Compression garments for lymphedema The Program Regarding Bandages and Compression Garments Used to Treat Lymphedema provides for a reimbursement of the cost of compression garments for persons suffering from lymphedema. The amount reimbursed varies according to the person’s age and situation, the limb affected and the type of garment or accessory purchased. Eligible persons To qualify for the program, you must meet the following 2 conditions: Be covered by the Québec Health Insurance PlanHave primary or secondary lymphedema For more information on this condition, consult the Lymphedema page on the Québec.ca website. Supplies covered If you are age 18 or over, you are entitled to the following supplies per limb affected and per 12-month period: 1 set of multi-layer bandages3 elastic day-time compression garments1 non-elastic compression garment1 night-time compression garment1 accessory for compression garment. For children under 18 years of age, the number of supplies is doubled per 12-month period. Several garments worn at the same time for a given limb If you have to wear several different garments at the same time for a given limb, these garments will be considered separately. For example, if you have to wear a glove and sleeve at the same time, you will be entitled to the following per 12-month period: 3 gloves + 3 day-time sleeves1 glove + 1 night-time sleeve1 glove + 1 non-elastic sleeve Reimbursement granted Persons age 18 and overPerson under 18 years of age and recipients of a financial assistance program with claim slip (carnet de réclamation) or the Aim for Employment Program75% of the purchase cost before taxes and delivery charges, up to the maximum allowable amount100% of the purchase cost before taxes and delivery charges, up to the maximum allowable amount You are required to pay a portion of the cost to purchase supplies. If you have private coverage, it may cover the difference. Check with your insurance company or uninsured employee benefits plan administrator. Maximum allowable amounts The maximum allowable amounts are in effect as of January 1, 2025. They are indexed annually on January 1. The maximums are different for persons under age 18 and for persons receiving last-resort financial assistance or assistance under the Aim for Employment Program. Elastic day-time compression garments Lower limbs Important concerning the number of socks covered: 1 sock counts for 1 covered compression garment; 1 pair counts for 2 covered compression garment. GarmentMaximum allowable amountMaximum allowable amount for persons under age 18 and recipients of a financial assistance program with claim slip (carnet de réclamation) or the Aim for Employment ProgramKnee-high stocking, open or closed toeReady made: $60.14 Custom made: $194.29Ready made: $80.18 Custom made: $259.05Thigh-high stocking, open or closed toeReady made: $78.64 Custom made: $254.44Ready made: $104.85 Custom made: $339.25Thigh-high stocking with hip attachment, open or closed toeReady made: $148.03 Custom made: $245.16Ready made: $197.37 Custom made: $326.88Above-knee pantyhoseReady made: $69.38 Custom made: $453.32Ready made: $92.51 Custom made: $604.42Capri pantyhoseReady made: $115.64 Custom made: $471.81Ready made: $154.19 Custom made: $629.08Pantyhose, open or closed toeReady made: $194.27 Custom made: $462.56Ready made: $259.03 Custom made: $616.74Pantyhose, one leg, open or closed toeCustom made: $286.79Custom made: $382.39Sock, open toeCustom made: $212.78Custom made: $283.71Sock, closed toeCustom made: $296.04Custom made: $394.72 Upper limbs GarmentMaximum allowable amountMaximum allowable amount for persons under age 18 and recipients of a financial assistance program with claim slip (carnet de réclamation) or the Aim for Employment ProgramGauntlet, fingerlessReady made: $92.51 Custom made: $157.26Ready made: $123.35 Custom made: $209.68Glove, closed fingerReady made: $166.53 Custom made: $370.04Ready made: $222.04 Custom made: $493.39SleeveReady made: $138.77 Custom made: $296.04Ready made: $185.02 Custom made: $394.72Sleeve, with shoulder strapReady made: $115.64 Custom made: $333.04Ready made: $154.19 Custom made: $444.05Combination sleeve and gauntlet or gloveReady made: $185.03 Custom made: $453.32Ready made: $246.70 Custom made: $604.42 Non-elastic compression garments Lower limbs GarmentMaximum allowable amountMaximum allowable amount for persons under age 18 and recipients of a financial assistance program with claim slip (carnet de réclamation) or the Aim for Employment Program Ankle unitReady made: $120.28 Custom made: $296.04Ready made: $160.37 Custom made: $394.72Thigh unit, including kneeReady made: $314.55 Custom made: $601.33Ready made: $419.40 Custom made: $801.77Calf unit, under kneeReady made: $259.04 Custom made: $555.07Ready made: $345.38 Custom made: $740.09Leg unit (ankle, calf, knee and thigh)Ready made: $647.60 Custom made: $1,133.28Ready made: $863.46 Custom made: $1,511.04 Upper limbs GarmentMaximum allowable amountMaximum allowable amount for persons under age 18 and recipients of a financial assistance program with claim slip (carnet de réclamation) or the Aim for Employment ProgramSleeveReady made: $323.79 Custom made: $453.32Ready made: $431.72 Custom made: $604.42GloveReady made: $148.03 Custom made: $333.04Ready made: $197.37 Custom made: $444.05GauntletReady made: $83.27Ready made: $111.02 Night-time compression garments Lower limbs GarmentMaximum allowable amountMaximum allowable amount for persons under age 18 and recipients of a financial assistance program with claim slip (carnet de réclamation) or the Aim for Employment ProgramAnkle unitReady made: $120.28 Custom made: $296.04Ready made: $160.37 Custom made: $394.72Thigh, including kneeReady made: $314.55 Custom made: $647.60Ready made: $419.40 Custom made: $863.46Calf unit, under kneeReady made: $314.55 Custom made: $601.33Ready made: $419.40 Custom made: $801.77Leg (ankle, calf, knee and thigh)Ready made: $740.11 Custom made: $1,341.43Ready made: $986.81 Custom made: $1,788.57 Upper limbs GarmentMaximum allowable amountMaximum allowable amount for persons under age 18 and recipients of a financial assistance program with claim slip (carnet de réclamation) or the Aim for Employment ProgramSleeveReady made: $323.79 Custom made: $508.82Ready made: $431.72 Custom made: $678.42GloveReady made: $148.03 Custom made: $333.04Ready made: $197.37 Custom made: $444.05GauntletReady made: $83.27Ready made: $111.02Combination sleeve with gauntlet or gloveReady made: $416.31 Custom made: $786.35Ready made: $555.08 Custom made: $1,048.47 Accessories for compression garments AccessoryMaximum allowable amountMaximum allowable amount for persons under age 18 and recipients of a financial assistance program with claim slip (carnet de réclamation) or the Aim for Employment ProgramSkin adhesive$10.16$13.55Stocking donner$92.51$123.35Sleeve donner$111.01$148.01Rubber gloves, pair$9.24 per pair$12.32 per pair Multilayer bandages Multilayer bandagesMaximum allowable amountMaximum allowable amount for persons under age 18 and recipients of a financial assistance program with claim slip (carnet de réclamation) or the Aim for Employment ProgramUpper limb$92.51$123.35Lower limb$208.16$277.54 Compression garments for trunk and neck Compression garments for trunk and neck may also be covered. However, your request for reimbursement will be subject to further analysis. Procedure to obtain a reimbursement Obtain a medical prescription when you purchase an aid for the first time for which you may later apply for a reimbursement. This applies for each limb newly affected by lymphedema.Go to a provider that has signed an agreement with RAMQ or to another provider to obtain the supplies required. Your prescription must: Indicate the presence of lymphedemaSpecify which limb or area of the body is affected and, if applicable, which side (right or left)Be issued by one of the following persons:a physician registered with the Collège des médecins du Québec or an equivalent organization in another province or territorythe holder of a resident training card issued by the secretary of the Collège des médecins du Québec or by an equivalent organization in another province or territory, authorized to write such a prescriptiona specialized nurse practitioner Conditions of reimbursement: authorized provider that has signed an agreement or provider that has not Some providers of compression garments have signed an agreement with RAMQ. We reimburse them directly the amount allotted. If you purchase your supplies from a supplier that has not signed such an agreement, you will have to pay and then submit a request for reimbursement to us. Authorized private orthosis and prosthesis laboratories Authorized public facilities Select the status of your provider to learn about the conditions of reimbursement. Authorized provider that has signed an agreement with RAMQ Present your valid Health Insurance Card and, where applicable, your valid claim slip (carnet de réclamation).Provide the medical prescription. No prescription will be required for subsequent purchases for the same limb. We reimburse the provider directly, taking into account the percentage of reimbursement granted and the maximum allowable to which you are entitled. You will be required to pay the difference at the place of purchase. Other provider You must obtain a medical prescription before going to the provider. If you purchase your supplies from a provider that has not signed an agreement with RAMQ, you will have to pay the total invoice amount related to the supplies, then submit a request for reimbursement to us: Complete the form entitled Claim Form – Program Regarding Bandages and Compression Garments Used to Treat Lymphedema.Attach the original invoices, the receipts detailing the supplies purchased and the proofs of payment.Attach the medical prescription, when purchasing a supply for the first time covered by program for the limb affected.Mail all documents to the address indicated on the form, or fax them to 418 643-5967.Keep a copy of the documents for a better follow-up of your file. If they are faxed, you should keep them for 5 years. We will reimburse you taking into account the percentage of reimbursement allotted and the maximum allowable amount to which you are entitled. The usual processing time is 50 days. We will contact you if your application is incomplete. In any case, you will not receive an acknowledgement of receipt. Please call us only if the processing time is exceeded. Application for review You can apply for an administrative review if you disagree with a RAMQ decision. To find out more, refer to the page Request a review of a decision. See also Authorized private orthosis and prosthesis laboratories to treat lymphedemaAuthorized public facilities to treat lymphedemaOrder in Concil and agreements concerning the Program Claim form
