External breastforms

The External Breastforms Program is intended for persons having undergone breast removal surgery (mastectomy) or displaying a total absence of breast formation (aplasia). The program provides for a reimbursement of the purchase or replacement cost of external breastforms.

Effective March 21, 2018, persons having undergone a partial mastectomy are also eligible for the program. In addition, the coverage amounts have increased, but they are no longer automatically paid out

Eligible persons

To qualify for the program, you must be covered by the Québec Health Insurance Plan and be in one of the following situations:

have undergone a total, radical or partial mastectomy
be aged 14 or over and have received a diagnosis of breast aplasia, that is, a total absence of breast formation

Services covered by the program

For each breast and per 24-month period, the program reimburses the purchase or replacement cost of an external breastform up to a maximum of:

$490 for a full breastform
$289 for a partial breastform

To be eligible for a reimbursement, you must have purchased the breastform from a business established in Québec.

How to obtain financial assistance

Follow the 3 steps below to apply for a reimbursement of the cost of external breastforms. The supporting documents to be provided will differ for your first application and depend on your situation.

Fill out and print the form entitled Application for Reimbursement.
Gather the documents to be attached to your application.
Gather the documents to be attached to your application.

Régie de l'assurance maladie du Québec
C. P. 6600, succ. Terminus
Québec (Québec) G1K 7T3

Required supporting documents

You must provide a detailed invoice and proof of payment for every application for reimbursement. For your first application, you must also attach the documents required depending on your situation: mastectomy or aplasia. Other documents necessary for the assessment of your application may be required.

Detailed invoice and proof of payment (all applications)

Original invoice including:

your first and last names
name, address and telephone number of the business where you purchased the breastform
date of purchase
description and price of breastform

Mastectomy (first application)

Medical prescription specifying:

your first and last names
date of the surgery
type of surgery (total, radical or partial mastectomy)
legible date, signature, name and number of the health professional

Aplasia (first application)

Medical prescription specifying:

your first and last name
confirmation of a total absence of breast formation
legible date, signature, name and number of the health professional

Processing time

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 a review of a RAMQ decision. To find out more, refer to the page Request a review of a decision.