Devices that compensate for a physical deficiency
The program covers the cost of purchase, replacement and repair of certain technical aids. These aids compensate for a person’s motor deficiency. They include various types of orthoses, prostheses, walking aids, locomotor assists, posture assists and standing aids.
Who is eligible?
To qualify, you must be insured under the Health Insurance Plan and have a physical impairment. You must also fulfil the eligibility conditions related to the device you need.
Procedure for coverage
- Obtain a written medical prescription issued by an authorized physician. The prescription must:
- state your physical impairment and the resulting incapacity
- indicate the necessity of obtaining a device
- include recommendations for using the device
- Got to a public rehabilitation facility or a private orthosis and prosthesis laboratory authorized by the Minister of Health and Social Services.
For a locomotor assist, posture assist or standing aid, go to an authorized public rehabilitation facility only.
- Medical specialists, such as geriatricians, neurologists, neurosurgeons, orthopedists, physiatrists (physical and rehabilitation medicine) and rheumatologists
- Medical practitioners and pediatric medical specialists practising in a hospital or offering technical aid services
- General surgeons practising in a hospital, for lower limb prostheses
- Plastic surgeons, for upper- and lower-limb orthoses
- Cardiologists or pneumologists, for goods and services provided due to severe cardiovascular or cardiorespiratory failure
Services covered under the program
The program covers the costs of the following services at the rates in effect: purchase, adjustment, replacement and repair of an insured device, component or supplement.
To find out more on the covered services and related rates, refer to the page Tariff for insured devices which compensate for a motor deficiency and related services.
Lost, stolen, damaged devices or devices used negligently
Coverage excludes the cost of repairing or replacing lost, stolen or damaged devices or devices used negligently. You will have to bear the costs or check with your personal insurer (home insurance or other).
Repair and replacement
To have a device repaired or replaced, go to an authorized facility or laboratory, preferably the one where it was obtained.
You will have to present your valid Health Insurance Card. A medical prescription will be required only if your physical condition has changed.
Description of covered devices and related conditions
Check whether the device or service that you need is subject to certain coverage conditions.
Orthoses are designed for one of the following functions for a limb or organ that has lost its primary function, that has never fully developed or that was affected by a birth defect:
- Preserve a body function
- Compensate for a deficient body function
- Increase the efficiency of a body function
- Assist a muscular or articular structure
- Stabilize a part of the body
You must wear your orthosis every day, as requested by your physician, for it to remain covered. You must also use it for a minimal amount of time:
- 6 months for a lower limb
- 3 months for the trunk
- 1 month for an upper limb
There is no required minimum period of use if you are under age 19 and need an orthosis to correct a deformation. However, the specialist must have recommended that you wear it daily.
Prostheses are designed to fully or partially replace a limb. They are also designed to restore the primary function of a limb or its original appearance. An example of a prosthesis is an artificial leg.
Locomotor assists are used for moving around. They include manual or powered wheel chairs, positioning bases, orthomobiles and adapted strollers.
To find out more on the coverage conditions for wheel chairs, refer to the publication entitled Important Things to Know About Your Wheelchair.
Ambulation aids are supports that facilitate or permit walking. They include crutches, canes, walking frames (with and without wheels) and walkers.
Ambulation aids are covered only if used daily for at least 1 year.
Posture assists support one or more parts of the body (head, upper or lower limbs, spine) while a person is seated in a wheel chair or positioning base.
Standing aids support the trunk and lower limbs, thus enabling a person to assume an upright position.
Examples of services not covered by the program
- Adult walking frames
- Elastic stockings
- Orthopedic shoes
- Corsets made of fabric
- Orthoses worn only when practising sports
- Services and devices provided by facilities or laboratories that do not hold a permit issued by the Minister of Health and Social Services
- 3-wheel scooters and 4-wheel scooters
Other technical aid programs
Certain technical aids are covered under other government programs. This is the case for 3 wheel scooters and 4 wheel scooters, walkers and adapted shoes. To find out more, refer to the page Assistive Devices Programs for Persons with a Physical or Intellectual Disability or an Autism Spectrum Disorder on the Québec.ca website.
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.