other advantage and you are aware of this, you must obtain it within a reasonable time. Otherwise, your contribution will be maintained at the maximum rate.
A retroactive exemption is automatically granted, if you qualify, going back 6 months before you filed your application. This period may be extended if you or your representative can prove that you were unable to act sooner.
Change in your situation
You must notify us within 30 days of any change concerning the information or documents sent with your application for exemption.
Variation in the amount of your contribution during the year
Calculation of your contribution for a given month is based on your income for the previous month. For instance, the contribution you have to pay on March 1 is based on your income for February. Your contribution varies according to:
- the indexation of your Old Age Security pension and other income
- the value of your property and liquid assets
Simulation tool to estimate your financial contribution
We have made available for you a simulation tool to help you estimate your financial contribution subsequent to an application for exemption or for re-evaluation.
Products and services provided or not
The products and services provided by the facility fall under the responsibility of the Ministère de la Santé et des Services sociaux (MSSS). Your facility will provide the following for free:
- Products and services necessary for personal hygiene, such as:
- paper products indicated in your individualized services plan or any other products required because of a particular condition
- skin cream, shampoo, deodorant, toilet soap, tooth paste and facial tissue
- products for laundering and regular care of your clothing (your family may nevertheless accomplish these tasks)
- All other equipment used for therapeutic purposes
You have to pay for the following products and services:
- hairdressing services
- personal care products (e.g., cosmetics, hairspray)
- tobacco products and newspapers
- meals ordered from outside
- a personal telephone
- rental of a television set
- special care of clothing (e.g., dry cleaning, mending)
- personal hygiene products of a brand other than that provided by the facility
The facility may help you obtain dental or optometry services and various assistive devices and pay a portion of the costs. Before making any purchases, find out whether the facility will pay a portion of the costs incurred.
If you are dissatisfied with the quality of services
If you consider that you are not receiving appropriate care and services, you can contact the commissioner for complaints and the quality of services at the facility where you are residing.
For additional information on the program, contact the management at the facility. For more information on calculating your contribution, contact us:
425, boul. De Maisonneuve Ouest, bureau 213
Montréal (Québec) H3A 3G5