Skip to main content
Important notice

COVID-19: Answers to your questions

Certain services are available by appointment only at our Montréal and Québec reception desks. No one without an appointment will be seen. For a list of the services offered by appointment, or if you have any questions, refer to the webpage Questions and answers about our services during the pandemic.

External breastforms

Since March 21, 2018, persons having undergone a partial mastectomy are eligible for the program. The amounts covered have increased and will no longer be paid out automatically.

Who is eligible?

To qualify for the External Breastforms 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:

  • $443 for a full breastform
  • $261 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.

  1. Fill out and print the form entitled Application for Reimbursement.
  2. Gather the documents to be attached to your application.
  3. 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) Mastectomy (first application) Aplasia (first application)
Original invoice including:
  • your first and last names
  • name, address and telephone number fo the business where you purchased the breastform
  • date of purchase
  • description and price of the breastform
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
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

Beneficiaries of the program before March 21, 2018

If you were a beneficiary of the program before March 21, 2018, you will have to wait 24 months after receiving the last lump-sum payment before applying for a new reimbursement.

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.