The Program for Devices That Compensate for a Physical Deficiency is intended for persons covered by the Québec Health Insurance Plan who have a motor deficiency.
To find out more, refer to the page Devices that compensate for a physical deficiency.
This form is used to apply for a reimbursement of the cost of supplies purchased from a provider that has not signed an agreement with RAMQ. Must be accompanied by the original invoices and proofs of payment, as well as a medical prescription in the case of a first application.
To find out more about the procedure, refer to the page Compression garments for lymphedema.
Note: You must save the claim form on your computer and open it with Adobe Acrobat Reader software.
Form 4258
This form is used to request a reduction in the financial contribution amount required for an adult being accommodated in a public health facility. For instructions for completing the form, use the Guide to the Application for Exemption or for Re-evaluation.
Form 4473
This Guide informs you of your obligations regarding the use of visual aids and accessories loaned to you for your various daily activities.
This list was published on June 23, 2021.