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Medical Supplies

For the purchase or rental of any therapeutic apparatus, furniture, or equipment, you must send a medical recommendation with specific diagnosis.

In the case of a rental, the prescription must also specify the duration of the rental.

In all cases, an estimate of costs is required so that the Commission can determine whether the costs are reimbursable.

To obtain a reimbursement, you must send a receipt indicating that the payment has been made in full (balance to be paid $0) to MÉDIC Construction. The percentage of reimbursement allocated to you depends on the insurance plan under which you are covered at the time when the purchase is completed.

The following items may be reimbursable when the required supporting documents are supplied to MÉDIC Construction (see sidebar).

  • Shoe adjustment (correction made to a shoe to modify a foot anomaly) 
    MÉDIC Construction reimburses a maximum of six adjustments per insurance period; the maximum allowable per adjustment is $30.
  • Traction device (to stretch the neck) and rigid or semi-rigid cervical collar
    If these items are required following an automobile accident or a work-related accident, the reimbursement must be claimed from the Société de l'assurance automobile du Québec (SAAQ) or the Commission des normes, de l'équité, de la santé et de la sécurité du travail (CNESST) and not from MÉDIC Construction.
  • Blood-pressure device (sphygmomanometer to measure blood pressure) 
    The maximum eligible for reimbursement is $100 per family per 60 months. The example given for the limitation of reimbursement for eye care illustrates, adjusting the period to 60 months, how the reimbursement is calculated.
  • Anti-enuresis apparatus (Ledoux Réflexe or Méthode Urino-arrêt incontinence warning device)
  • Orthopedic apparatus: orthosis for forearm (“tennis elbow”), ankle (anklet), elbow, corset (black belt, white belt), finger (Murphy ring), shoulder (brachial harness), knee (patellar orthotic, orthoprene, knee pad, LP support), wrist (epicondylar bracelet), back (lumbar support, lumbar belt, pedal tibia, abdominal belt), body (immobilizer, splints)
    Document to supply: the receipt must indicate the type of orthotic (rigid, semi-rigid, flexible) Exclusions: sport orthotics, accessories for workplace comfort..
  • Respiratory apparatus for treatment of certain diseases (examples for an adult: asthma, emphysema, cystic fibrosis, COPD; for a child, sleep apnea)
    The insured must supply a complete medical file (medical recommendation with precise diagnosis and duration of treatment) to MÉDIC Construction to obtain authorization to lease or purchase the apparatus.
  • TENS apparatus
    The maximum eligible is $65 per month for rental and $500 for purchase of a TENS apparatus. Certain accessories related to the use of the TENS apparatus may be reimbursed (e.g., electrode gel, electrode).
  • Hernial band (inguinal belt, inguinal support) 
  • Support or bath bar
    Maximum eligible is $200 per 12-month period for purchase and installation. The example given for the limitation of reimbursement for eye care illustrates, adjusting the period to 12 months, how the reimbursement is calculated. 
  • Elastic stockings (Airway, Delilah, Futuro, Jobst, Parke Davis, Profore, Segretta, Sigvaris, Valcofit, Varisma, Venosan)
    A maximum of four pairs per 12-month period is reimbursable. The period considered corresponds to the 12 months preceding the date of purchase (considering the days).
  • Crutches, cane (purchase or rental as applicable)
    Document to supply: the medical recommendation must indicate the duration of the treatment and a description of the circumstances requiring the use of the crutches or cane. The maximum reimbursable amount varies depending on the insurance plan but does not exceed $30 per event. Ice studs, rubber tips, and underarm pads are reimbursable.
  • Medical alert bracelet for allergy, for those with diabetes, epilepsy, hypoglycemia, and cardiovascular disease
    The maximum eligible is $30 per person per 24-month period. The period considered corresponds to the 24 months preceding the date of purchase (considering the days).
  • Cane – see “Crutches”
  • Orthopedic shoes 
    Whatever the type of orthopedic shoes, the purchase must be made in a specialized store that has a laboratory equipped to make or modify orthopedic shoes. Document to supply: the medical recommendation (renewable each year) by a physician, podiatrist, or chiropodist must indicate the reason for wearing exclusively this type of shoe. Starting on January 1, 2015, a deductible of $150 for workers and their spouses and of $100 for dependent children is applicable to the purchase of each pair of orthopedic shoes. In addition, a maximum of two pairs per 12-month period is reimbursable. The period considered corresponds to the 12 months preceding the date of purchase (considering the days). 
  • Wheelchair
    Document to supply: the medical recommendation must indicate duration of need and, in the case of an accident, the date, place, and circumstances of the incident. The maximum reimbursement varies depending on the insurance plan but may not exceed $2,000 per 12 months for all rental, purchase, repair, and maintenance costs. In addition, rental fees are limited to a maximum of $150 per month. The period considered corresponds to the 12 months preceding the date of the purchase.
  • Supplies for incontinence
    Certain supplies for incontinence may be reimbursed in the case of paraplegia or quadriplegia. In the other cases, MÉDIC Construction will study the file in order to determine eligibility.
  • Supplies related to treatment of diabetes
    MÉDIC Construction will study the file in order to determine the amount to be reimbursed to patients with diabetes or who are insulin-dependent. Certain supplies (e.g., needle, syringe, lancet, test strips) may be reimbursed. Certain equipment is not reimbursable (e.g., data manager, hypo alarm).
  • Supplies for ostomies (colostomy, ileostomy, urostomy)
    Document to supply: the medical recommendation must indicate the date of surgery. In the case of a temporary ostomy, MÉDIC Construction must know the planned date for the next surgery. In the case of a permanent ostomy, the Régie de l'assurance maladie du Québec (RAMQ) defrays part of the expenses and MÉDIC Construction reimburses the balance.
  • Hospital bed
    Document to supply: the medical recommendation with must indicate duration of need and, in the case of an accident, the date, location, and circumstances of the incident. MÉDIC Construction will study the file in order to determine the amount to be reimbursed for the rental or purchase. The mattress and pillows may, under certain conditions, be reimbursable. The maximum reimbursement varies depending on the insurance plan but may not exceed $2,000 per 12 months for all costs related to rental, purchase of the bed, purchase of the mattress, repairs, and maintenance. In addition, rental fees are limited to a maximum of $150 per month. The period considered corresponds to the 12 months preceding the date purchase.
  • Walker
    Document to supply: the medical recommendation must indicate the duration of the treatment and a description of the circumstances requiring the use of a walker. Certain accessories (e.g., walker skis) may be reimbursed. The cost of a walker for a handicapped child is usually reimbursed by the RAMQ; MÉDIC Construction will not pay the balance of the cost if the RAMQ reimburses only a part of the cost.
  • Orthotics: See “Orthopedic Apparatus”
  • Podiatric orthotic (moulded orthopedic device designed to immobilize part of the foot in order to correct a malformation; this device is made by an orthotist, podiatrist, or chiropodist)
    Document to supply: a medical recommendation from a physician or podiatrist, which must be renewed every 12 months. For dependent children, one pair per 12-month period is reimbursable. For the insured or his or her spouse, two pairs per 36 months is reimbursable. The period considered corresponds to the 12 or 36 months preceding the date of purchase (considering the days), respectively. The maximum reimbursable amount varies depending on the insurance plan but does not exceed $350 per pair. The cost of repairing an orthotic is reimbursable.
  • Fibreglass cast
    Document to supply: the medical recommendation must give a description of the accident (date, location, circumstances). MÉDIC Construction will study the file to determine whether the cost of the cast is reimbursable.
  • Breast prosthesis (women only)
    Document to supply: the medical recommendation must indicate whether it is a total or partial prosthesis and date of surgery. The amount reimbursed by MÉDIC Construction depends on the reimbursement made by the RAMQ. In the case of a total prosthesis, the reimbursement is limited to one prosthesis per breast per 24-month period; the period considered corresponds to the 24 months preceding the date of purchase (counting days). The Maillot breast prosthesis and bras are not reimbursable.
  • Ocular prosthesis
    The amount reimbursed by MÉDIC Construction depends on the reimbursement made by the RAMQ. MÉDIC Construction reimburses the cost of polishing the ocular prosthesis after the amount paid by the RAMQ is deducted.
  • IUD
    The maximum eligible amount is $75. Contraceptive implants (e.g., Norplant) are reimbursable (but the cost of injection is not).
  • Vaccine for allergy treatment
    Document to supply: the receipt must indicate the product injected and that it is a vaccine is for treatment of allergies. MÉDIC Construction does not reimburse preventive vaccines (for newborns, for travel, booster vaccine, immunizing vaccine, HPV).

Exclusions

The following items are among those that are not reimbursed by MÉDIC Construction: 

  • Erecaid device
  • Respiratory apparatuses such hyperbaric chambers, air purifiers, or domestic humidifiers, nor maintenance contracts for respiratory apparatuses
  • Pulse oximeter
  • Hairpiece
  • Penile implant
  • Spinecor brace

The Bulletin MÉDIC Construction for each plan lists the reimbursable amounts.

Reimbursement of costs

A claim for purchase of medical supplies must be made using the Health and Professional Care Claim Form.

Specific conditions, limitations, and exclusions other than those mentioned above may apply to the reimbursement of certain types of coverage; only the Règlement sur les régimes complémentaires d'avantages sociaux dans l'industrie de la construction has legal value.

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