Devices that compensate for a physical deficiency The program covers the cost of purchase, replacement and repair of technical aids that compensate for a person’s motor deficiency. These aids include various types of orthoses and prostheses, walking aids, locomotor assists, posture assists and standing aids. Who is eligible? To qualify, you must have a physical impairment and hold a valid Health Insurance Card. You must also fulfil the conditions for coverage related to the device you need. Procedure for obtaining or replacing a device Check whether you need a prescription A medical prescription written by an authorized health professional is sometimes required to obtain or replace a device. You must have a prescription in the following situations only: Locomotor assist or walking aid: if there is no attestation of diagnosis confirming the permanent physical impairment on file at the authorized facility or laboratory.Orthosis: If the prescribed period of use has expired. This period is specified on the original medical prescription.If the service is rendered by a professional technologist in orthotics, prosthetics and orthopedic care.Prosthesis: If there is no medical report by a physician or a specialized nurse practitioner or intervention plan by an occupational therapist or physiotherapist on file at the authorized facility or laboratory.If the service is rendered by a professional technologist in orthotics, prosthetics and orthopedic care. Go to the right place To obtain an orthosis, a prosthesis, or a walking aid, go to an authorized public rehabilitation facility or a private orthosis and prosthesis laboratory authorized for the program. For a locomotor assist, posture assist or standing aid, go to an authorized public rehabilitation facility only. To have a device repaired or replaced, go to an authorized facility or laboratory, preferably the one where it was obtained. Authorized private orthosis and prosthesis laboratories Authorized public rehabilitation facilities 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). Information about prescription If required, the prescription must: State your physical impairment and the resulting incapacityIndicate the necessity of obtaining a deviceInclude recommendations for using the device The following health professionals may issue prescriptions for aids insured by the program: Medical specialists, general practitioners, or specialized nurse practitionersCardiologists, pneumologists, physicians specializing in internal medicine or nurse practitioners specialized in cardiology or pneumology to obtain a powered wheelchair due to severe cardiovascular or cardiorespiratory failure Description of devices and conditions of coverage Check whether coverage of the device or service that you need is subject to certain conditions. 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. Orthoses 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 functionCompensate for a deficient body functionIncrease the efficiency of a body functionAssist a muscular or articular structureStabilize a part of the body You must wear your orthosis every day, at the request of the authorized physician or specialized nurse practitioner, for it to remain covered. You must also use it for at least: 6 months for a lower limb3 months for the trunk1 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 professional must have recommended that you wear it daily. Prostheses 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: Wheelchairs and more Locomotor assists are used for moving around. They include manual or powered wheelchairs, positioning bases, orthomobiles and adapted strollers. To find out more on the coverage conditions for wheelchairs, refer to the publication entitled Important Things to Know About Your Wheelchair. Ambulation aids: Crutches, canes and more Ambulation aids are supports that facilitate or permit walking. They include crutches, canes, walking frames (with and without wheels) and pediatric walkers. Ambulation aids are covered only if used daily for at least 1 year. Posture assists 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 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 framesElastic stockingsOrthopedic shoesCorsets made of fabricPlantar orthosisOrthoses worn only when practising sportsServices and devices provided by unauthorized facilities or laboratories3-wheel scooters4-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 a review of a RAMQ decision. To find out more, refer to the page Request a review of a decision. See also Authorized public rehabilitation facilitiesAuthorized private orthosis and prosthesis laboratoriesTariff for insured devices which compensate for a motor deficiency and related services Program for devices that compensate for a physical deficiencyImportant things to know about your wheelchair
