Medical SUPPLIES and EQUIPMENT - · PDF fileMedical Supplies and Equipment 31 How must the professional/provider ... Health Canada’s medical supplies and equipment program covers

MedicalSUPPLIES andEQUIPMENT

ContentMedical Supplies and Equipment

31 How must the professional/provider proceed in order to obtainreimbursement for the MS&E?

35 Why is the MS&E professional/provider asking the client to pay the billand what can be done?

36 Reason 1 - The professional/provider refuses to collaborate with HealthCanada in order to receive payment for the MS&E articles or theprofessional is unfamiliar with Health Canada’s reimbursement process.

38 Reason 2 - Non-respect for the frequency limits for MS&E articles in theclient’s file.

39 Reason 3 - The MS&E articles being requested constitute programexclusions.

40 Reason 4 - There is a difference in cost between the amount reimbursedby Health Canada and the amount being billed by the professional/provider.

42 Reason 5 - The client did not indicate their First Nations status to theprofessional/provider.

44 Frequently Asked Questions

MEDICAL SUPPLIESAND EQUIPMENT(MS&E)

Health Canada’s medical supplies and equipment program covers a wide range of articles thatare for the most part provided by authorised pharmacists or specialised professionals/providers.

You can learn more about the various categories of MS&E that are covered byconsulting the NIHB information booklet on page 24. You can also consult theappended list of MS&E categories (a non-exhaustive list) as well as their asso-ciated criteria.

It is important to note that there are many exceptions that are not included onthese lists. These exceptions are processed on a case by case basis by HealthCanada.

Examples of MS&E that are covered by Health Canada’s program:

Health Canada also developed a framework entitled “Medical Supplies and Equipment Bene-fits” describing the management of both of these Health Canada programs.

See the appended Framework.

As a general rule, most of the articles that are covered by the MS&E program require a medicalprescription signed by an eligible professional and must be previously authorised by the NIHBregional office. Usually, it is the professional/provider who takes the lead in the coordination ofthis process.

See who can prescribe the MS&E articles in the NIHB information booklet on page 25.

See the appended list of professionals/providers of MS&E articles for the province of Quebec.This list is not exhaustive, but could facilitate your search for professionals/providers whoalready collaborate with Health Canada.

CONTENT - Medical supplies and equipment

29

Hearing aids Bath and toilet aids Wound care supplies

Ostomy devices and supplies Orthotics Walkers

Oxygen therapy supplies Etc.

Health Canada’s website is quite complete and can answer the most common questions regar-ding MS&E.

Follow these steps in order to gain easy access to Health Canada’s MS&E website:

1. Type NIHB into a search engine (e.g. google.ca);

2. Select Non-Insured Health Benefits for First Nations and Inuit;

3. On the left side, select benefit information;

4. On the left side, select medical supplies and equipment benefit information

http://www.hc-sc.gc.ca/fniah-spnia/nihb-ssna/benefit-prestation/medequip/index-eng.php

GPS • GUIDE TO PROCEDURES FOR ACCESSING HEALTH SERVICES

30

Non-Insured Health Benefits for First Nations and Inuit

Google

nihb

benefit information

Health Canada

medical suppliesand equipment benefitinformation

Health Canada


USUAL REIMBURSEMENT PROCESS FORMEDICAL SUPPLIES AND EQUIPMENT

Usually, the professional/provider deals with Health Canada directly. In Quebec, the professio-nals/providers are generally familiar with Health Canada’s preauthorisation and billing processes.

HOW MUST THE PROFESSIONAL/PROVIDER PROCEED IN ORDER TOOBTAIN REIMBURSEMENT FOR THE MS&E?

All the professionals/providers who wish to serve the First Nations and use the online billingsystem MUST be registered/connected to a national electronic system linking the professio-nals/providers directly to Health Canada (meaning Express Script Canada or ESC.

WHAT IS ESC?

Express Script Canada (ESC) is an organisation that uses an electronic system allowingthe professionals/providers to bill Health Canada directly for the MS&E articles coveredby Health Canada.

ESC also provides reimbursement for the professionals/providers for the other servicesof the NIHB Program such as dental services, drug benefits, etc.

ESC is responsible for auditing the statement of accounts and the accuracy of the in-voices from the professionals/providers and also has the power to recover money whendiscrepancies are found in the billing.

ESC has no power related to the authorisation of medical supplies and equipment. It isjust the organisation responsible for the financial management.

If the professional is not registered with ESC, they can contact Express Script Canadadirectly at 1-888-511-4666 to receive support for the registration steps.

31


32

Generally-speaking, when required, the professional/provider requests prior authorisation forthe requested article from Health Canada’s Claims Processing Centre at 1-877-483-1575.

See the articles requiring prior authorisation in the “Benefits and Criteria” documents in theappended Framework;

See the appended prior authorisation request forms.

If the MS&E requires medical justification, medical tests or an additional evaluation, the ClaimsProcessing Centre will then inform the professional/ provider accordingly.

The professional/provider must then transmit to Health Canada by fax:

• The medical prescription (copies are accepted);

• Health Canada’s prior authorisation forms specific to each of the MS&E articles.

See important note

• The professional/provider usually has the required forms on hand;

See all of the authorisation forms in the appendices.

• The additional medical justifications or the examination results required for the priorauthorisation, if necessary (e.g. blood tests for oxygen therapy);

• When making the prior authorisation request, the professional/ provider will obtain anauthorisation number that they must use in order to obtain a reimbursement fromHealth Canada within 30 days.

IMPORTANT NOTE

PRIOR AUTHORISATION SOUGHT BY THE PROFESSIONALThe prior authorisation of the MS&E articles is important, due to the fact that there areexceptions and replacement frequencies to be respected.

It should be noted that if prior authorisation is not requested from Health Canada, theprofessional/provider is at-risk of offering MS&E articles to their client that are ineligi-ble for the program and for which all of the costs must be covered by the client.

It is also possible that Health Canada’s reimbursement may be lower than what theprofessional/provider wishes to charge the client for their services. It is therefore theclient who will be required to pay the difference for the invoice. With the exception ofpharmacists, the professional/provider is not obligated to respect the amounts reim-bursed by Health Canada and can charge the client an additional amount.

However, the amounts that are reimbursed by Health Canada are considered to becompetitive.

Note that, at all times, the client must be informed regarding what they will berequired to pay before receiving their services. They can then decide whether ornot they wish to receive the service.


33

NOTE REGARDING MEDICAL JUSTIFICATIONS

For certain MS&E articles, Health Canada requires additional medical justifications tocomplete the preauthorisation file.

It is possible that the professionals/providers may have to contact the treating physicianor ask the patient to obtain these medical justifications in order to complete the preau-thorisation file.

It is important to ensure that the professional/provider transmits all of the required jus-tifications, since if the file is incomplete, Health Canada will deny the payment for theMS&E and the processing of the client’s file will be interrupted.

All of the documents received will remain in the client’s file. It is however the profes-sional/provider who must inform the client regarding Health Canada’s decision not tocover the MS&E, since they are the ones who deal with the client.

Furthermore, certain professionals/providers supply their client with the MS&E beforehaving obtained prior authorisation from Health Canada. If the request is denied, it istherefore no longer possible for the client to return the article to the professional/pro-vider, since it is then considered to be used. The professionals/providers thereforecharge the client for the entire amount of the invoice.

It is important to note that not all professionals/providers are willing to take the neces-sary steps among the prescribers (physicians) in order to obtain the results of the me-dical examinations required by Health Canada. In this situation, the client must contacttheir prescriber (physician) on their own in order to obtain this information.

BORDER COMMUNITIES

The prior authorisations and the reimbursements for the purchasing of MS&E must be reques-ted from the regional office of the province in which the purchases were made.

• Ontario regional office: 1-800-640-0642

• Atlantic regional office: 1-800-565-3294


34

PROBLEMS RELATED TO THE REIMBURSEMENTOF MEDICAL SUPPLIES AND EQUIPMENT

WHY IS THE MS&E PROFESSIONAL/PROVIDER ASKING THECLIENT TO PAY THE BILL AND WHAT CAN BE DONE?

Usually, it is the MS&E professional/provider who deals directly with Health Canada for prior au-thorisation and billing purposes. The client is therefore not required to pay with their own money.

However, certain circumstances can cause the professional/provider to ask your client to pay inorder to access the medical supplies and equipment articles that they need.

There are five possible reasons:

The professional/provider refuses to collaborate with Health Canada inorder to receive payment for the MS&E articles or the professional is unfa-miliar with Health Canada’s reimbursement process.

Non-respect for the frequency limits for MS&E articles in the client’s file.

The MS&E articles being requested constitute program exclusions.

There is a difference in cost between the amount reimbursed by HealthCanada and the amount being billed by the professional/provider(overbilling).

The client did not indicate their First Nations status to theirprofessional/provider.


35

Reason

Reason

Reason

Reason

Reason

The professional/provider refuses to collaborate withHealth Canada in order to receive payment for the MS&Earticles or the professional is unfamiliar with HealthCanada’s reimbursement process.

This is a rather rare situation in Quebec. A fair number of professionals/ providers collaboratewell with Health Canada. They are familiar with how Health Canada’s prior authorisation andreimbursement process operates.

SOLUTIONS

1. You can ask the professional/provider to contact Health Canada for more informationon how to proceed to obtain reimbursement;

Claims Processing Centre: 1-877-483-1575.

2. You can help the client to find another professional/provider who is willing to colla-borate with Health Canada;

See the appended list of the MS&E professionals/providers by region.

3. Your client can accept to pay the invoice and then seek reimbursement from HealthCanada.

See important note

In this case, the client can contact the Claims Processing Centre to find out whichdocuments are requested by Health Canada for the reimbursement of their MS&E.


Usually, the client must forward by mail:

• The professional/provider’s original invoice;

• Specific payment request forms for each of the MS&E articles;

See all of the MS&E authorisation forms in the appendices.

• A copy of the prescription (your client must ask their professional/provider fora copy of the original prescription).


36

Reason

All the documentation must be forwarded to the following address (a period of 30days must be expected for the payment):

IMPORTANT NOTE

If the client pays for the medical supplies and equipment articles on their own, they areat-risk of receiving services that are not included in Health Canada’s MS&E program(exclusions) or that do not respect the criteria or replacement frequency limits of theprogram. These services will therefore not be reimbursed by the program and the clientwill be obligated to pay for them in full.

If you are experiencing problems related to collaboration with your MS&E professio-nal/provider, you can contact the FNQLHSSC or consult the list of MS&E professio-nals/providers who already collaborate with Health Canada (in the appendices).


37

First Nations and Inuit Health BranchQuebec regionNon-Insured Health BenefitsGuy-Favreau Complex, East Tower, Suite 404200 René-Lévesque Boulevard WestMontreal, Quebec H2Z 1X4

Reason Non-respect for the frequency limits for MS&E articles inthe client’s file.

Certain MS&E articles are subjected to frequency limits before their renewal can be approvedonce again by Health Canada.

See the renewal criteria in the “Benefits and Criteria” documents for each of the MS&E

articles (in the appendices).

SOLUTIONS

1. The client has the option to pay in order to access the MS&E article immediately, butthey will not be eligible for reimbursement from Health Canada;

2. The client can wait for the renewal frequency limit to expire before receiving the MS&Earticles free-of-charge or at a lesser cost;

3. For exceptional cases, with medical justification, the professional/ provider or theclient can reach an agreement with Health Canada to obtain authorisation for the co-verage of the MS&E articles. The evaluation is then performed on a case by casebasis.

Example:

Orthotics are renewable once every two years. If your client, for specific medical rea-sons, needs to renew their orthotics before the frequency limit required by Health Ca-nada (two years) expires, it could be possible to obtain new orthotics with medicaljustification. The professional/provider must contact the Claims Processing Centreto request that the specific case be analysed.


However, if Health Canada refuses to cover the orthotics before the requiredfrequency limit expires, the client has the option to resort to the appeal process.

See the medical supplies and equipment appeal procedures on page 53 of thissection and the appended letters.


38

Reason The MS&E articles being requested constitute programexclusions.

Certain MS&E articles are program exclusions. Coverage for program exclusions is automati-cally denied and no appeal process is possible.

See the list of exclusions in the NIHB information booklet on page 26.

The MS&E program also includes many exceptions that are not included in Health Canada’s of-ficial lists that the professionals and clientele have access to. These MS&E “exception” articlesare treated on a case by case basis by Health Canada.

It is therefore important to contact Health Canada’s Claims Processing Centre in order to confirmthe exclusion or exception status of a MS&E article.


SOLUTIONS

1. The client has the option to pay to have access to the MS&E articles but will not beeligible for reimbursement from Health Canada.

2. Ask the prescriber (physician) if another MS&E could be prescribed. The professio-nal/provider must then seek preauthorisation for the new MS&E to ensure that it is co-vered by Health Canada.


39

ReasonThere is a difference in cost between the amount reim-bursed by Health Canada and the amount being billed bythe professional/provider (overbilling).

Through the ESC system (see description on page 31 of this section), the professional/providerbills Health Canada for the MS&E article requested by the client.

In most cases, Health Canada’s fee schedule does not cause any problems and it is respectedby the professionals/providers. It is rare for clients to be required to pay a bill in order to obtaintheir medical supplies and equipment.

For the professionals/providers that are pharmacists, the amount reimbursed by Health Canada isbased on a maximum of 43% profit on the cost of acquiring the MS&E.

For example, if a pharmacy purchases a bath aid from their wholesaler for $100, they can ob-tain a maximum reimbursement of $143 from Health Canada.

The pharmacies are obligated through their agreement with the Association québécoise despharmaciens propriétaires (AQPP) to accept to provide the MS&E articles at the reimbursementrate established by Health Canada. However, the other professionals/providers of MS&E articlesare not bound by any such agreement.

The other types of professionals/providers will be reimbursed by Health Canada a maximum amountof 30% profit on the cost of acquiring their MS&E articles.

For example, if a professional/provider purchases from their wholesaler a compression garmentat the cost of $100, they can obtain a maximum reimbursement of $130.

The professional/provider must inform the client of any difference in cost before providing themwith the MS&E article. The client can then decide in an informed fashion whether or not they wishto acquire the MS&E.

See important note

Sometimes, a professional/provider may bill your client an amount that is higher than the amountreimbursed by Health Canada.


40

SOLUTIONS

1. You can help the client to find another professional/provider who accepts to respectHealth Canada’s reimbursement rate schedule;

See the appended list of MS&E professionals/providers per region of Quebec.

2. The client can accept to cover the difference being billed by the professional/provi-der;

3. You can inform Health Canada and the FNQLHSSC that the professional/provider isnot respecting Health Canada’s fee schedule. The professional/provider can then becontacted and informed regarding Health Canada’s fee schedule.

IMPORTANT NOTE

The preauthorisation of the MS&E services is an important step that can allow for avoi-ding bad surprises (services that aren’t covered or overbilling). It must be performed bythe professional/provider or the client by contacting Health Canada before receivingcare or services.

Health Canada’s Claims Processing Centre: 1 877 483-1575.

If you experience a problem related to overbilling in your region, you can contact theFNQLHSSC and ask to speak with the Health Care Liaison Agent.

We will ensure that follow-up with Health Canada is carried out. Other similar casesmay have been identified in your region and by being informed of these types of cases,the FNQLHSSC will be able to take the necessary steps to correct the situation.

Health Care Liaison Agent (FNQLHSSC): 418-842-1540.


41

Reason The client did not indicate their First Nations status tothe professional/provider.

In this situation, your client has already paid for the MS&E articles that they requires.

SOLUTION

If the client has already paid the bill, they can submit the claim on their own to Health Ca-nada in order to receive reimbursement.

See important note

• In this case, the client can contact the Claims Processing Centre in order to verifythe types of supporting documents that Health Canada requires to provide reim-bursement for the MS&E.


• Usually, depending on the MS&E requested, the client must mail to Health Canada:


• The specific payment request forms for each of the MS&E articles;

See all of the appended MS&E authorisation forms.

• A copy of the prescription (your client must ask their professional/provider fora copy of the original prescription).


42

All the documentation must be forwarded to the following address (a period of 30 daysmust be expected for the payment):

IMPORTANT NOTE

If the client pays for the MS&E articles on their own without seeking prior authorisationfrom Health Canada’s Claims Processing Centre, they are at-risk of receiving servicesthat are excluded or that do not respect the criteria or replacement frequency limits. Theclient is then forced to pay for them in full.

The non-exhaustive list of MS&E articles that are covered by Health Canada’s programas well as the associated criteria and their respective renewal frequency limits are in-cluded in the appendices. Health Canada’s programs include many exceptions thatare not indicated on the list and are treated on a case by case basis.


43



44

Frequently Asked QuestionsMEDICAL SUPPLIES AND EQUIPMENT (MS&E)

ARE THE FEES COVERED FOR THE EXAMINATIONS OR EVALUA-TIONS REQUIRED TO ACCESS THE MS&E ARTICLES?

Access to certain medical supplies and equipment sometimes requires an evaluation by a healthprofessional (e.g. occupational therapist, physiotherapist, audiologist, etc.).

The fees related to the additional evaluations or examinations required by Health Canada inorder to obtain MS&E articles ARE NOT eligible for reimbursement by Health Canada’s NIHBProgram. In order to avoid generating additional costs for the client, the evaluations should beperformed within the provincial health network (hospital, rehabilitation centre, etc.).

It is important to specify that your client is not guaranteed to obtain their MS&E despite the eva-luation performed by a health professional. Certain criteria apply.

See the eligibility criteria that are specific to each of the MS&E in the appendices.

BE CAREFUL REGARDING WAIT DELAYS!!!

It is possible, depending on the type of medical evaluation or examination requestedthat the patient will be placed on a waiting list by the provincial health network. In thesetypes of situations, the client may be tempted to seek services from a private clinic,but it is important to mention to them that the associated costs will not be reimbursedby Health Canada.

IS IT THE RAMQ OR HEALTH CANADA THAT PAYS FOR OSTOMYDEVICES AND SUPPLIES?

The Régie d’assurance maladie du Québec (RAMQ) pays a maximum amount of $700 for thepurchasing of supplies for each ostomy.

If the costs related to your client’s supplies exceed the set annual amount allocated by theRAMQ, Health Canada will cover the difference until the subsequent RAMQ allocation.

RAMQ PROGRAM FOR THOSE WITH PERMANENT OSTOMIES

A person who is eligible for the RAMQ and who meets the required conditions isentitled to a lump sum of $700 per ostomy, which enables them to cover most of thecosts related to the required supplies.

Then, every year on the anniversary date of the surgical intervention, this person is eli-gible for another lump sum of $700 per ostomy.

Once this amount has been completely spent (supported by RAMQ proof of paymentand invoices), Health Canada’s MS&E program will cover the additional costs of theseostomy supplies.

NOTE: For the provincial income security beneficiaries, the RAMQ covers the costs re-lated to the purchasing of the ostomy supplies once the lump sum of $700 has beenexhausted. To access this benefit, the client must contact their Income Security agentor the RAMQ’s customer service at 1 800-561-9749.

You can consult the provincial health services and programs section in this guide inorder to obtain more details and to access the forms associated with your client’s re-gistration for the RAMQ’s ostomy program.


45

HOW DO YOU PROCEED IN ORDER TO OBTAIN REIMBURSEMENT FROM THERAMQ/HEALTH CANADA?

Within three months following their operation, the patient will receive the cheque in the amountof $700 from the RAMQ. The patient must be very careful to preserve all of the ORIGINAL IN-VOICES related to the spending of this amount for their medical supplies.

Once your client has spent the $700 from the RAMQ, they must forward to Health Canada bymail all of the ORIGINAL INVOICES received from the professional/provider for each of their sup-plies. All of these must be sent to the following address:

This step will trigger the preauthorisation process for the supplies that your client will require untiltheir next RAMQ allocation.

Then, the professional/provider will take care of dealing directly with Health Canada in order toobtain preauthorisation for all of the additional supplies that the patient will need for the re-mainder of the year.

Your client can also choose to cover the bill and then seek reimbursement from Health Canada.

See the procedure on page 42 of this section (reason #5).

The same process resets on the anniversary date of the surgery when the RAMQ sends anothercheque for $700.

WARNING!

A person staying in a subsidised facility (a long-term care hospital or CHSLD) is notentitled to the amount of $700 because the facility must provide them with bags andother ostomy-related supplies free-of-charge.

The Canadian Cancer Society offers assistance services for all those who have under-gone an ostomy. You can find the contact information and other services provided bythis organisation for each of the regions of Quebec in the provincial health services andprograms section of this guide.


46



47

ARE HEARING AIDS COVERED BY THE RAMQ OR HEALTH CANADA?

The RAMQ usually covers a single hearing aid (see the conditions below). Health Canada will payfor the second and allocate the same amount as was paid by the RAMQ.

RAMQ PROGRAM FOR HEARING AIDS

This program is intended for all those who are insured by the Régime d'assurance ma-ladie du Québec and faced with hearing loss while meeting the following eligibility cri-teria:

• A person less than 12 years of age suffering from a loss of hearing that is liable tocompromise their speech and language development;

• A person over 12 years of age and less than 19 years of age who is suffering froman average hearing loss of at least 25 decibels in one ear;

• A person over 19 years of age who is suffering from an average hearing loss of atleast 25 decibels in one ear and who is pursuing studies leading to a diploma orcertificate that is recognised by theMinistre de l'Éducation, du Loisir et du Sport;

• A person whose ear with the greatest hearing capacity is affected with an averagehearing loss of at least 35 decibels (with no age limit);

• A person who, in addition to hearing loss, is faced with other deficiencies and forwhom all of these other functional limitations are impeding their social, educatio-nal or professional integration (with no age limit).

The RAMQ could pay for a second hearing aid under certain specific conditions.

See the complete list of exceptions for a second hearing aid on the website of theRAMQ or call 1-800-561-9749.

HOW MUST ONE PROCEED IN ORDER TO OBTAIN REIMBURSEMENT FROM THERAMQ/ HEALTH CANADA?

Your client must first of all go through the provincial system in order to obtain a hearing eva-luation and a prescription for the medical equipment. The professional/provider will then file arequest with the RAMQ. The RAMQ pays for one hearing aid.

See the list of professionals/providers of hearing aids that are authorised by the RAMQ on its

website at www.ramq.qc.ca.

If the client is in need of a second hearing aid for their other ear and the RAMQ cannot providereimbursement, Health Canada will cover the cost of the second hearing aid.

When sending the request to Health Canada, the client must forward to the Claims ProcessingCentre the prescription for their hearing aid as well as the invoice paid by the RAMQ for the firsthearing aid. Health Canada will then allocate the same amount as the RAMQ for the second hea-ring aid.

WARNING!

Hearing examinations in private clinics are not eligible for reimbursement by Health Ca-nada. Your client must receive this examination through the facilities of the provincialnetwork (hospitals, CLSC, etc.).

For more details regarding the RAMQ’s coverage related to hearing aids, you can consult the provincialhealth services and programs section in this guide.


48


49

HOW CAN I OBTAIN A WALKER OR WHEELCHAIR?

The RAMQ and Health Canada offer a range of aids for physical disabilities. Health Canada re-quires the client to resort to the RAMQ program first.

The RAMQ offers a program providing access to equipment intended for physical disabilities(e.g. crutches, walkers, manual or motorised wheelchairs, etc.).

See important note

Any person who is covered by the Régime d'assurance maladie du Québec and suffering froma physical disability while meeting the conditions stipulated by the program is eligible.

To learn more about the conditions related to the program and the services provided by theRAMQ, you can consult the following:

• The provincial health services and programs section in this guide;

• The RAMQ’s website: www.ramq.gouv.qc.ca;

• The RAMQ’s customer service line: 1-800-561-9749.

SPECIAL PROGRAMS OF THE MSSS

The Ministère de la Santé et des Services sociaux du Québec (MSSS) also offers technical as-sistance programs intended for people with disabilities (e.g. mobility aids: three-wheel and four-wheel scooters). Contact your region’s CLSC or a physical disability rehabilitation centre to obtainmore information on these special programs.

IMPORTANT NOTE

The RAMQ does not cover walkers with seats and wheels.

If your client is in need of such an item, the professional/provider must request preau-thorisation and deal directly with Health Canada.


ISSUES TO CONSIDER

The RAMQ sometimes requests an evaluation performed by a professional (i.e. occu-pational therapist) in order to obtain a walker, wheelchair, etc. There are often waitinglists for the establishments that perform these types of evaluations (CLSC, hospitals,etc.).

This wait delay could prevent your client from gaining quick access to their walker orwheelchair. In this situation, you can contact Health Canada in order to examine thepossibility of renting the requested walker or wheelchair until the RAMQ completes itsevaluation process.



50


51

ARE GLUCOMETERS COVERED BY HEALTH CANADA?

Glucometers are available free-of-charge in pharmacies and they are provided by the manu-facturer. The important element to be verified when acquiring a new glucometer is the coveragerelated to the glucometer’s specific supplies (strips, lancets, etc.).

The pharmacist must verify if the equipment required to operate the glucometer will be cove-red by Health Canada by directly contacting the Drug Exception Centre.

For more information on the medical supplies and equipment covered, you can contact HealthCanada’s Claims Processing Centre at 1-877-483-1575.

54 Practical advice in order to properly prepare a letter of appeal

55 Things that could be included in the letter of appeal

57 First level of appeal

58 Second level of appeal

59 Third level of appeal

Appeal ProceduresMedical Supplies and Equipment

APPEAL PROCEDURES - Medical supplies and equipment

53

APPEAL PROCEDURESFOR MEDICAL SUPPLIES ANDEQUIPMENT (MS&E)

If the reimbursement of a MS&E article is denied by Health Canada, there are three possible le-vels of appeal in order to attempt to overturn this decision and allow access to the medical sup-plies and equipment.

The process is practically the same for all three levels of appeal.

In summary, the appeal processes consist of sending a letter signed by the client expressing theirdisagreement with Health Canada’s decision and requesting a review of their file.

See the appended example of a letter of appeal.

Sending this letter will allow for initiating the appeal process. Health Canada’s regional office, lo-cated in Montreal, will then review the client’s file.

You can accompany your client in their process, but it is necessary for it to be initiated by thepatient or their legal guardian, meaning that they must sign the letter of appeal.

In order to optimise the chances of the response being positive and decrease the delays asso-ciated with Health Canada’s processing of the file, it is important for the letter to be structuredproperly.

PRACTICAL ADVICE IN ORDER TO PROPERLY PREPARE A LETTER OF APPEAL

It is necessary to properly understand the reasons why the MS&E article was denied. These rea-sons will be needed in order to draft the letter of appeal.

• You can ask your client to call Health Canada’s Claims Processing Centre and ask anagent to verify the reasons behind a denial that are recorded in their file. This infor-mation will only be transmitted to your client.

Your client must take notes on the reason for the denial.

Health Canada’s Claims Processing Centre: 1-877-483-1575.

• You can ask the MS&E supplier why the preauthorisation or reimbursement was de-nied. It is preferable to have a good collaborative relationship with the professional/pro-vider and/or the MS&E prescriber when proceeding with the appeal process, sinceadditional information could be required from them later on in the process.

• Verify the MS&E article renewal frequencies and criteria as well as the exclusions inthe NIHB information booklet on pages 24 to 26. If the requested item constitutes aprogram exclusion, an appeal is not possible. An exclusion is automatically rejected.

You can also refer to page 31 of the NIHB information booklet.


54

THINGS THAT COULD BE INCLUDED IN THE LETTER OF APPEAL:

• The client must clearly express their disagreement with Health Canada’s decision;

• Describing and justifying the need for the MS&E in question:

• The client must describe the MS&E required and clearly explain why theyneeds it. They can also describe their diagnosis. It may be relevant to describeor emphasise the daily impacts of not having access to the prescribed MS&E;

For example: A client who does not have access to orthotics may experienceproblems related to working if their job requires them to remain standing formany hours.

• Listing and emphasising the health problems associated with the denial of the MS&E ar-ticle coverage. For example: back pain, etc.;

• Listing the alternative solutions that were tested before the prescription of this article(if applicable). If possible, explain why these solutions were not effective and retai-ned;

• You can make use of the notes on Health Canada’s motives and reasons for the denialthat your client obtained when they called Health Canada’s Claims Processing Centre.

• The client must be able to justify their need in such a way as to demonstrateto Health Canada that the MS&E article is the best option for them. More spe-cifically, it is necessary to justify the need and focus on the consequences ifthe MS&E is denied.

See the appended example of a first level of appeal letter.

It is important to include as much information as possible in the letter of appeal.


55

OTHER RELEVANT DOCUMENTS TO BE INCLUDED WITH THE LETTER OF APPEAL.

In certain appeal cases, medical justification could be required by Health Canada. You couldthen add to your letter of appeal:

• The professional’s prescription (copy accepted);

• Supporting letters from a physician or other specialists;

• Results of relevant examinations or evaluations;

• Any other relevant documents or additional information.

You will then have to contact the professional/provider to ask them to collaborate with you andjustify in writing the client’s need.

If you are experiencing problems related to collaboration with the professional/provider,you can always contact the Health Care Liaison Agent of the FNQLHSSC in order to ob-tain support for the steps to be taken.

Health Care Liaison Agent: 418-842-1540.


56


57

FIRST LEVEL OF APPEALMEDICAL SUPPLIES AND EQUIPMENT(MS&E)

The letter of appeal signed by the client and the other supporting documents must be mailedto Health Canada in an envelope labelled “Appeals – Confidential” to the following address:

If the MS&E that is being appealed has already been paid by the client, you must also include:

• The professional’s prescription (copy accepted);


• The MS&E payment request form; or,

• The NIHB reimbursement form duly filled out by the client.

See appended copies of the form.

NIHB Regional ManagerFirst Nations and Inuit Health BranchQuebec regionGuy-Favreau Complex, East Tower, Suite 404200 René-Lévesque Boulevard WestMontreal, Quebec H2Z 1X4

SECOND LEVEL OF APPEALMEDICAL SUPPLIES AND EQUIPMENT(MS&E)

If the client disagrees with the decision that was made by Health Canada following the first levelof appeal, they can initiate the process for the second level of appeal.

See the appended example of a letter for the second level of appeal.

It is important to properly understand the reasons behind the denial during the first level of ap-peal and to use these reasons to modify your letter for the second level and to provide the ne-cessary justifications. Once again, you can make use of the professional/provider’s collaborationin order to justify the need for the MS&E article.

The client can simply modify the first letter of appeal by:

• Changing the date;

• Changing the title of the letter from “first appeal” to “second appeal”;

• Adding the required justifications.

The client must send the letter for the second level of appeal labelled “Appeals – Confidential”as well as all of the supporting documents by mail to the following address:


58

Regional Director, FNIHBQuebec region200, boulevard René-Lévesque OuestGuy-Favreau Complex, East Tower, Suite 404200 René-Lévesque Boulevard WestMontreal, Quebec H2Z 1X4


59

THIRD LEVEL OF APPEALMEDICAL SUPPLIES AND EQUIPMENT(MS&E)

If the client disagrees with the decision made by Health Canada regarding their request in thecontext of the second level of appeal, they can send a last letter to the third and final level ofappeal.

See the appended example of a letter for the third level of appeal.

The client can simply modify the second letter of appeal by:

• Changing the date;

• Changing the title of the letter from “second appeal” to “third appeal”;

• Adding the required justifications.

The client must send the letter for the third level of appeal labelled “Appeals – Confidential” aswell as all of the supporting documents by mail to the following address:

If the client hasn’t had any news regarding their request after a month, they can contact HealthCanada’s regional office at 1-877-483-1575 so that an agent can follow-up on their requestamong the national authorities.

Director General, NIHBFirst Nations and Inuit Health BranchNon-Insured Health Benefits200, Eglantine Driveway, Jeanne Mance BuildingPostal Locator 1914AOttawa (Ontario) K1A OK9

The FNQLHSSC can provide you with support and assistance for all of the steps you willtake with your client. Our expertise in the area of health care and services allows us toprovide you with guidance while helping you to develop strategies related to demons-trating your needs and resolving your clientele’s access issues.

Examples:

• Support in the development of the letters of appeal;

• Contacts with the health professionals concerned by the problem and facilitationof the steps to be taken among them;

• Development of strategies in a concerted fashion with you and your client in orderto access health care and services;

• Transmission of contact information for various contacts and other relevant infor-mation.

You can contact the Health Care Liaison Agent of the FNQLHSSC at any time inorder to obtain support at 418-842-1540.


60

Letters of AppealMedical Supplies and Equipment

First level of appeal

Second level of appeal

Third level of appeal

You can consult the documents for this section on the CD included with this GPS or on the website of the FNQLHSSC.

You can also modify, adapt and/or photocopy these documents.

www.cssspnql.com

FIRST LEVEL OF APPEALMEDICAL SUPPLIES AND EQUIPMENT (MS&E)CONFIDENTIAL

(Community, location), (Date)

Regional Manager, Non-Insured Health BenefitsFirst Nations and Inuit Health BranchQuebec regionGuy-Favreau Complex, East Tower, Suite 404200 René-Lévesque Boulevard WestMontreal, Quebec H2Z 1X4

Re.: First level of appeal for denied coverage related to Medical Supplies and Equipment (MS&E)

Dear Sir/Madam,

The purpose of this letter is to appeal Health Canada’s decision not to cover the costs related to the fol-lowing MS&E:

Indeed, my request was rejected and I completely disagree with the decision that was made.I require this MS&E for the following reason:

Being unable to access this MS&E could have the following consequences on my health:

I would like to thank you in advance for your cooperation and please accept my best regards.

Name:

Band number: Date of birth:

Address:

Tel.:

Other relevant information:

FIRST LEVEL OF APPEALMEDICAL SUPPLIES AND EQUIPMENT (MS&E)WITH MEDICAL JUSTIFICATIONCONFIDENTIAL


Regional Manager, Non-Insured Health BenefitsFirst Nations and Inuit Health BranchQuebec regionGuy-Favreau Complex, East Tower, Suite 404200 René-Lévesque Boulevard WestMontreal, Quebec H2Z 1X4

Re.: First level of appeal for denied coverage related to Medical Supplies and Equipment (MS&E)

Dear Sir/Madam,


Indeed, my request was rejected and I completely disagree with the decision that was made.

I require this MS&E for the following reason:

Enclosed with this appeal request, you will find additional medical justification. I therefore ask that youreview my medical file in order to allow me to access this service free-of-charge.


Name:


Address:

Tel.:

Encl. Medical justification

SECOND LEVEL OF APPEALMEDICAL SUPPLIES AND EQUIPMENT (MS&E)CONFIDENTIAL


Regional DirectorFirst Nations and Inuit Health BranchQuebec regionGuy-Favreau Complex, East Tower, Suite 404200 René-Lévesque Boulevard WestMontreal, Quebec H2Z 1X4

Re.: Second level of appeal for denied coverage related to Medical Supplies and Equipment (MS&E)

Dear Sir/Madam,


Indeed, my request was rejected during the first level of appeal and I still disagree with the decision thatwas made. I require this MS&E for the following reason:



Name:


Address:

Tel.:


THIRD LEVEL OF APPEALMEDICAL SUPPLIES AND EQUIPMENT (MS&E)CONFIDENTIAL


Director General, Non-Insured Health BenefitsFirst Nations and Inuit Health Branch200, Eglantine Driveway, Jeanne Mance buildingPostal Locator 1914AOttawa (Ontario) K1A OK9

Re.: Third level of appeal for denied coverage related to Medical Supplies and Equipment (MS&E)

Dear Sir/Madam,


Indeed, my request was rejected during the second level of appeal and I still disagree with the decisionthat was made. I require this MS&E for the following reason:



Name:


Address:

Tel.:


FrameworkMedical Supplies and Equipment

Framework

Benefits and Criteria

PHARMACY AND MEDICAL SUPPLIES AND EQUIPMENT BENEFIT NON-INSURED HEALTH BENEFITS

Policy Framework

The Non-Insured Health Benefits Program provides supplementary health benefits,

including Pharmacy and Medical Supplies and Equipment benefits, to registered

First Nations and recognized Inuit throughout Canada.

www.healthcanada.gc.ca/nihb

Health Canada First Nations and Inuit Health Branch Non-Insured Health Benefits Directorate

Manulife Place 55 Metcalfe St. Postal Locator 4006A Ottawa, Ontario K1A 0K9

Effective date: April 2010

Paper: H34-213/2010E 978-1-100-14702-4

PDF: H34-213/2010E-PDF 978-1-100-14703-1

NON-INSURED HEALTH BENEFITS (NIHB) PROGRAM

First Nations and Inuit Health Branch Health Canada

PHARMACY AND MEDICAL SUPPLIES AND EQUIPMENT BENEFITS

Policy Framework

Ce document est aussi offert en français sous le titre :

PRESTATIONS PHARMACEUTIQUES, ÉQUIPEMENT MÉDICAL ET FOURNITURES MÉDICALES – CADRE DE TRAVAIL

PHARMACY AND MEDICAL SUPPLIES AND EQUIPMENT BENEFIT NON-INSURED HEALTH BENEFITS PROGRAM

The purpose of this document is to explain the overarching policies that guide the administration of the pharmacy and medical supplies and equipment benefits under the Non-Insured Health Benefits Program of Health Canada’s First Nations and Inuit Health Branch (FNIHB).

This policy framework is intended to provide stakeholders, providers and clients with a broad overview of the parameters of the NIHB Program policies as they relate specifically to the pharmacy and medical supplies and equipment (MS&E) benefit area.

TABLE OF CONTENTS

1.0 THE NON-INSURED HEALTH BENEFITS PROGRAM ............................................3

2.0 PHARMACY BENEFITS ..........................................................................................7

3.0 NIHB PHARMACY PUBLICATIONS ......................................................................11

4.0 MEDICAL SUPPLIES AND EQUIPMENT BENEFITS.............................................12

5.0 NIHB MEDICAL SUPPLIES AND EQUIPMENT PUBLICATIONS ..........................15


ß 3 ß

1.0 THE NON-INSURED HEALTH BENEFITS PROGRAM

1.1 Overview

The Canada Health Act requires that provinces and territories provide coverage for “insured services” (medically necessary hospital and physician services) to all eligible residents including First Nations and Inuit. Individuals may have access to other health-related goods and services through other publicly-funded programs or through private insurance plans.

The Non-Insured Health Benefits Program is a national program that provides coverage to registered First Nations and recognized Inuit for a limited range of medically necessary health-related goods and services to which these individuals are not entitled through other plans and programs.

1.2 Program Objectives and Principles

The objectives of the NIHB Program are to provide benefits to registered First Nations and recognized Inuit in a manner that:

is suitable to their unique health needs; ß

helps eligible First Nations and Inuit to reach an overall health status that is ßcomparable to other Canadians;

is cost-effective; and ß

will maintain and improve health, prevent disease and assist in detecting and ßmanaging illnesses, injuries, or disabilities.

The NIHB Program operates according to a number of guiding principles:

All registered First Nations and recognized Inuit who are normally residents of ßCanada, and not otherwise covered under a separate agreement with federal, provincial or territorial governments, are eligible for Non-Insured Health Benefits, regardless of location in Canada or income level.

Benefits are based on the judgment of recognized medical professionals, consistent ßwith the best practices of health services delivery and evidence-based standards of care.

There is national consistency of mandatory benefits, equitable access and portability ßof benefits and services.

The Program is to be managed in a sustainable and cost-effective manner. ß


ß 4 ß

Management processes will involve transparency and joint review structures ßwhenever agreed to with First Nations and Inuit organizations.

In cases where a benefit is covered under another health care plan, the NIHB ßProgram will act to coordinate payment in order to help ensure that the other plan meets its obligations and that clients are not denied service.

1.3 Client Eligibility

To be eligible for NIHB Program benefits from Health Canada, a person must be a Canadian resident and have the following status:

is a registered Indian according to the ß Indian Act; or

an Inuk recognized by one of the following Inuit Land Claim organizations - ßNunavut Tunngavik Incorporated, Inuvialuit Regional Corporation or Makivik Corporation. For an Inuk residing outside of their land claim settlement area, a letter of recognition from one of the Inuit land claim organizations and a birth certificate are required; or

an infant, less than age one, whose parent is an eligible client; and ß

is currently registered or eligible for registration, under a provincial or territorial ßhealth insurance plan; and

is not otherwise covered under a separate agreement (e.g. a self-government ßagreement such as the Nisga’a and Nunatsiavut agreements) with federal, provincial or territorial governments.

1.4 Coordination of Benefits

Clients are required to access any public or private health or provincial/territorial programs for which they are eligible prior to accessing Non-Insured Health Benefits.

When an NIHB-eligible client is also covered by another public or private health care plan, claims must be submitted to the client’s other health care/benefits plan first. The NIHB Program will then coordinate payment with the other payer on eligible benefits.

1.5 NIHB Program Client Reimbursement

Service providers are encouraged to bill the NIHB Program directly so that clients do not face charges at the point of service when receiving health care goods or services.

When a client does pay directly for goods or services, he or she may seek reimbursement from the NIHB Program within one year from the date of service or date of purchase. In order to be reimbursed, the service or the item must be an eligible benefit under the NIHB Program.


ß 5 ß

All requests for reimbursement of eligible benefits must include a completed NIHB Client Reimbursement Form, original receipts and a copy of the prescription.

Additional information on the NIHB Program client reimbursement process can be obtained from the nearest Health Canada regional office or found on the Health Canada website under the Benefits Information section (www.healthcanada.gc.ca/nihb).

1.6 NIHB Program Appeal Process

NIHB-eligible clients have the right to appeal the denial of an NIHB benefit with the exception of items that are insured services or identified as exclusions. Appeals must be initiated and submitted in writing by the client, their legal guardian or representative (e.g. a physician, MS&E provider, authorized by the client or legal guardian). At each stage of the appeal process, supporting information/documentation from a health care provider(s) must also be provided to justify the grounds on which the appeal is based. If an appeal is denied, the reason for the denial will be provided to the client in a timely manner.

Additional information on the NIHB Program appeals process can be obtained from a Health Canada regional office or found on the Health Canada website under Benefits Information, Procedures For Appeals section (www.healthcanada.gc.ca/nihb).

1.7 NIHB Provider Audit Program

Audit activities are conducted as part of the NIHB Program’s need to comply with accountability requirements for the use of public funds and to ensure provider compliance with the terms and conditions of the Program, the NIHB Benefit Policy Frameworks and the NIHB Provider Guide provided to pharmacy and MS&E providers, along with other relevant documents.

The objectives of the NIHB Provider Audit Program are to:

prevent and detect inappropriate billing practices; ß

detect billing irregularities; ß

validate active licensure of registered providers; ß

ensure that services paid for were received by eligible NIHB Program clients; and ß

ensure that providers have retained appropriate documentation to support submitted ßclaims.

Audit activities are administrative in nature and based on accepted industry practices. Claims not meeting the billing requirements of the NIHB Program are subject to audit recovery.


ß 6 ß

1.8 Privacy

Health Canada’s Non-Insured Health Benefits Program is committed to protecting clients’ privacy and safeguarding the personal information in its possession. When a benefit request is received, the NIHB Program collects, uses, discloses and retains an individual’s personal information according to the applicable federal privacy legislation. The information collected is limited to only that information required for the NIHB Program to administer and verify benefits.

As a program of the federal government, the NIHB Program must comply with the Privacy Act, the Canadian Charter of Rights and Freedoms, the Access to Information Act, the Treasury Board of Canada Privacy and Data Protection Policies, the Government Security Policy, and Health Canada’s Security Policy.


ß 7 ß

2.0 PHARMACY BENEFITS

2.1 Objective

The objective of the pharmacy benefit is to provide eligible clients with access to pharmacy benefits and services in a fair, equitable and cost-effective manner that will:

contribute to improving the overall health status of First Nation and Inuit clients, ßrecognizing their individual health needs and the context of health service delivery; and

provide coverage for a range of drug benefits and services based on professional ßjudgment, consistent with the current best practices of health services delivery and evidence-based standards of care.

2.2 Client Safety

To help ensure that NIHB clients use prescription and other drug benefits in an appropriate and safe way, the NIHB Program has developed various mechanisms to guide the Program in identifying potential cases of drug misuse as well as to promote optimal drug use. These practices include:

Rejection messages that are electronically generated and sent to pharmacists ßregarding potential severe drug-to-drug interactions and refilling repeat prescriptions too soon;

Rejection messages that warn pharmacists of inappropriate client drug therapy ßbased on their prescription history;

Client and Program level trend analysis of prescription drug use that is conducted ßregularly; and

An external expert advisory committee that provides input into evaluations and ßrecommendations for improvements to the Program.

More information is available in the NIHB Report on Client Safety, published on an annual basis and available on the Health Canada website (www.healthcanada.gc.ca/nihb-publications).


ß 8 ß

2.3 Pharmacy Benefits Coverage

NIHB pharmacy benefits consist of items on the NIHB Drug Benefit List (DBL) when prescribed by an NIHB-recognized prescriber. The NIHB Drug Benefit List includes specific eligible items in the following categories:

drug delivery devices, required to administer medications covered by the NIHB ßProgram for certain conditions, when the drug delivery devices are integral to the drug product;

extemporaneous mixtures / compounded prescriptions; ß

injectable drugs, including injectable allergy serums; ß

over-the-counter medications; ß

prescription drugs; ß

recognized non-oral contraceptive devices; ß

special formularies for chronic renal failure and palliative care patients; and ß

therapeutic vitamins and minerals. ß

2.4 Pharmacy Benefit Prescribers

Pharmacy benefits must be prescribed by an NIHB-recognized prescriber, licensed and authorized to prescribe within their professional scope of practice in their province or territory. Scope of practice is determined by provincial/territorial regulatory bodies.

2.5 Pharmacy Benefit Providers

Pharmacy benefits must be provided by an NIHB-recognized provider in accordance with the policies and procedures set out in the current NIHB Provider Guide given to pharmacy providers.

2.6 Accessing Benefits

NIHB-eligible clients must obtain a prescription from an NIHB-recognized licensed prescriber.

Clients must bring the prescription to either:

a pharmacy, or ß

a nursing station or health centre, which may arrange to have the prescription sent ßto a local pharmacy.

In some cases, the pharmacist may be required to obtain prior approval from the NIHB Drug Exception Centre before filling the prescription.


ß 9 ß

Clients are encouraged to:

inform the pharmacist/NIHB-recognized licensed prescriber if they have coverage ßunder any other plan;

inform the pharmacist/NIHB-recognized licensed prescriber that they are eligible ßto receive benefits under the NIHB Program;

self-identify by providing their nine or ten-digit identification number (treaty/status, ß‘N’ or ‘B’ number), band name and family number or other health care number; and

talk to the pharmacist about medication prescribed and how to take it. ß

2.7 Types of Pharmacy Benefits

A complete list of pharmacy benefits can be found in the NIHB Provider Guide provided to pharmacy providers and on the Health Canada website in the NIHB Health Provider Information section (www.healthcanada.gc.ca/nihb).

Open Benefits

Open benefits are items listed on the NIHB Drug Benefit List that do not have established criteria or prior approval requirements.

Limited Use

Limited use drugs are those which have been found to be effective in specific circumstances, or which have quantity or frequency limitations. For drugs in this category, prior approval must be given and specific criteria must be met to be eligible for coverage.

Exceptions

Exceptions are items not listed as benefits on the NIHB Drug Benefit List and not exclusions under the NIHB Program. Requests may be considered on a case-by-case basis with written medical justification. The pharmacist should contact the NIHB Drug Exception Centre (DEC) to initiate the exception process at: Telephone: (Toll Free) 1-800-580-0950 or Fax: 1-800-281-5021 and obtain prior approval.

Exclusions

Exclusions are items not listed as benefits on the NIHB Drug Benefit List and are not available through the exception process (eg. household products, cosmetics, hair growth stimulants and megavitamins). These items, therefore, are not considered for coverage under the NIHB Program. Exclusion items cannot be appealed. A complete list of pharmacy benefits exclusions can be found on the Health Canada website in the NIHB Health Provider Information section (www.healthcanada.gc.ca/nihb).


ß 10 ß

2.8 The NIHB Drug Review Process

The NIHB Program, like other publicly-funded drug plans, makes listing decisions based on the recommendations of evidence-based review processes and other specific relevant factors, such as the Program’s mandate and the specific circumstances of NIHB clients.

The NIHB Program participates in these evidence-based review processes in order to consider current medical and scientific knowledge, current clinical practice, health care delivery and specific client health needs. The Program makes decisions based on this expert advice with the goal of maintaining a comprehensive list of cost-effective drugs which will allow practitioners to prescribe an appropriate course of therapy for NIHB clients.

Canadian Expert Drug Advisory Committee (CEDAC):

The NIHB Program is a member of the Federal/Provincial/Territorial (F/P/T) Common Drug Review (CDR) process, which reviews new chemical entities, existing drug products with a new indication and new combination drug products on the Canadian market on behalf of all F/P/T public drug plans (with the exception of Quebec).

Drug submissions for new chemical entities, existing drug products with a new indication and new combination drug products must be sent to the Canadian Agency for Drugs and Technologies in Health (CADTH). Clinical and pharmacoeconomic reviews are coordinated by the CDR Directorate and forwarded to the Canadian Expert Drug Advisory Committee (CEDAC) for recommendations on formulary listings. These recommendations are forwarded to participating drug plans, including the NIHB Program, for consideration.

Federal Pharmacy and Therapeutics Committee (FP&T)

Modifications to existing drug products on the Drug Benefit List and Therapeutic drug class reviews are referred to the Federal Pharmacy and Therapeutics (FP&T) Committee, an advisory body of health professionals established by federal drug plans to provide evidence-based pharmacy and medical advice to participating federal departments. The FP&T Committee then makes recommendations on potential modifications to formulary listings to the NIHB Program and other participating federal drug plans.

Line extensions and Generics:

Line extension drug products (i.e. a new dosage for the same drug) and generic drug products, are reviewed internally by NIHB health professionals. Line extension and generic drug products are considered for inclusion on the NIHB formulary based on therapeutic need, cost and provincial/territorial interchangeability.


ß 11 ß

3.0 NIHB PHARMACY PUBLICATIONS

The NIHB Program maintains a broad list of pharmacy publications ranging from the Drug Benefit List, to an NIHB Provider Guide provided to pharmacy providers, to various information bulletins. For copies of NIHB pharmacy publications please consult the Health Canada website (www.healthcanada.gc.ca/nihb-publications).


ß 12 ß

4.0 MEDICAL SUPPLIES AND EQUIPMENT BENEFITS

Objective

The objective of medical supplies and equipment (MS&E) benefit is to provide NIHB-eligible clients with access to MS&E goods and services in a fair, equitable and cost-effective manner that will:

contribute to improving the overall health status of First Nation and Inuit clients ßrecognizing their individual health needs and the context of health service delivery; and

provide coverage for a range of MS&E benefits and services based on professional ßjudgment, consistent with the current best practices of health services delivery and evidence-based standards of care.

4.1 Medical Supplies and Equipment Benefit Coverage

The NIHB MS&E benefits are set out in the MS&E Benefit List and include specific eligible items in the following categories:

audiology equipment (e.g. hearing aids); ß

medical equipment (e.g. wheelchairs and walkers); ß

medical supplies (e.g. bandages and dressings); ß

orthotics and custom footwear; ß

oxygen and respiratory supplies and equipment; ß

pressure garments; and ß

prosthetics. ß

Further details can be found in the NIHB Provider Guide available for MS&E providers.


ß 13 ß

4.2 Medical Supplies and Equipment Prescribers

MS&E benefits must be prescribed by an NIHB-recognized prescriber. A list of recognized prescriber categories can be found on the Health Canada website in the NIHB Health Provider Information section (www.healthcanada.gc.ca/nihb).

4.3 Medical Supplies and Equipment Providers

MS&E benefits must be provided/dispensed by an NIHB-recognized provider. A list of recognized provider categories can be found on the Health Canada website in the NIHB Health Provider Information section (www.healthcanada.gc.ca/nihb).

4.4 Accessing Medical Supplies and Equipment Benefits

The NIHB Program provides a limited range of medically necessary health-related goods and services to eligible clients. The client obtains a prescription from an NIHB-recognized prescriber. The client submits the prescription to an NIHB-recognized provider.

In most cases the provider will have to obtain prior approval from a Health Canada regional office before providing the prescribed item.

Clients are encouraged to:

inform the MS&E provider if they have coverage under any other plan; ß

self-identify by providing their nine or ten-digit identification number (treaty/status, ß‘N’ or ‘B’ number), band name and family number or other health care number;

contact a Health Canada regional office or a local First Nation Health Authority ßand Inuit organizations if the equipment (e.g. wheelchair, walker) is no longer required to find out if it can be recycled.


ß 14 ß

4.5 Types of Medical Supplies and Equipment Benefits

A complete list of MS&E benefits can be found in the NIHB Provider Guide provided to MS&E providers and on the Health Canada website in the NIHB Health Provider Information section (www.healthcanada.gc.ca/nihb).

Open Benefits

These are items listed on the MS&E Benefit List and do not require prior approval; they may, however, have quantity limitations. Requests for items beyond the established quantity limitations require prior approval with medical justification.

Prior Approval Items

These are items that must be approved by the NIHB regional office before they are dispensed by an NIHB provider. These NIHB benefits have specific criteria and require medical justification in addition to a prescription.

Exceptions

Exceptions are items not listed as benefits on the NIHB MS&E Benefit List and are not on the exclusion list. They may be considered on a case-by-case basis with written medical justification from an NIHB-recognized prescriber or health professional. The client or provider should contact the Health Canada regional office to initiate the exception process.

Exclusions

Exclusions are listed in the exclusion list in the NIHB Provider Guide for MS&E providers and are not subject to the exception process. Items such as, but not limited to, those used exclusively for sports, work or education, items for cosmetic purposes, and experimental equipment, treatment and therapies are not considered for coverage under the NIHB Program and are not subject to the NIHB Program appeal process.


ß 15 ß

5.0 NIHB MEDICAL SUPPLIES AND EQUIPMENT PUBLICATIONS

For additional information on NIHB MS&E benefits, please consult the Publications section of the Health Canada website (www.healthcanada.gc.ca/nihb-publications).

1.0 Medical Supplies and Equipment Audiology Benefits and Criteria

Audiology Benefit Categories

1.1 Hearing Aid, Bone Conduction 1.2 Hearing Aid, Conventional Analog 1.3 Hearing Aid, CROS/BiCROS 1.4 Hearing Aid, Programmable Analog 1.5 Hearing Aid, Digital Processing 1.6 Hearing Aid Services, Fees, Repairs and Supplies 1.7 Hearing Aid Supplies Outside Manufacturers Price List

See the Audiology Benefit List for a full list of eligible products, prior approval requirements and frequency limitations.

For information on policies regarding the provision of audiology equipment and supplies, please consult the Provider Guide for Medical Supplies and Equipment.

Audiology Benefit List

List Terminology

Item Description: Items are listed within general and specific categories (for example: Audiology), in alphabetical order by category and item.

Item Code: The 8-digit code that must be submitted to ESI Canada for billing purposes.

Prior Approval: Identifies by general category, or by item within the category, whether prior approval must be obtained by the provider before dispensing the item.

1.1 Hearing Aid, Bone Conduction

Item Description ItemCode

PriorApproval

Recommended ReplacementGuidelines

Bone conduction hearing aid, left

99400257 Yes As necessary, minimum of 5 years

Bone conduction hearing aid, right


1.2 Hearing Aid, Conventional Analog

Item Description Item Prior Recommended Replacement

Code Approval Guidelines

Behind the ear hearing aid, left


Behind the ear hearing aid, right


Custom hearing aid, left 99400249 Yes As necessary, minimum of 5 years

Custom hearing aid, right 99400250 Yes As necessary, minimum of 5 years

1.3 Hearing Aid, CROS/BiCROS


PriorApproval

Recommended Replacement Guidelines

CROS (specify better hearing ear)


BICROS (specify better hearing ear)


1.4 Hearing Aid, Programmable, Analog


PriorApproval


Behind the ear hearing aid, left


Behind the ear hearing aid, right


Custom hearing aid, left 99400253 Yes As necessary, minimum of 5 years

Custom hearing aid, right 99400254 Yes As necessary, minimum of 5 years

Top of Page

1.5 Hearing Aid, Digital Processing


PriorApproval


Digital basic, left 99400522 Yes 5 years

Digital basic, right 99400523 Yes 5 years

Digital custom, left 99400524 Yes 5 years

Digital custom, right 99400525 Yes 5 years

1.6 Hearing Aid Services, Fees, Repairs, and Supplies


PriorA lpprova

Recommended Replacement

Guidelines

Assessment/Fitting/ar

99400260Dispensing Fee, left e

Yes Aminimum of 5 years

s necessary,

Assessment/Fitting/Dispensing Fee, right ear

99400261 Yesminimum of 5 years

As necessary,

Complete Hearing Assessmentan

ts in

99400639(performed bilaterally) - physiciprescription - (Complete Hearing Assessment not applicable for clienB.C.)

Yes 5 years

BTE ear mold (new aid), left 99400266 Yes 5 years

BTE ear mold (new aid), right 99400267 Yes 5 years

Hearing Aid Performance Check/Readjustment (musinitiated), left ear

t be client 99400640 Yes 1 per year (once the

hearing aid warranty has expired)

Hearing Aid Performancet be client

99400641Check/Readjustment (musinitiated), right ear

Yes 1 per year (once the hearing aid warranty

has expired)

Hearing Re-assessment (partial) or

99400642(performed bilaterally - physicianclient initiated)

Yes 2 years

Hearing Aid Return fee, left 99400264 Yes

Hearing Aid Return fee, right 99400265 Yes

Repairs and/or remake by manufacturer, left aid

99400270 Yes outside rranty waperiod

Repairs and/or remake by 99400271manufacturer, right aid

Yes outside warranty period

Repairs out of office, dispenser service 99400272fee, left

Yes

Repairs out of office dispenser service 99400273fee, right ear

Yes

In office service fee (includes supplies if 99400274necessary), left maximum $20.00

No 1 per year

In office service fee (includes supplies if 99400275necessary), right maximum $20.00

No 1 per year

Replacement ear mold & impression fee, left, child

99400268 No 1 per year

Replacement ear mold & impression fee, left, adult

99400245 No 1 per 2 years

Replacement ear mold & impression fee, right, child


Replacement ear mold & impression fee, right, adult

99400246 No 1 per 2 years

1.7 Hearing Aid Supplies Outside Manufacturer Price List

Manufacturer Supplies and Costs on Attached List as per HCCI Agreement; no coding required.


PriorApproval


Accesso um$50.00

99400276ries/supplies maxim No 1 per 2 years

Batteries, left hearing aid 99400259 No maximum 15 units every 3 months per aid

Batteries, right hearing aid 99400643 No maximum 15 units every 3 months per aid

Tubes/Domes OTE – Left – Set of 4 (Max. $20)


Tubes/Domes OTE-Right – Set of 4 (Max. $20)


2.0 Medical Supplies and Equipment General Benefits and Criteria

General Benefit Categories

2.1 Bathing and Toileting Aids 2.2 Cushions and Protectors 2.3 Environmental Aids

2.3.1 Dressing Aids 2.3.2 Feeding Aids 2.3.3 Miscellaneous Supplies and Equipment 2.3.4 Lifting and Transfer Aids

2.4 Mobility Aids 2.4.1 Walking Aids and Accessories 2.4.2 Wheelchairs, wheelchair cushions and parts 2.4.3 Miscellaneous

2.5 Ostomy Supplies and Devices 2.6 Urinary Supplies and Equipment

2.6.1 Catheter Supplies and Equipment 2.6.2 Incontinence Supplies

2.7 Wound Dressing Supplies 2.7.1 Adhesive Tapes and Dressing Strips 2.7.2 Bandages 2.7.3 Dressings 2.7.4 Other Dressings

2.8 Low Vision Aids

See the General Benefit List for a full list of eligible products, prior approval requirements and frequency limitations.

For information on policies regarding the provision of general equipment and supplies, please consult the Provider Guide for Medical Supplies and Equipment.

General Benefit List

List Terminology




2.1 Bathing and Toileting Aids


PriorApproval


Bath Chair 99400295 Yes 5 years

Bathing & Toileting Aid Benefit Repairs

99400307 Yes

Bedpan 99400294 No 3 years

Commode, standard, purchase 99400296 Yes 5 years

Commode, rental 99400297 Yes

Elevated (raised) toilet seat (standard)

99400298 No 3 years

Elevated (raised) toilet seat (with arms)

99400299 Yes 3 years

Grab bar for tub (non-permanent)

99400649 No 3 years

Inspection mirror 99400877 Yes Lifetime

Mat, tub, non-slip 99400301 No 2 years

Safety frame for toilet 99400302 Yes 5 years

Shower-commode chair 99400303 Yes 5 years

Toilet tissue aid 99400878 Yes 5 years

Tub transfer bench 99400304 Yes 5 years

Tub transfer board 99400305 Yes 5 years

Urinal 99400306 No 3 years

2.2 Cushions and Protectors


PriorApproval


Elbow protector 99400308 No 5 years

Heel protector, 1 pair 99400310 No 1 years

Invalid ring 99400311 No 3 years

Leg Lifter 99400309 No 5 years

Pad, Pressure relief pad, wedge


Quad knee separator 99400316 No 3 years

Top of Page

2.3 Environmental Aids

2.3.1 Dressing Aids


PriorApproval


Button hook 99400277 No 5 years

Dressing hook 99400278 No 5 years

Long handle shoe horn 99400279 No 5 years

Reacher 99400280 No 5 years

Sock/stocking aid (previously quad grip aid)

99400281 No 5 years

2.3.2 Feeding Aids


PriorApproval


Guidelines

Built-up (padded) handle OR universalcuff

99400287 No 5 years

Enteral feeding buttons 99400767 Yes 3 per year

Enteral feeding supplies, adaptors/plugs

99400657 No 12 per year

Feeding Aid Benefit Repairs 99400293 Yes

Feeding pump bags 99400285 No 250 per year

Feeding pump rental 99400282 Yes

Feeding pump purchase 99400283 Yes 5 years

Feeding pump pole (IV pole) 99400284 Yes Lifetime

Food guard 99400288 No 5 years

Gravity feeding supplies, delivery sets w/bags

99400651 No 250 per year

Gravity feeding supplies, delivery sets without bags

99400652 No 250 per year

Gravity feeding supplies, bags 99400653 No 250 per year

Gravity feeding supplies, rigid containers

99400654 No 24 per year

Mat, feeding aids, non-slip 99400289 No 5 years

Other enteral feeding supplies, gastrostomy catheters/tubes

99400655 No 12 per year

Other enteral feeding supplies, nasogastric Tube

99400286 No 24 per year

Other enteral feeding supplies, extension sets

99400656 No 12 per year

Specialized utensils, fork OR spork 99400290 No 5 years

Specialized utensils, knife 99400291 No 5 years

Specialized utensil, spoon 99400292 No 5 years

Syringe Luer Lock, disposable, 3cc 99400530 No 52 per year




Top of Page

2.3.3 Miscellaneous Supplies and Equipment


PriorApproval


Breast pump, manual 99400317 Yes Lifetime

Breast pump, electric, rental 99400658 Yes

Gloves, latex/vinyl, 100/box 99400318 No 12 boxes per year

Irrigation solution (large volume, pour bottle)

99400319 No

Irrigation syringe (60cc funnel tip) 99400320 No 52 per year

Medic Alert Bracelet (standard) 99400471 Yes Lifetime

Other recycled MS&E items 99400818 Yes

2.3.4 Lifting and Transfer Aids


PriorApproval


Floor to ceiling pole 99400321 Yes Lifetime

Grab bar, bed, purchase 99400322 Yes 10 years

Grab bar, bed, rental 99400323 Yes

Lift, hydraulic (powered) 99400324 Yes 10 years

Lift, hydraulic, standard 99400325 Yes 10 years

Recycled lift hydraulic, powered 99400817 Yes 10 years

Recycled lift hydraulic, standard 99400816 Yes 10 years

Sling/hammock 99400326 Yes 2 per 2 years

Transfer Belt 99400327 No 1 year

Transfer Board 99400328 No 10 years

Trapeze, purchase 99400329 Yes Lifetime

Trapeze, rental 99400330 Yes

Lifting/transfer Aid Benefit 99400331 Yes

Repairs

2.4 Mobility Aids

2.4.1 Mobility Aids: Walking Aids


PriorApproval


Cane, single 99400332 No Lifetime

Cane, aluminium adjustable, quad 99400333 No Lifetime

Crutches, axillary - purchase, pair 99400335 No 2 years

Crutches, axillary - rental, pair 99400336 Yes

Crutches, specialized, purchase, pair (forearm)


Recycled walker, standard 99400812 Yes 5 years

Recycled wheeled walker 99400813 Yes 5 years

Walker, standard-purchase 99400338 Yes 5 years

Walker, standard-rental 99400339 Yes

Walker, wheeled-purchase 99400340 Yes 5 years

Walker, wheeled-rental 99400341 Yes

Walker repairs 99400342 Yes

Top of Page

2.4.1 Mobility Aids: Walking Aids - Accessories


PriorApproval


Crutch, hand grips 99400343 No 2 per year

Crutch, pads 99400344 No 2 per year

Skis for walker set of 2 99400879 No 2 years

Tips (ice picks) 99400345 No 1 per 2 years

Tips (rubber) 99400346 No 1 per year

Tray/pouch for walker 99400880 No 5 years

Walker glide brakes 99400347 No 2 years

Walker wheels 99400348 No 2 years

2.4.2 Mobility Aids: Wheelchairs

Item Description Item Prior Recommended

Code Approval Replacement Guidelines

Power wheelchair, purchase 99400785 Yes 5 years

Recycled manual wheelchair 99400814 Yes 5 years

Recycled power wheelchair, purchase


Wheelchair, Manual, purchase 99400349 Yes 5 years

Wheelchair, Manual, rental 99400350 Yes

2.4.2 Mobility Aids: Wheelchair Cushions and Parts (Back Support)


PriorApproval


Back, support, child 99400660 Yes 2 years

Back, support, adult 99400357 Yes 3 years

Cover/back support, child 99400661 Yes 2 years

Cover/back support, adult 99400662 Yes 2 years

Top of Page

2.4.2 Mobility Aids: Wheelchair Cushions and Parts (Seats)


PriorApproval


Cover for seat, child 99400668 Yes 2 years

Cover for seat, adult 99400361 Yes 2 years

Pelvic stabilizer, one, child 99400666 Yes 3 years

Pelvic stabilizer, one, adult 99400367 Yes 5 years

Pelvic stabilizer, pair, child 99400667 Yes 3 years

Pelvic stabilizer, pair, adult 99400368 Yes 5 years

Seat, adult 99400363 Yes 3 years

Seat, child 99400669 Yes 2 years

Wheelchair cushions (back & seat) repairs

99400673 Yes

2.4.2 Mobility Aids: Wheelchair Cushions and Parts (Wheelchair Parts)


Code Ap lprova Replacement Guidelines

Amputation board 99400881 Yes 5 years

Arm rest, fixed support, one piece 99400372 Yes

Arm rest, fixed support, one piece, pads 99400674 Yes

Arm rest, fixed support, one piece, hardware 99400675 Yes

Arm rest, fixed support, multi component 99400676 Yes

Arm rest, fixed support, multi components,pad

99400677 Yes

Arm rest, fixed support, multi components, 99400678hardware

Yes

Arm rest, movable 99400679 Yes

Axle plate 99400373 Yes

Batteries power wheelchair, pair 99400882 Yes 1 year

Brakes 99400883 Yes

Calf board, child 99400681 Yes

Calf board, adult 99400682 Yes

Castor 99400376 Yes

Castor fork 99400377 Yes

Castor housing 99400378 Yes

Castor housing dust cover 99400379 Yes

Castor plate 99400380 Yes

Crossbrace 99400381 Yes

Elevating legrest/footrest 99400382 Yes

Footplate 99400383 Yes

Footplate extension 99400683 Yes

Footrest 99400684 Yes

Foot box, child 99400690 Yes

Foot box, adult 99400691 Yes

Foot pocket, child 99400692 Yes

Foot pocket, adult 99400693 Yes

Frontrigging 99400384 Yes

Growable frame 99400385 Yes

Handrim 99400386 Yes

Head rest 99400694 Yes

Heel loop 99400387 Yes

Interfacing/mounting, strap, children only 99400702 Yes

Interfacing/mounting, simple seat 99400703 Yes

Interfacing/mounting, simple back 99400704 Yes

Interfacing/mounting, simple 99400705 Yes

Interfacing mounting, complex 99400706 Yes

Neck rest, adjustable, child 99400707 Yes

Neck rest, adjustable, adult 99400708 Yes

Neck rest with headrest, adjustable, child 99400709 Yes

Neck rest with headrest, adjustable, adult 99400710 Yes

Pommel, fixed, child 99400711 Yes

Pommel, fixed, adult 99400712 Yes

Pommel, removable, child 99400713 Yes

Pommel, removable, adult 99400714 Yes

Positioning, ankle 99400715 Yes

Positioning, butterfly 99400716 Yes

Positioning, calf 99400375 Yes

Positioning, chest 99400717 Yes

Positioning, complex 99400718 Yes

Positioning, pads 99400719 Yes

Positioning, pelvic belt, child 99400720 Yes

Positioning, pelvic belt, adult 99400392 Yes

Push handle/backrest tube 99400388 Yes

Push to lock wheel locks 99400389 Yes

Quick-release axle pin 99400390 Yes

Rear Wheel Hub 99400391 Yes

Seat sling/rigit 99400393 Yes

Spokes 99400394 Yes

Tire 99400395 Yes

Tray, elevating, child 99400721 Yes 1 per 2 years

Tray, elevating, adult 99400722 Yes 1 per 5 years

Tray, standard, child 99400723 Yes 1 per 2 years

Tray, standard, adult 99400724 Yes 1 per 5 years

Tray, tilting, child 99400725 Yes 1 per 2 years

Tray, tilting, adult 99400726 Yes 1 per 5 years

Wheel lock 99400396 Yes

Wheelchair Repairs 99400397 Yes

Top of Page

2.4.3 Mobility Aids: Miscellaneous


PriorApproval


Delive 99400819ry of equipment Yes

2.5 Ostomy Supplies and Devices


PriorApproval


Guidelines

Absorbent flakes/ capsules

99400409 Yes 2 pkgs of 90 per year

Adaptor/connector/clamp ostomy/cat 99400763 Yes 12 per year

Adhesive removers 99400476 Yes 6 boxes per year

Belt, ostomy 99400400 Yes 3 per year

Closed pouch two-piecestomy system colostomy/ileo

99400414 Yes 120 per 3 months

Convex inserts 99400401 Yes 30 per 3 months

Drainable pouch two-piece colostomy/ileostomy system


Filters 99400402 Yes 2 boxes of 50 per year

Flange for two-piece ostomy system 99400742 Yes 50 per 3 months

Flange, convex for two-piece ostomy 99400743system

Yes 50 pe nths r 3 mo

Gel lubricant 99400403 Yes 12 per year

Irrigation kit for ostomies 99400737 Yes 1 per 3 months

Moldable ring seals 99400884 Yes

Mucus dispersant 99400782 No

Odor control product concentrate (for inside pouch only)

99400404 Yes 12 per year

One-piece closed-end colostomy pouch with seal

99400729 Yes 12 s0 per 3 month

One-piece drainable colostomy/ileostomy pouch with adhesive or Karaya


One-piece drainable colosotomy/ileostomypouch convex


One-piece urostomy pouch 99400731 Yes 50 per 3 months

One-piece urostomy pouch, convex 99400732 Yes 50 per 3 months

Ostomy barrier powder 99400398 Yes 3 per 3 months

Ostomy irrigation sleeves 99400738 Yes 30 per 3 months

Plastic faceplate 99400739 Yes 3 per 3 months

Pouch cover 99400783 Yes 4 per year

Protective skin wipes/spray 99400411 Yes 4 boxes per year

Skin barrier/wafer 99400410 Yes 50 s per 3 month

Skin barrier paste 99400408 Yes 3 per 3 months

Stoma cone for irrigation 99400412 Yes 6 cones per year

Urostomy pouch for two-piece system 99400745 Yes 30 per 3 months

2.6 Urinary Supplies and Equipment

uipment2.6.1 Catheter Supplies and Eq


PriorApproval


Guidelines

Adaptors/coclosures (catheters)

99400417nnectors/ Yes

Adhesive strips, genericatheters

c, for external 99400747 Yes

Catheter plug 99400424 Yes

Catheter tray, catheterization 99400425 Yes

Catheter tray, irrigation 99400426 Yes

Drainage night bags, disposable 99400428 Yes 52 per year

Drainage leg bags, reusable 99400429 Yes 4 per year

Leg bags, w/out tubing, disposable 99400430 Yes 52 per year

Leg bags, with tubing, disposable 99400431 Yes 52 per year

Leg straps for drainage bags 99400427 Yes 52 per year

Extension tubing 99400434 Yes 52 per year

External catheters, disposable 99400418 Yes 90 s per 3 month

External catheters, reusable 99400419 Yes

Indwelling catheters 99400420 Yes 4 per 3 months

Intermittent catheters, disposable 99400421 Yes 36 per 3 months

Irrigation catheters 99400423 Yes

Irrigation solution 99400319 No

Irrigation syringe 99400320 No 52 per year

Lubricating jelly/box, single use 99400885 Yes 4 per 3 months

Lubricating jelly tube 99400435 Yes 12 s per 3 month

Night bottle, reusable 99400433 Yes 4 per year

Top of Page

2.6.2 Incontinence Supplies



Delivery incontinence items 99400820 Yes

Diaper t rs of age

99400752abs, child over 2 yea Yes 450per 3 months

Diaper tabs, adult 99400750 Yes 450 per 3 months

Diaper pull-up, child over 2 years of age


Diaper pull-up, adult 99400436 Yes 450 per 3 months

Diapers washable, child over 2 years of age


Diapers washable, adult 99400441 Yes 12 per year

Liners, disposable 99400438 Yes 45 s0 per 3 month

Liners, washable 99400439 Yes 12 per year

Pant, (brief) mesh, reusable 99400755 Yes 9 per 3 months

Underpads, disposable 99400442 Yes 150 per 3 months

Underpads, washable 99400443 Yes 1 per year

2.7 Wound Dressing Supplies

For a comprehensive list of wound care dressing and supplies and their consult the Dressing Listcorresponding benefit codes, please developed by the Non-

Insured Health Benefits (NIHB) Program.

2.7.1 Adhesive Tapes and Dressing Strips


PriorApproval


Adhesive suture strips 99400446 Yes

Adhes nic 99400444ive tape, hypoallerge No

Adhesive tape, non-hypoallergenic

99400445 No

Montgomery ties (set) 99400447 No

2.7.2 Bandages


PriorApproval


Conforming gauze bandages 99400448 No

Elastic 99400449 bandages No 8 per year

Impregnated venous ulcer bandages

99400450 No

Tubular net dressing 99400451 No

Top of Page

gs2.7.3 Dressin


PriorApproval


Guidelines

Alginates/Hydrofibres dressing 99400454 Yes

Charcoal dressing 99400455 Yes

Composite dressing 99400811 Yes

Foam dressing medicated/non-medicated

99400456 Yes

Gauze, abdominal pad dressing 99400457 No

Gauze, non-sterile dressing, 2x2 99400196 No




Gauze, sterile dressing, 2x2 99400459 No



Gel/hydrogel dressing 99400460 Yes

Hydrocolloid dressing 99400461 Yes

Iodine dressing 99400810 Yes

Non-adherent dressing, impregnated 99400462 Yes

Non-adherent dressing, non-impregnated

99400463 Yes

Silver dressing 99400809 Yes

Honey dressing 99400901 Yes

Transparent film dressings, 99400464(adhesive)

Yes

Transparent film dressings, (spray-on)

99400465 Yes

Top of Page

2.7.4 Other Dressings


PriorApproval


Eye pads 99400466 No

Eye sh 99400467ield No

Packing strips 99400468 No

Sterile saline, pour bottle 99400469 No

2.8 Low Vision Aids


PriorApproval


Coloured filters 99400873 Yes

Face c 99400876radle, rental Yes

Illuminated magnifier - handle 99400870 Yes

Illuminated magnifier - head 99400869 Yes

Magnifier 99400868 Yes

Microscope 99400871 Yes

Telescope/monocular 99400872 Yes

White cane 99400874 Yes

White cane tips 99400875 Yes 3 per year

3.0 Medical Supplies and Equipment Orthotics and Custom Footwear Benefits and Criteria

Orthotics Benefit Categories

3.1 Limb Orthoses - Lower Extremities 3.2 Limb Orthoses - Upper Extremities 3.3 Head - Torso - Spine Orthoses 3.4 Orthotic Supplies

Custom Footwear Benefit Categories

3.5 Custom Made Shoes 3.6 Custom Made Internal Footwear Devices 3.7 Modifications to Stock Footwear

See the Orthotics and Custom Footwear Benefit List for a full list of eligible products, prior approval requirements and frequency limitations.

For information on policies regarding the provision of orthotics and custom footwear, please consult the Provider Guide for Medical Supplies and Equipment.

Orthotics Benefit List

List Terminology




3.1 Limb Orthoses - Lower Extremity


PriorApproval


Guidelines

Ankle, soft, left 99400574 Yes Soft - Class I 1 year

Ankle, rigid, left 99400575 Yes Rigid - Class II 2 years

Ankle, custom, left 99400576 Yes Custom Class III 2 years

Ankle, soft, right 99400577 Yes Soft - Class I 1 year

Ankle, rigid, right 99400578 Yes Rigid - Class II 2 years

Ankle, custom, right 99400579 Yes Custom Class III 2 years

Ankle foot, soft, left 99400095 Yes Soft - Class I 1 year

Ankle foot, rigid, left 99400096 Yes Rigid - Class II 2 years

Ankle foot, custom, left 99400580 Yes Custom Class III 2 years

Ankle foot, soft, right 99400097 Yes Soft - Class I 1 year

Ankle foot, rigid, right 99400098 Yes Rigid - Class II 2 years

Ankle foot, custom, right 99400581 Yes Custom Class III 2 years

Knee, soft, left 99400099 Yes Soft - Class I 1 year

Knee, rigid, left 99400100 Yes Rigid - Class II 2 years

Knee, custom, left 99400582 Yes Custom Class III 2 years

Knee, soft, right 99400101 Yes Soft - Class I 1 year

Knee, rigid, right 99400102 Yes Rigid - Class II 2 years

Knee, custom, right 99400583 Yes Custom Class III 2 years

Knee ankle foot, rigid, left 99400104 Yes Rigid Class II 2 years

Knee ankle foot, custom, left 99400584 Yes Custom Class III 2 years

Knee ankle foot, rigid, right 99400106 Yes Rigid Class II 2 years

Knee ankle foot, custom, right 99400585 Yes Custom Class III 2 years

Hip knee ankle foot, rigid, left 99400112 Yes Rigid Class II 2 years

Hip knee ankle foot, custom, left 99400586 Yes Custom Class III 2 years

Hip knee ankle foot, rigid, right 99400114 Yes Rigid Class II 2 years

Hip knee ankle foot, custom, right 99400587 Yes Custom Class III 2 years

Hip orthosis, soft, left 99400115 Yes Soft - Class I 1 year

Hip orthosis, rigid, left 99400116 Yes Rigid - Class II 2 years

Hip orthosis, custom, left 99400778 Yes Custom Class III 2 years

Hip orthosis, soft, right 99400117 Yes Soft - Class I 1 year

Hip orthosis, rigid, right 99400118 Yes Rigid - Class II 2 years

Hip orthosis, custom, right 99400779 Yes Custom Class III 2 years

Orthosis for hip dysplasia 99400843 Yes 2 per year

Patella tendon bearing knee, custom, left

99400588 Yes Custom Class III 2 years

Patella tendon bearing knee, custom, 99400589 Yes Custom Class III 2

right years

Thoracic hip knee ankle foot (reciprocating gait mechanism), custom


Repairs - Lower extremity limb orthosis

99400123 Yes

Top of Page

3.2 Limb Orthoses - Upper Extremity


PriorApproval


Guidelines

Elbow, soft, left 99400124 Yes Soft - Class I 1 year

Elbow, rigid, left 99400125 Yes Rigid - Class II 2 years

Elbow, custom, left 99400592 Yes Custom Class III 2 years

Elbow, soft, right 99400126 Yes Soft - Class I 1 year

Elbow, rigid, right 99400127 Yes Rigid - Class II 2 years

Elbow, custom, right 99400593 Yes Custom Class III 2 years

Finger, single digit, soft, left (specify digit)

99400132 Yes Soft - Class I 1 year

Finger, multiple digits, soft, left (specify digits)


Finger, single digit, rigid, left (specify digit)

99400133 Yes Rigid - Class II 2 years

Finger, multiple digits, rigid, left (specify digits)


Finger, single digit, custom, left 99400596 Yes Custom Class III 2 years

Finger, multiple digits, custom, left 99400597 Yes Custom Class III 2 years

Finger, single digit, soft, right (specify digit)


Finger, multiple digits, soft, right (specify digits)


Finger, single digit, rigid, right (specify digit)


Finger, multiple digits, rigid, right (specify digits)


Finger, single digit, custom, right 99400600 Yes Custom Class III 2 years

Finger, multiple digits custom, right 99400601 Yes Custom Class III 2 years

Shoulder, soft, left 99400602 Yes Soft - Class I 1 year

Shoulder, rigid, left 99400603 Yes Rigid - Class II 2 years

Shoulder, custom, left 99400604 Yes Custom Class III 2 years

Shoulder, soft, right 99400605 Yes Soft - Class I 1 year

Shoulder, rigid, right 99400606 Yes Rigid - Class II 2 years

Shoulder, custom, right 99400607 Yes Custom Class III 2 years

Shoulder elbow, soft, left 99400608 Yes Soft - Class I 1 year

Shoulder elbow, rigid, left 99400609 Yes Rigid - Class II 2 years

Shoulder elbow, custom, left 99400610 Yes Custom Class III 2 years

Shoulder elbow, soft, right 99400611 Yes Soft - Class I 1 year

Shoulder elbow, rigid, right 99400612 Yes Rigid - Class II 2 years

Shoulder elbow, custom, right 99400613 Yes Custom Class III 2 years

Shoulder, elbow, wrist, hand, custom, left


Shoulder, elbow, wrist, hand, custom, right


Wrist hand, soft, left 99400140 Yes Soft - Class I 1 year

Wrist hand, rigid, left 99400141 Yes Rigid - Class II 2 years

Wrist, hand, custom, left 99400614 Yes Custom class III 2 years

Wrist hand, soft, right 99400142 Yes Soft - Class I 1 year

Wrist hand, rigid, right 99400143 Yes Rigid - Class II 2 years

Wrist, hand, custom, right 99400615 Yes Custom class III 2 years

Wrist, hand, finger, soft, left 99400144 Yes Soft Class I 1 year

Wrist hand finger, rigid, left 99400145 Yes Rigid - Class II 2 years

Wrist hand finger, custom, left 99400616 Yes Custom Class III 2 years

Wrist hand finger, soft, right 99400146 Yes Soft - Class I 1 year

Wrist hand finger, rigid, right 99400147 Yes Rigid - Class II 2 years

Wrist hand finger, custom, right 99400617 Yes Custom Class III 2 years

Repairs - Upper extremity limb orthosis

99400148 Yes

Top of Page

3.3 Head - Torso - Spine Orthoses


PriorApproval


Abdominal support 99400149 Yes 1 year

Cervical - soft 99400150 Yes Soft - Class I 1 year

Cervical - rigid 99400151 Yes Rigid - Class II 2 years

Cervical - custom 99400152 Yes Custom-Class III 3 years

Cervical-thoracic-lumbar-sacral, rigid


Cervical/thoracic/ 99400619 Yes Custom Class III 2 years

lumbar/sacral, custom

Helmet - soft 99400153 Yes Soft - Class I 1 year

Helmet - rigid 99400154 Yes Rigid - Class II 2 years

Helmet - custom 99400155 Yes Custom-Class III 2 years

Hernia truss 99400156 Yes 1 year

Lumbosacral spinal, soft 99400157 Yes Soft - Class I 2 years

Lumbosacral spinal, rigid 99400158 Yes Rigid - Class II 2 years

Lumbosacral spinal, custom 99400159 Yes Custom-Class III 2 years

Pelvic belt 99400162 Yes 1 year

Thoracolumbarsacral, soft 99400163 Yes Soft - Class I 1 year

Thoracolumbarsacral, rigid 99400164 Yes Rigid - Class II 2 years

Thoracolumbarsacral, custom 99400165 Yes Custom-Class III 2 years

Repairs - Head- Torso-Spine Orthoses

99400166 Yes

Top of Page

3.4 Orthotic Supplies


PriorApproval


Knee brace undersleeve 99400620 Yes 2 per year

Liner socks for orthotics 99400621 Yes 6 per year

Textile Sleeves 99400622 Yes 2 per year

3.5 Custom-Made Shoes


PriorApproval


Guidelines

Custom-made shoes 99400167 Yes 1 year

Winter overshoes (only for clients with custom footwear)


Repairs to custom made shoes 99400623 Yes

3.6 Custom-Made Internal Footwear Device


PriorApproval


Custom-made internal footwear device, left


Custom-made internal footwear device, right


Custom-made internal footwear devices, pair


Custom-made internal footwear devices, repairs

99400781 Yes

3.7 Modifications to Stock Footwear


PriorApproval


Guidelines

Modifications to stock footwear (this does not include the price of the shoe)

99400171 Yes 2 per 2 year

Repairs to footwear modifications 99400625

4.0 Medical Supplies and Equipment Oxygen Supplies and Equipment

Oxygen Supplies and Equipment

4.1 Oxygen Systems and Equipment 4.2 Oxygen Supplies

See the Oxygen Therapy Benefits and Criteria for a full list of eligible products, prior approval requirements and frequency limitations.

For information on policies regarding the provision of oxygen equipment and supplies, please consult the Provider Guide for Medical Supplies and Equipment.

Oxygen Supplies and Equipment

List Terminology




4.1 Oxygen Systems and Equipment


PriorApproval


Concentrator with back up cylinder, rental

99400224 Yes

Concentrator, purchase 99400473 Yes 5 years

Homefill, purchase 99400828 Yes 5 years

Homefill, rental 99400829 Yes

Portable concentrator, purchase, 1 battery


Portable concentrator, rental, 1 battery

99400863 Yes

Oxygen cylinder with content, regulator, holder, cart, shoulder pouch c/s straps

Item Description Item Prior Recommended Replacement

Code Approval Guidelines

Cylinder D (356 L), rental 99400227 Yes

Cylinder E (622 L), rental 99400228 Yes

Cylinder S or M (5260 L), rental

99400231 Yes

Cylinder H or K (6900 L), rental

99400232 Yes

Additional oxygen cylinder without content, regulator, holder, cart, shoulder pouch


PriorApproval


Guidelines

Cylinder D (356 L), rental 99400631 Yes

Cylinder E (622 L), rental 99400632 Yes

Cylinder S or M (5260 L), rental 99400633 Yes

Cylinder H or K (6900 L), rental 99400634 Yes

Dual system, without content, rental 99400635 Yes

Dual system with content, rental 99400636 Yes

Liquid oxygen system (without content) include portable & cart, rental

99400225 Yes N/A

Maintenance agreement, for purchasedoxygen systems

99400638 Yes negotiable

Oxygen systems, Repairs 99400243 Yes

Top of Page

4.2 Oxygen Supplies


PriorApproval


Distilled water 99400626 No 4L containers/55 per year

Replacement battery, portable concentrator


Disposables (Plastics)*


PriorApproval


Extension oxygen tubing 25 ft *


Extension oxygen tubing 50 ft *


E-Z Wrap * 99400235 Yes 24 per year

Filters for concentrator * 99400220 No 12 per year

Humidifier (bubble) * 99400237 No 6 per year

Masks * 99400238 No 24 per year

Masks (tracheostomy) * 99400627 No 24 per year

Nasal Cannula * 99400239 No 24 per year

Oxygen connectors/ adaptors * 99400207 No

Water Traps * 99400545 No 2 per year

* If the oxygen system is rented the disposables are automatically included in the price of the rental. If the oxygen system is purchased the disposables may be billed only if they are not included in the maintenance agreement for oxygen system.

Gas content only (for cylinders)


PriorApproval


Cylinder D (356 L) 99400221 Yes

Cylinder E (622 L) 99400226 Yes

Cylinder S or M (5260 L) 99400229 Yes

Cylinder H or K (6900 L) 99400230 Yes


PriorApproval


Liquid oxygen (in kg) 99400233 Yes calculated as per prescriptionand mobility of client

Oxygen delivery service 99400262 Yes

5.0 Medical Supplies and Equipment Pressure Garments and Pressure Orthotics Benefits and Criteria

Pressure Garments and Pressure Orthotics Benefit Categories:

Lymphedema Compression Device (Orthosis)

5.1 Pressure Garments and Pressure Orthoses 5.2 Hypertrophic Scar Compression Garment, Custom-made, Custom Fitted, Head 5.3 Hypertrophic Scar Compression Garment, Custom-made, Custom Fitted, Limb 5.4 Hypertrophic Scar Compression Garment, Custom-made, Custom Fitted, Trunk 5.5 Pressure Garments and Pressure Orthoses Accessories

See the Pressure Garments and Pressure Orthotics Benefit List for a full list of eligible products, prior approval requirements and frequency limitations.

Pressure Garments and Pressure Orthotics Benefit List

List Terminology




5.1 Pressure Garments and Pressure Orthoses


PriorApproval


Guidelines

Compression glove 20-30/30-40mmHg 99400804 Yes 4 pairs per year

Compression stocking/sleeve 20-30, 30-40mmHg

99400822 Yes 4 pairs per year

Compression stocking/sleeve 40mmHg & up

99400821 Yes 4 pairs per year

Hi-sustained compression bandage 35mmHg, reusable, left


Hi-sustained compression bandage 35mmHg, reusable, right


Hi-sustained compression bandage 99400839 Yes 24 per year

35mmHg, single use, left

Hi-sustained compression bandage 35mmHg, single use, right


Padding single use for reusable Hi-sustained compression bandage, left and right


Stockinette reusable for reusable Hi-sustained compression bandage 35mmHg, left and right


5.2 Hypertrophic Scar Compression Garment, Custom-made, Custom Fitted, Head


PriorApproval


Guidelines

Hypertrophic scar, chin strap 99400057 Yes 2 per 3 months

Hypertrophic scar, chin strap, modified (extended behind the ears)


Hypertrophic scar, ear flap attached to mask or modified chin strap


Hypertrophic scar, eye flap attached to mask


Hypertrophic scar, face mask 99400054 Yes 2 per 3 months

Hypertrophic scar, face mask, open face


Hypertrophic scar, head band 99400058 Yes 2 per 3 months

Hypertrophic scar, lining variation 99400064 Yes 2 per 3 months

Hypertrophic scar, lip covering attached to mask or chin strap


Hypertrophic scar, nose covering in mask


Hypertrophic scar, other garment (provide name of item)


Hypertrophic scar, pocket for padding or splint


Hypertrophic scar, trachea opening 99400065 Yes 2 per 3 months

Top of Page

5.3 Hypertrophic Scar Compression Garment, Custom-made, Custom Fitted, Limb


PriorApproval


Guidelines

Arm sleeve and gauntlet with enclosed extended thumb


Arm sleeve /gauntlet/shoulder flap with enclosed extended thumb


Arm sleeve (wrist to axilla) 99400074 Yes 2 per 3 months

Arm sleeve with attached gauntlet 99400075 Yes 2 per 3 months

Arm sleeve with attached shoulder flap 99400076 Yes 2 per 3 months

Arm sleeve with gauntlet and shoulder flap


Arm stump to axilla 99400078 Yes 2 per 3 months

Arm stump with shoulder flap 99400079 Yes 2 per 3 months

Elbow band 99400069 Yes 2 per 3 months

Elbow lining (full) 99400082 Yes 6 per year

Elbow lining (inner aspect) 99400081 Yes 6 per year

Foot glove, 2 per limb 99400571 Yes 2 per 3 months

Half sleeve (elbow to axilla) 99400071 Yes 2 per 3 months

Half sleeve (wrist to elbow) 99400070 Yes 2 per 3 months

Half sleeve and gauntlet with enclosed extended thumb


Half sleeve with gauntlet metacarpals to elbow


Half sleeve with shoulder flap 99400073 Yes 2 per 3 months

Hypertrophic scar, anklet 99400567 Yes 2 per 3 months

Hypertrophic scar, chap style, one leg 99400568 Yes 2 per 3 months

Hypertrophic scar, chap style, two legs 99400569 Yes 2 per 3 months

Lining variation 99400083 Yes 6 per year

Pocket for padding or splint 99400085 Yes 6 per year

Reinforced palm on glove or gauntlet 99400084 Yes 6 per year

Shoulder flap, adjustable 99400086 Yes 6 per year

Vest with sleeve 99400572 Yes 2 per 3 months

Vest without sleeve 99400573 Yes 2 per 3 months

Zipper 99400080 Yes 6 per year

Top of Page

5.4 Hypertrophic Scar Compression Garment, Custom-made, Custom Fitted, Trunk



Body brief with sleeves 99400087 Yes 2 per 3 months

Body brief, sleeveless 99400088 Yes 2 per 3 months

Body suit with sleeves and legs (to distal measurement above knees)


Body suit, sleeveless with legs (to distal measurement above knees)


5.5 Pressure Garments and Pressure Orthoses Accessories


PriorApproval


Sequential extremity pump, purchase


Sequential extremity pump, rental

99400092 Yes

Sequential Pump accessories, boots


Sequential Pump accessories, sleeves


6.0 Medical Supplies and Equipment Prosthetics Benefits and Criteria

Prosthetics Benefit Categories:

6.1 Breast prostheses 6.2 Eye prostheses (ocular) 6.3 Limb prostheses 6.4 Prosthetics supplies

See the Prosthetics Benefit List for a full list of eligible products, prior approval requirements and frequency limitations.

Prosthetics Benefit List

List Terminology




6.1 Breast Prosthesis


PriorApproval


Brassiere (Breast Prosthesis) 99400002 Yes 2 per 2 years

Breast Prosthesis, right 99400800 Yes 2 years

Breast Prosthesis, left 99400801 Yes 2 years

Partial Breast Prosthesis 99400003 Yes 2 years

6.2 Eye Prosthesis (ocular)


PriorApproval


Adjustment for Eye Prosthesis 99400830 Yes 1 year

Eye Prosthesis, left 99400005 Yes 3 years

Eye Prosthesis, right 99400006 Yes 3 years

Eye Prosthesis-Polishing 99400007 No 1 year

Scleral Shell, left 99400802 Yes 3 years

Scleral Shell, right 99400803 Yes 3 years

Top of Page

6.3 Limb Prostheses

Prosthetics - Limbs - Lower Extremity - Definitive


PriorApproval


Ankle disarticulation, left 99400014 Yes 3 years

Ankle disarticulation, right 99400015 Yes 3 years

Hemi-pelvectomy or Hip disarticulation, left


Hemi-pelvectomy or Hip disarticulation, right


Knee disarticulation (through knee), right


Knee disarticulation (through knee), left


Partial foot - shoe insert, left 99400008 Yes 3 years

Partial foot - shoe insert, right 99400009 Yes 3 years

Partial foot - tibial tubercle height, left


Partial foot - tibial tubercle height, right


Partial foot, patella tendon bearing, left


Partial foot, patella tendon bearing, right


Prosthesis, Repairs-Prosthetic, lower limb

99400024 Yes

Replace foot for AK & BK, left 99400831 Yes 3 years

Replace foot for AK & BK, right 99400832 Yes 3 years

Replace socket for AK & BK, left 99400833 Yes 3 years

Replace socket for AK & BK, right 99400834 Yes 3 years

Trans femoral - above knee, left 99400020 Yes 3 years

Trans femoral - above knee, right 99400021 Yes 3 years

Trans tibial - below knee, left 99400016 Yes 3 years

Trans tibial - below knee, right 99400017 Yes 3 years

Top of Page

Prosthetics - Limbs - Lower Extremity - Preparatory


PriorApproval


Ankle disarticulation, left 99400553 Yes

Ankle disarticulation, right 99400554 Yes

Hemi-pelvectomy or Hip disarticulation, left

99400561 Yes

Hemi-pelvectomy or Hip disarticulation, right

99400562 Yes

Knee disarticulation, left 99400557 Yes

Knee disarticulation, right 99400558 Yes

Trans femoral, left 99400559 Yes

Trans femoral, right 99400560 Yes

Trans tibial, left 99400555 Yes

Trans tibial, right 99400556 Yes

Prosthetics - Limbs - Upper Extremity


PriorApproval


Elbow disarticulation, left 99400033 Yes 3 years

Elbow disarticulation, right 99400034 Yes 3 years

Finger, multiple digits, left 99400835 Yes 3 years

Finger, multiple digits, right 99400836 Yes 3 years

Finger, single digit, left 99400837 Yes 3 years

Finger, single digit, right 99400838 Yes 3 years

Fore quarter, left 99400039 Yes 3 years

Fore quarter, right 99400040 Yes 3 years

Partial hand, finger remaining, left 99400025 Yes 3 years

Partial hand, finger remaining, right


Partial hand, thumb remaining, left


Partial hand, thumb remaining, right


Prosthesis, Repairs-Prosthetic, 99400041 Yes

upper limb

Shoulder disarticulation, left 99400037 Yes 3 years

Shoulder disarticulation, right 99400038 Yes 3 years

Transhumeral above elbow, left 99400035 Yes 3 years

Transhumeral above elbow, right 99400036 Yes 3 years

Transradial below elbow, left 99400031 Yes 3 years

Transradial below elbow, right 99400032 Yes 3 years

Wrist disarticulation, left 99400029 Yes 3 years

Wrist disarticulation, right 99400030 Yes 3 years

Top of Page

6.4 Prosthetic Supplies

Sleeves


PriorApproval


Suction seal suspension sleeve 99400563 Yes 6 per year

Suspension sleeve 99400172 Yes 10 per year

Liners


PriorApproval


Pin system suspension liners 99400043 Yes 3 per year

Prosthesis gel liners 99400042 Yes 3 per year

Sheaths


PriorApproval


Sheaths, regular 99400044 Yes 12 per year

Silo sheaths 99400564 Yes 8 per year

Replacement Cosmetic Hose 99400899 Yes 2 per year

Socks


PriorApproval


Gel stump socks 99400806 Yes 2 per year

Glove, standard 99400566 Yes 3 per year

Siller cotton socks, 1 ply 99400565 Yes 12 per year

Stump shrinkers 99400047 Yes 4 per year

Stump socks, regular 99400048 Yes 12 per year

7.0 Medical Supplies and Equipment Respiratory Benefits and Criteria

Respiratory Supplies and Equipment:

7.1 Breathing Apparatus and Supplies 7.2 Respiratory Secretion Clearance 7.3 Tracheostomy Supplies and Equipment

See the Respiratory Benefit List for a full list of eligible products, prior approval requirements and frequency limitations.

Respiratory Therapy Benefit List

List Terminology




7.1 Breathing Apparatus and Supplies


PriorApproval


Breathing circuit tube of CPAP/bi-level


CPAP circuit, integrated, humidifier, rental

99400174 Yes

CPAP circuit, integrated, humidifier, purchase


Inlet filters 99400176 No 12 per year

Interface with headgear 99400180 Yes 2 per year

Nasal pillows for headgear 99400848 Yes 2 per year

7.2 Respiratory Secretion Clearance


PriorApproval


Suction catheters, disposable 99400185 Yes 2000 per year

Suction machine, rental 99400186 Yes

Suction machine, purchase 99400187 Yes 5 years

Tubing and collection bottle 99400188 No 26 per year

Yankeur-tonsil suction 99400189 No 26 per year

Top of Page

7.3 Tracheotomy Supplies and Equipment


PriorApproval


Guidelines

Distilled water (for tracheostomy care)

99400626 No 4L containers/55 units per year

Heat moisture exchanger 99400190 No 200 per year

Hydrogen Peroxide 99400197 No 72 bottles per year

Pipe cleaners 99400198 No 240 per year

Respiratory equipment, Repairs 99400195 Yes

Speaking valves 99400193 Yes 2 per 2 years

Tracheostomy brush 99400201 No 6 per year

Tracheostomy drain sponge 99400200 No 800 per year

Tracheostomy mask (Disposables included in the price of oxygen rental equipment)

99400627 No 24 per year

Tracheostomy ties (Roll) 99400178 No 2 rolls per year

Tracheostomy tubes 99400194 Yes 24 per year

FormsMedical Supplies and Equipment

NIHB Client Reimbursement Request Form

NIHB General Medical Supplies Equipment Prior Approval Form

NIHB Oxygen and Respiratory Medical and Supplies Equipement Prior Approval Form

NIHB Orthotics - Custom Footwear - Prosthetics - Pressure Garments Prior ApprovalForm

NIHB Hearing Aid and Hearing Aid Repair Prior Approval Form

NIHB Medical Supplies and Equipment Claim Form

NIHB Hearing Aid and Hearing Aid Repair Confirmation Form

Required Documents - CPAP

ProvidersMedical Supplies and Equipment

QUEBECClinique Ortheses Du Lac Alma 418-480-2562Bergeron & Villeneuve Alma 418-662-3458Centre Auditif Abitibi Amos 819-732-0720Laboratoire D'orthese Et Amos 819-732-3341Turbide N Baie Comeau 418-589-2321Services De Soins Respiratoire Baie-Comeau 418-334-0020Laboratoire M P Langelier Inc. Beloeil 450-467-0762Generation Confort Inc. Blainville 450-430-0668Julie Sabourin, Brossard 450-465-9330Biron Soins Du Sommeil Inc Brossard 514-866-5005Laboratoire Orthobourg Inc. Charlesbourg 418-624-4999Desjardins J-Y Chateauguay 450-692-5643Sporthotec Chateauguay 450-691-1111Paquette M Chateauguay 450-692-8000Clinique Ortheses Du Fjord Inc Chicoutimi 418-698-1288Landry, S Chicoutimi 418-545-8259Clinique Podiatrique Saguenay Chicoutimi 418-543-0013Unimedic - Clinique Du Sommeil Chiroutimi 418-542-1255Centre D'autonomie Dolbeau 418-276-8336Posturopied Drummondville 819-850-2730Pro-Orthotek Gatineau 819-568-3333Vitalaire Canada Inc Gatineau 819-778-2176Ctre Readaptation La Ressourse Gatineau 819-777-8710Les Ortheses V R A M Inc Gatineau 819-777-2833Clinique Podiatrique De Gatineau 819-568-0456Clinique D Ortheses Namac Inc Gatineau 819-669-0532Francois Sasseville Gatineau 819-771-5029Le Groupe Forget Gatineau 819-776-4212Clinique D'ortheses Plantaire Granby 450-372-7444Inh-Allaire Inc. Grand-Mere 819-538-8664Ortho-Action Inc. Greenfield Park 450-465-6164Crdp Le Bouclier Joliette 450-755-2741Ctre Orthopedique Joly Inc. Joliette 450-759-3025Laliberte & Villeneuve Jonquiere 418-695-6232Solution C.M. Inc. Jonquiere 418-548-0851Carrefour Sante De Jonquiere Jonquiere 418-695-7787Le Groupe Forget, Lachenaie 450-582-0004Gagne Et Gagne Lachine 514-639-1000Rheaume L Lasalle 514-367-4530Clinique Sommeil Sante Lasalle 514-365-7567Autonomie-Sante Inc (Lasalle) Lasalle 514-595-7203Le Groupe Forget Audioprothesi Laval 450-682-0054Eve-Marie Gaudreault Et Linda Laval 514-522-9898Stomomedical Inc Laval 450-786-0786Laboratoire Podotech Inc. Laval 450-933-4333Ortheses Bionick Levis 418-830-8800Karyn Maranda Audioprothesiste Levis 418-837-3626Genair Pro Inc. Levis 418-835-3326Le Groupe Forget Longueuil 450-647-1093Francois Gordon Longueuil 450-674-5557Le Groupe Forget Audioprothesi Longueuil 450-674-0880

Providers City Telephone

This list of providers is not exhaustive. QUEBEC

LIST OF PROVIDERSMEDICAL SUPPLIES AND EQUIPMENT


Berube Brassard Lorettevillle 418-842-0793Le Groupe Forget Maniwaki 819-306-0964Ortho M.L. Maria 418-759-5000Michell Et Bonhomme Montreal 514-272-0614Prothese Oculaire Montreal 514-381-1849Laboratoire Pierre Marchildon Montreal 514-858-1171Vitalaire Canada Inc Montreal 514-728-3311Laboratoire Langelier-Lanoue Montreal 450-467-0762Sophie Gagnon Audioprothesiste Montreal 514-254-4113Osr Medical Inc. Montreal 514-332-2616P. Girard Audioprothesiste Montreal 514-522-8926Le Groupe Forget Montreal 514-344-2248Clinique Auditive Tremblay Et Montreal 514-256-6565Le Groupe Forget Montreal 514-524-1259Canadian Medicalert Foundation Montreal 416-696-0142Alyn Simard, Audioprothesistes Montreal 514-256-5757Les Centres Masliah Inc. Montreal 514-344-8554Centre Orthomedic Inc. Montreal 514-722-3395Oxymed Montreal 514-389-8245Service Orthopedique Jm Montreal 514-525-2011App Orthopediques Bbg Inc. Montreal 514-484-2313Ingenierie Medicus Montreal 514-525-3757J.E. Hanger Ltee Montreal 514-489-8213J. Slawner Ltee Montreal 514-731-3378Claude Forest Audioprothesiste Montreal Est 514-640-5837Le Groupe Forget Montreal-Nord 514-328-9229Laboratoire Jean-Marc Ross Mont-Tremblant 819-425-9640Centre Cardio-Respiratoire Mt.Laurier 819-440-2068Le Groupe Forget Pointe-Claire 514-630-9932Michele Cote Audioprothesiste Pont-Rouge 418-399-9699Komforto, Clinique D'orthese Quebec 418-781-2080Kci Medical Canada Inc. Quebec 800-668-5403Prothese Oculaire De Quebec 418-654-0130Claude Prevost Quebec 418-688-1430Berube Et Brassard Quebec 418-522-3656Institut De Readaptation En Quebec 418-529-9141Medi Select Quebec 418-623-3353Clinique-Du-Pied-Equilibre Quebec 418-683-7433Le Groupe Forget Quebec 418-661-3732Clinique Roy Boivin Quebec 418-650-1600Falcan Medical Inc Quebec 418-621-0888Yves Jacques Oculariste Inc Quebec 418-529-5230Clinique Du Pied De Quebec Quebec 418-614-5206Clinique D'ortheses Plantaire Quebec 418-614-3888Cetre De Stomie Du Quebec Inc. Quebec 418-522-1268Le Groupe Beltrami Quebec 418-623-4667Andre Villeneuve Quebec 418-658-7738Societe Cousineau Cote Quebec 418-843-5244Suzanne Lapointe Ajustement Quebec 418-684-0015Savard Ortho Confort Quebec 418-681-6381Vitalaire Canada Quebec 418-658-2425Protheses & Ortheses La Quebec 418-681-4722Clin. D Appareillage Orth.Ar-C Quebec 418-872-2944Lab Orthese-Prothese Malcolm Quebec 418-522-2209Chantal Labelle Repentigny 450-657-1000Chaussures Villeneuve Repentigny 450-581-0140Le Groupe Forget Rimouski 418-725-3030Uni-Med Roberval 418-275-2703Laboratoire Cote Enr Orthesist Roberval 418-275-6538Orthaide - Crlm Rouyn-Noranda 819-762-7478Clinique Audioprothesiste Rouyn-Noranda 819-762-0894Confort-Air Rouyn-Noranda 819-762-7676Equilibrum Inc Saint Eustache 450-974-2552Laboratoire Ortho St Laurent Saint Laurent 514-747-4350Bi-Op Inc. Saint-Charles-Borromee 450-752-2467

This list of providers is not exhaustive.QUEBEC

Groupe Forget Audioprothesiste Sainte Foy 418-650-3433Laboratoire Pouliot Sainte Foy 418-652-0100Orthese & Prothese De Beauce Saint-Georges 418-227-5333Loca-Medic Inc Saint-Laurent 514-332-4433Clinique Podiatrique Du Suroit Salaberry - De - Valleyfield 450-747-0171Dominique Landry Sept-Iles 418-962-3775Annie Dumontier Sherbrooke 819-791-7706Oxybec Sante Confort Sherbrooke 800-361-9911Le Groupe Forget Sherbrooke 819-569-9781Laboratoire Julien Paul Sorel 450-742-1722Centre D'ortheses Du Bas Sorel-Tracy 450-743-2516Vital Leblanc Audioprothesiste Sorel-Tracy 450-839-7706Groupe Forget St.Jerome 450-436-5156Linda Rheaume Audioprothesiste St.Remi 450-454-3337Rivest Chantal St-Charles-Borromee 450-759-8708M. Vezina, Audioprothesiste St-Charles-Borromee 450-752-2337Idectro Inc. Ste-Hedwidge 418-275-4910Centre D'equipement Ortho St-Eustache 450-491-1454Laboratoire Trimetrix St-Eustache 450-623-3338Centre Monteregien De St-Hubert 450-462-8638Doris Dupont Audioprothesiste St-Jerome 450-431-2185Le Groupe Forget St-Romuald 418-903-3335Distribution Dominique Lemay Terrebonne 450-478-5959Centre De Stomie De La Trois-Rivieres 819-378-4204Pierre Vallee Audioprothesiste Trois-Rivieres 819-379-5715Clinique Podiatrique De La Trois-Rivieres 819-379-5611Medic-Sante Val D'or 819-824-5551Le Groupe Forget Valleyfield 450-377-2483Laniel & Associes Audioprothes Valleyfield 450-371-6612Apnee Sante Valleyfield 450-371-6444Montreal Ostomy Center Vaudreuil 800-371-0163Boutique Orthopedique Verdun 514-765-0707Medigas Ville St-Laurent 514-324-0202Csss Du Lac Temiscamingue Ville-Marie 819-622-2773Centre De Dist. Meds. Wendake Wendake 418-843-8898Solution Apnee Du Sommeil Westmount 514-934-0727Orthosport Canada (1997) Inc. Westmount 514-939-1702

ONTARIOHearing Sciences Alliston 705-435-4356Pro Resp Hamilton Ancaster 905-529-2166St Joseph's Proresp Ancaster 905-529-2166Arkona Foot Clinic Arkona 519-518-3338Custom Comfort Aurora 905-841-5337Azilda Family Foot Care Azilda 705-983-5035Bancroft Hearing Centre Bancroft 613-332-3754Neil Patel Barrie 705-722-3044Prosthetics/Orthotics (Barrie) Barrie 705-737-3021Shoppers Home Health Care #644 Barrie 705-722-6336Medigas - Barrie Barrie 705-721-0555Footprops Inc. Barrie 705-728-7750Royal Victoria Hospital Barrie Barrie 705-728-9802Walking Mobility Clinics Barrie 705-735-1013Listen Up Canada Barrie 705-719-7009Orthotics Specialties Inc Barrie 705-726-2871Barrie Foot Clinic Barrie 705-739-6181Royal Proresp Inc. Barrie 705-730-0818Bio Ped Footcare Centre Barrie 705-727-9990Vitalaire Canada Inc Barrie 705-722-0623Helix Hearing Care Barrie 705-721-9935Motion Specialties Barrie Barrie 705-727-1009Renfrew County Orthopaedics Beachburg 613-582-7219


This list of providers is not exhaustive. QUEBEC - ONTARIO


Medigas - Belleville Belleville 613-969-4450Quinte Med Care Supplies Inc. Belleville 613-966-3669Vouts Hearing Aid Center Belleville 613-962-6000Hitchon's Hearing Centre Belleville 613-966-9955Belleville Foot, Ankle & Belleville 613-962-8787Kelly's Home Care Centre Belleville 613-966-4302Helix Hearing Care Centre Belleville 613-966-6424Vitalaire Canada Inc Belleville 613-969-7735Bioped Quinte Belleville 613-968-9114Tim Davidson Hearing Services Belleville 613-966-6653Motion Specialties Belleville Belleville 613-966-6300Kimberley's Hearing Clinic Blenheim 519-676-2323Algoma Hearing Centre Blind River 705-576-3555Kawartha Total Foot Care Ctre Bobcaygeon 705-738-3668Hearing Sciences Bolton 905-857-5183Nu-Life Hearing Centre Bowmanville 905-697-3838Kimberley Hearing Centre Inc. Bracebridge 705-645-3455Muskoka Audiology Clinic Bracebridge 705-646-2227The Muskoka Foot Clinic Bracebridge 705-645-4613Home Care Oxygen Service Bracebridge 705-645-5161Comfort Stride Foot Clinic Bradford 647-989-7794Philip G. Keogh Brampton 905-791-8779Dheda Shane D Brampton 905-790-1900Biscaia Elmer Brampton 905-796-6585Brampton Hearing Aid Services Brampton 905-791-2203Lee & Associates Foot Clinic Brampton 905-459-3668Bio Ped Footcare Centre Brampton 905-450-1272Airway Cpap Inc. Brampton 905-790-7311Medichair Cowell Brantford 519-758-1000Foot Works Pedorthic Services Brantford 519-758-0999Bio Ped Foot Care Centre Brantford 519-753-2090Brantford General Hospital Brantford 519-751-5868Brant Hearing Aid Clinic Brantford 519-759-8250Home Sleep Care Brantford 519-720-0393Total Hearing Centre Brantford 519-751-7687Medigas - Div Of Praxair Brantford 519-442-0734Essential Hearing Services Brantford 519-758-0444Listen Up Canada Brantford 519-753-4182Biodesign Prosthetics & Brantford 519-756-5353Acoustic Hearing Centre Brantford 519-770-3555Rexall Dell Pharmacy Brantford 519-756-6363Chemong Audiology & Bridgenorth 705-292-6910Brighton Footcare Brighton 613-475-3561Northumberland Hearing Centres Brighton 613-415-1788Vitalaire Canada - Brockville Brockville 613-498-6204Montcalm Audiology Burlington 905-681-8977Bio Ped Foot Care Centre Burlington 905-333-3622Listen Up Canada Burlington 905-631-7889Omni Foot Clinic And Orthotic Burlington 905-333-8555Burlington Orthotic Centre Burlington 905-331-4391Sleep Management Group Burlington 289-337-8712Hearing Excellence Inc Burlington 905-333-5061Respiratory Homecare Solutions Burlington 905-331-9601Connect Hearing Caledonia 905-765-8607Total Hearing Centre Cambridge 519-342-2412Cambridge Audiology Services Cambridge 519-624-2230Medichair / Home Health Cambridge 519-623-9930Shoppers Home Health Care 8485 Cambridge 519-624-6020Achilles Cambridge 519-624-4122Bio Ped Footcare & Footwear Cambridge 519-622-5959Listen Up Canada Cambridge 519-624-2002Shoppers Home Health Care Cambridge 519-622-9186York Foot Health And Orthoics Cambridge 519-623-0222Dalios Hearing & Denture Chatham 519-352-4141Pro Resp Chatham Chatham 519-354-1301

This list of providers is not exhaustive.ONTARIO

Zandberg Foot And Ankle Clinic Chatham 519-351-9762The Loft Fashion & Mastectomy Chatham 519-351-9508Shoppers Home Health Care Chatham 519-351-7272Bio Ped Chatham Chatham 519-355-1142Listen Up Canada Chatham 519-351-1810Canadian Hearing Institute Chatham 519-352-1600Shoppers Home Health Care Chatham 519-354-6555Chatham-Kent Family Chatham 519-354-2172The Canadian Hearing Society Chatham 519-354-9347Ck Ortho Inc. Chatham 519-436-9670Motion Specialties Chatham Chatham 519-358-7096Chatham Acoustic Chatham 519-351-5804Listen Up Canada Clinton 519-482-9024Hogan's Hearing Aid Centre Cobourg 905-373-1470Medigas - Cobourg Cobourg 905-373-4303Northumberland Hearing Cobourg 905-377-1797Valley Road Foot Clinic Coldwater 705-835-5340Lewis Cindy Collingwood 705-445-4631Collingwood Hearing Clinic Inc Collingwood 705-445-1177Helix Hearing Care Centre Collingwood 705-445-4333Progressive Hearing Healthcare Concord 416-565-2434Vitalaire Canada Inc Cornwall 613-938-1451Easton Gary R Cornwall 613-937-2888Burns Ortho Medical Cornwall 613-932-3139Ottawa Audiology Associates Cornwall 613-937-4407St. Lawrence Orthopaedic Cornwall 613-933-1064Listenup Canada Cornwall 613-937-0519Four Directions Medical Curve Lake First Nation 705-657-1126R.T. Respiratory Services Inc. Delhi 519-582-0202Dr. Alan M. Lustig Don Mills 416-445-4202Warner Robert Downsview 416-635-2986Shoppers Home Health Care Dryden 807-223-2900Dryden Enhanced Hearing Centre Dryden 807-223-7067Ambulatory Footwear Dundas 905-628-5778Haldimand Home Respiratory Dunnville 905-701-4477Elgin County Foot Services Dutton 519-762-3668S T P Health Care Services Elliot Lake 705-461-9436Complete Healthcare Solutions Espanola 705-869-0777St.George Laboratory Ltd. Etobicoke 416-532-6837Bioped Etobicoke 416-234-0481The Podiatry Group Etobicoke 416-749-3338Bishay Medicine Professional Etobicoke 416-246-0011Niagara Hearing Aid Centre Fort Erie 905-871-6404Shoppers Home Health Care Fort Frances 807-274-7062Fort Frances Enhanced Hearing Fort Frances 807-274-4533Sunset Medical Supply Fort Frances 807-274-0431The Ear Clinic Fort Frances 807-274-1168Hearing Sciences Georgetown 905-877-0099Mobility Lab I.F.C. Gloucester 613-745-3923Medichair/Med-E-Ox Goderich 519-524-2020The Muskoka Foot Clinic Gravenhurst 705-687-8881Life Breath Health Care Grimsby 905-945-6146Connect Hearing Grimsby 905-309-8778Bioped Grimsby Grimsby 905-309-9999Bio Ped Foot Care Centre Guelph 519-821-7310Applied Biomechanics Custom Guelph 519-836-4755Wellington Hearing Care Guelph 519-766-4327Steffler Hearing Aid Service Guelph 519-823-8235Listenup Canada Guelph 519-767-5500Listenup Canada Hagersville 905-768-1697Natasha Moshenko, D.Ch. Haliburton 613-332-6783Advanced Orthodynamics Inc. Hamilton 905-527-1225Medigas - Hamilton Hamilton 905-312-0991Greenbaum, Dr. J - Allergy Hamilton 905-522-7703Bio Ped Foot Care Centre Hamilton 905-575-9797


This list of providers is not exhaustive. ONTARIO


Shoppers Home Health Care 8465 Hamilton 905-547-0188Orthopaedic Services Hamilton 905-529-0395Zabell Hearing Centre Inc. Hamilton 905-389-9919Hearing Instrument Services Hamilton 905-549-2481One Stop Foot Clinic Hamilton 905-561-8633The Orthotic Centre Hamilton 905-540-9600Hear For Life Hearing Centres Hamilton 905-389-1136Canadian Home Healthcare Inc Hamilton 905-540-1678Hhs - Prosthetics & Orthotic Hamilton 905-521-2607Vitalaire Hamilton 905-387-0082Dell Pharmacy Hamilton 905-385-7072G Gall Hearing Aid Service Ltd Hamilton 905-527-8858Chedoke Hearing Aid Dispensary Hamilton 905-521-7951Mountain Hearing Centre Hamilton 905-383-4971The Hamilton Foot Clinic Hamilton 905-385-4251York Foot Health And Hamilton 905-540-3668Connect Hearing Hamilton 905-523-7983Connect Hearing Hamilton 905-312-4703Harmony Hearing And Hamilton 289-389-2122Podiatric Solutions Mcquistan Hamilton 905-573-4817Rexall Dell Pharmacy Hamilton 905-385-7072Hanover Pedorthic Clinic Hanover 519-506-3668Muskoka Hearing Aids Huntsville 705-789-9393Algonquin Orthopaedics Huntsville 705-787-0797Huntsville Foot Health Centre Huntsville 705-788-0974Brian's Home Health Care & Ingersoll 519-485-5555Hear-Med Inc. Ingersoll 519-485-3751Bioped Kanata Kanata 613-831-6686Kapuskasing Foot Care And Kapuskasing 705-335-1793Shoppers Home Health Care Keewatin 807-468-4244Lake Of The Woods District Kenora 807-468-9861Canadian Hearing Society, The Kenora 807-468-7230Sunset Country Family Health Kenora 807-468-6321Expert Hearing Solutions Kenora 807-468-7592Kincardine Total Footcare And Kincardine 519-369-9255Shoppers Home Health Care 8466 Kingston 613-531-4104Kingston Foot And Ankle Clinic Kingston 613-634-1707Active Orthopedic Solutions Kingston 613-530-2233Helix Hearing Center Kingston 613-542-9512Bioped Kingston Kingston 613-542-2008Health Supports & Fitting Serv Kingston 613-545-9767Performance Orthotics Kingston 613-549-2608Medigas - Kingston Kingston 613-546-5529Hotel Dieu Hospital Kingston Kingston 613-544-8643Helix Hearing Care Centre Kingston 613-546-5282Stand Your Ground Kingston 613-384-3026Motion Specialties Kingston Kingston 613-384-0400Listen Up Canada Kingsville 519-733-3331Timiskaming Hearing Clinic Kirkland Lake 705-567-1115Custom Ortho-Dynamics Inc. Kitchener 519-749-1360Shoppers Home Health Care 8467 Kitchener 519-579-6200Podiatric Consultants Kitchener 519-576-8960Listen Up Canada Kitchener 519-896-2224Ortho-Care Precision Kitchener 519-885-3719Hear For Life Hearing Kitchener 519-745-9060Prosthetic Ability Inc Kitchener 519-742-9622Arnold Hearing Centres Kitchener 519-742-9494Kitchener Bio Ped Footcare Ctr Kitchener 519-576-9440Vitalaire Canada Inc Kitchener 519-744-7834Sleep Management Group Kitchener 519-741-0099Connect Hearing Kitchener 519-741-5852The Nu Me Boutique Kitchener 519-571-9820Kitchener's Hearing Clinic Kitchener 519-579-2222Lakefield Physiotherapy & Lakefield 705-652-6999A Step Ahead Foot Clinic Lindsay 705-328-3636


Kawartha Hearing Care Inc. Lindsay 705-320-9244Bio Ped Foot Care Little Current 705-368-2122Medigas - London London 519-451-7932London Prosthetics Co Ltd. London 519-686-9682Southwestern Prosthetics And London 519-663-9797Brett Ocular Prosthetics Inc London 519-434-0772Shoppers Home Health Care 8468 London 519-685-9150Meridian Hearing Centre London 519-657-2094Custom Orthotics Of London London 519-850-4721Stover Richard London 519-457-3844Piccadilly Hearing Centre London 519-438-1954Shantz Orthotic Solutions Inc London 519-660-6550Innovative Orthotic Design London 519-474-6196Medichair - London London 519-657-1032Bentley Hearing Services London 519-936-5850Bioped Footcare Centre London 519-474-4668Hear At Last London 519-657-4327Kyle Foot & Orthotic Clinic London 519-663-9832Helix Hearing Care London 519-473-3700R.L. Goosens, D.P.M. London 519-433-9004Foot Clinic, The London 519-649-1501Hamilton Pros. & Orth. Of Ldn London 519-432-2041London Audiology Consultants London 519-435-1899Truppe Health Care Products London 519-652-2041Shoppers Home Health Care 0488 London 519-434-3326Hunt Podiatric Corp. London 519-432-3636Vitalaire Canada Inc London 519-668-1588Westmount Foot And Orthotic London 519-471-5822Fodemesi Shoes Ltd. London 519-432-9639London Health Care & Ostomy London 519-858-2300Bio Ped Foot Care Centre London 519-686-0709Western Pro Health Inc London 519-686-6212Complete Footcare Clinic London 519-680-3668Hearing Health Associates London 519-685-8500London Health Sciences Centre London 519-685-8428Listen Up Canada London 519-667-0303Beck Hearing Aid Centre Inc London 519-438-0492Canadian Home Healthcare Inc London 519-438-9090Homewood Health Products London 519-642-1164London Footcare And London 519-686-3668Shoppers Home Health Care 8568 London 519-685-9153Trillium Hearing Centre London 519-455-7700Sleep Management Group London 519-652-0093Creative Orthotic Solutions London 519-432-6262Family Physiotherapy Centre Of London 519-439-6111Aspire Hearing London 519-204-9329Connect Hearing London 519-432-2251Listenup Canada London 519-668-6279Medigas - Toronto Markham 416-365-1050Shoppers Home Health Care 8461 Markham 905-887-9055Animas Canada Markham 866-406-4844Precision Orthotics Midland 705-526-4400Advanced Foot & Orthotic Clini Midland 705-526-6363The Hearing Rehab Centre Midland 705-527-0940Milton Orthotics & Wellness Milton 905-864-0555Elisa Harrison Milton 905-864-9945Custom Orthotics Design Group Mississauga 905-828-2969Vitalaire Canada Inc Mississauga 905-890-7100Nihbmse Mississauga 905-712-8615Plimmer Optical & Hearing Mississauga 905-607-2022Kintech Orthopaedics Mississauga 905-278-6534The Foot Company Mississauga 416-525-3668Walking Mobility Clinic Mississauga 905-804-1015Sheridan Hearing Service Mississauga 905-278-0219Shoppers Home Health Care #493 Mississauga 905-281-0166




Medical Mart Supplies Ltd. Mississauga 905-624-2011Sense Of Hearing Mississauga 905-274-3032Erinoak Kids Centre Mississauga 905-855-2690Walking Mobility Clinic Mississauga 905-607-9255Listenup Canada Mississauga 905-502-6888Motion Specialties Mississauga Mississauga 905-804-0400Hawley Chiropractic Napanee 613-354-4646Listen Up Canada Napanee 613-354-7000Nepean Hearing Clinic Nepean 613-726-7098Upton Positioning Design Nepean 613-727-5457Barrhaven Hearing Clinic Nepean 613-825-3242Medichair Temiskaming Ltd New Liskeard 705-647-6886York Region Super Feet Orthoti Newmarket 905-836-2618Medigas - Newmarket Newmarket 905-853-8744Newmarket Allergy Service Newmarket 905-898-1851Stephen A.Haber Newmarket 905-853-6466Inspiair Inc. Newmarket 905-895-1188Listenup Canada Newmarket 905-954-1916York Hearing Clinic Newmarket 905-953-9991National Orthotic Centre Niagara 905-353-1800Niagara Hearing Aid Centre Niagara Falls 905-356-8261Stamford Hearing Aids Ltd. Niagara Falls 905-357-6166Claire Cooper Dch Niagara Falls 905-354-0975Niagara Mobility Ltd. Niagara Falls 905-357-1600Niagara Hearing Solutions Inc. Niagara Falls 905-353-1552Superior Orthopaedic Solutions Niagara Falls 905-357-0751Nipissing Orthopaedic Lab. Inc North Bay 705-495-3771North Bay Audiology Clinic North Bay 705-472-1801Northern Respiratory North Bay 705-475-1881Near North Hearing Centre North Bay 705-494-9900Bioped Footcare North Bay 705-472-3338The Hearing Aid Centre North Bay 705-474-8441Shoppers Home Health Care North Bay 705-495-2655Medigas - North Bay North Bay 705-497-1731Bay Orthotic & Foot Clinic North Bay 705-840-1011North Bay Foot & Ankle Clinic North Bay 705-476-9172Listenup Canada North Bay 705-474-3896Hall & Associates Prosthetic North York 416-496-0111Canadian Home Healthcare Inc North York 416-739-8747Toronto Audiology Associates North York 416-331-9888Sleep Management Group Oakville 905-337-0699Trillium Proresp Oakville 905-829-3844Listen Up Canada Oakville 905-845-4429Grand River Medical Equipment Ohsweken 226-208-0586Orangeville Hearing Clinic Orangeville 519-942-2005Mackhall Mobility Products Inc Orangeville 519-940-3655Hearing Sciences Orangeville 519-942-9428Kleiman Mark Dpm Orillia 705-326-7549Shoppers Home Health Care 8470 Orillia 705-325-8855Orillia Soldiers Memorial Hosp Orillia 705-325-2201Moloy Edward R Orillia 705-321-6365Audia Hearing Aid Centre Inc. Orillia 705-329-4419Ontario Wheelchair Access Orillia 705-327-1261Thomas Wood Pedorthic Clinic Orillia 705-326-5808Orillia Foot Clinic And Orillia 705-259-2838Vitalaire Canada Inc Orillia 705-325-3540All-Can Medical Inc. Orillia 705-325-9292Maximum Mobility Orillia 705-326-8157Listen Up Canada Orillia 705-326-9421Ellis Hearing Aid Service Orillia 705-326-3292Helix Hearing Care Orillia 705-326-5909Hearing Health Clinic Orleans 613-837-9902Chackal Hearing Clinic Orleans 613-841-8333Connect Hearing Orleans 613-834-6427Durham Medical (1983) Ltd. Oshawa 905-728-1112


Design Prosthetic Appliance Co Oshawa 905-434-5935Hear At Last Oshawa 905-674-6164Canadian Home Healthcare Inc Oshawa 905-432-2051Prosthetic Technologies Inc Oshawa 905-571-6630Durham Home Respiratory Oshawa 905-432-3477Nova Hearing Services Oshawa 905-438-0111Anita Idema Oshawa 905-576-4604Respiratory Homecare Solutions Oshawa 905-925-8202Bioped Footcare Centre Oshawa 905-432-0061Motion Specialties Oshawa Oshawa 905-576-2174Ottawa Orthotic Lab Ottawa 613-737-0895Conval-Aid Inc. Ottawa 613-738-2721Medigas - Ottawa Ottawa 613-737-7711Canadian Hearing Society, The Ottawa 613-521-0509Rehabilitation Centre Ottawa 613-737-7350Grundy & Associates Ottawa 613-725-3415Ampos Orthopaedics Ottawa 613-745-3173Quality Life Services Inc Ottawa 613-247-7554Shoppers Home Health Care 8494 Ottawa 613-725-0608Walking Mobility Clinic Ottawa 613-730-1015Bioped Orleans Inc Ottawa 613-837-6396Helix Hearing Care Ottawa 613-722-3056Katz, Mortimer, Allergy Clinic Ottawa 613-733-7202Ortho Medical Supplies Ottawa 613-742-5788Smith Prosthetic Services Ltd. Ottawa 613-739-9452C W G Footcare, Inc. Ottawa 613-723-5005Helix Hearing Care Centre Ottawa 613-737-8842Ontario Medical Supply Ltd. Ottawa 613-244-8620Vitalaire Canada Inc Ottawa 613-741-0200Bio Ped Foot Care Centre Ottawa 613-238-2212Connect Hearing Ottawa 613-567-4847Listen Up Canada Ottawa 613-727-3132Hayles Foot And Ankle Clinic Ottawa 613-792-3477The Sound Room (Ottawa) Inc. Ottawa 613-627-4700Inspiration Medic Ottawa 613-747-2468Helix Hearing Care Centre Ottawa 613-729-2424Listen Up Canada Ottawa 613-728-9170Bioped Barrhaven Ottawa 613-825-8205Podocanada Ottawa 613-746-9292Marianne's Ottawa 613-722-6614Rideau Orthotics Ottawa 613-241-3434Motion Specialties Ottawa Ottawa 613-739-4557Bryans Hearing Aids Ltd Owen Sound 519-376-4174Owensound Audiology Owen Sound 519-376-0887Vitalaire Canada Inc Owen Sound 519-371-6612Arsenault Lisa Owen Sound 519-371-1163Mackhall Mobility Procucts Inc Owen Sound 519-371-5999Parker Home Health Care Owen Sound 519-376-8252Dr.Alexander Marsh Medine Owen Sound 519-376-6558Medichair/Med-E-Ox Owen Sound 519-371-8001Listen Up Canada Owen Sound 519-371-4646Home Sleep Care Owen Sound 519-470-4900Home Sleep Care Paris 519-442-9284Sound Orthotics Inc Parry Sound 705-342-7728Sound Hearing Equipment Ltd Parry Sound 705-746-9012Sound Ideas Audiology Parry Sound 705-746-5500Heritage Hearing Care Inc. Pembroke 613-735-0776Marianhill Kiwanis Audiology Pembroke 613-735-6839Medigas - Pembroke Pembroke 613-732-4396Vitalaire Canada - Pembroke Pembroke 613-735-5813Sound Respiratory Care Perry Sound 705-746-1538Helix Hearing Care Centre Perth 613-267-5235Ashburnham Foot & Ankle Clinic Peterborough 705-741-4064Medigas - Peterborough Peterborough 705-742-5533Canadian Hearing Society, The Peterborough 705-743-1573




Kawartha Orthopaedic Services Peterborough 705-743-9462City Hearing Aid Centre Peterborough 705-743-1861Kawartha Regional Orthopedic Peterborough 705-745-1341Medichair - Trent Peterborough 705-740-2650Caravaggio Orthotic Clinic Peterborough 705-745-3051Accu Ped Orthotics & Footwear Peterborough 705-876-7713Shoppers Home Health Care 8471 Peterborough 705-743-5100Peterborough Orthotics Peterborough 705-742-6266Best Of Hearing Centre Peterborough 705-742-6134Helix Hearing Care Centre Peterborough 705-745-3244Medical Centre Hearing Serv. Peterborough 705-876-4555Bioped Peterborough Inc Peterborough 705-743-1447Listen Up Peterborough 705-741-2947Vitalaire Canada Inc. Peterborough 705-743-7483My Left Breast Peterborough 705-876-3333Listenup Canada Peterborough 705-741-2947Motion Specialties Peterborough 705-742-6185Walking Mobility Clinics Pickering 905-420-1015Home Lifecare Services Pickering 416-410-9550Bioped Pickering Pickering 905-686-2076Orthotics (Sarnia) Point Edward 519-332-0786Sarnia Home Respiratory Svcs Point Edward 519-332-5889Smith Optical - Hearing Aid Port Colborne 905-935-6607Complete Hearing Health Ltd Port Elgin 519-832-3900Vitalaire Canada Inc Port Hope 905-885-4554Home Health & Medical Supplies Renfrew 613-432-3846Mrc Healthcare Richmond Hill 905-709-2297Nguyen-Dang Hien Richmond Hill 416-462-5914Leckie Hearing Services Richmond Hill 905-883-1665Williams, Christopher Sarnia 519-383-0314Maczko Chiropody & Sarnia 519-337-9540Silhouettes Boutique Sarnia 519-337-8700Blue Water Family Hearing Sarnia 519-344-8887Shoppers Home Health Care Sarnia 519-344-9797Listen Up Canada Sarnia 519-344-3411Anatomic Orthopaedic Supply Sarnia 519-337-0929Lambton Audiology Associates Sarnia 519-542-0569Foot Care Centre Sarnia 519-337-0005Canadian Hearing Society, The Sarnia 519-337-8307Garrett Michael R Sarnia 519-383-6998Lambton Proresp Inc. Sarnia 519-332-3325Medical Motion Sarnia 519-383-9900Tender Touch Orthotics Sarnia 519-336-4000Active Ears Hearing Centre Inc Sarnia 519-337-2679Meridian Hearing Centre Sarnia 519-332-3307Medaesthetics Sarnia 519-337-6200Bioped - Sarnia Sarnia 519-337-8887Feet First Sault Ste Marie 705-949-7324Vitalaire Canada Inc Sault Ste Marie 705-942-7608Simard Foot & Ankle Clinic Sault Ste Marie 705-759-8525Hearing First Sault Ste Marie 705-253-6501Healing Art Centre Sault Ste Marie 705-256-8112Healthgear Medical & Safety Sault Ste Marie 705-949-4327Total Hearing Centre Sault Ste Marie 705-759-3659Algoma Hearing Centre Sault Ste Marie 705-575-2428Connect Hearing Sault Ste. Marie 705-253-0508Medigas - Sault Ste Marie Sault Ste. Marie 705-949-0570Sault Chiropody Clinic Sault Ste. Marie 705-256-8386Body First Sault Ste. Marie 705-949-2639Hearing First Sault Ste. Marie 705-942-4327Motion Specialties Sault Ste. Marie 705-254-1462Listenup Canada Sault Ste. Marie 705-759-7453Shoppers Home Health Care #490 Sault Ste-Marie 705-949-2524Shoppers Home Health Care#499 Scarborough 416-431-4621Eglinton-Kennedy Foot Clinic Scarborough 416-751-8066


Calmar Orthopaedics Scarborough 416-757-6296Hearing Aid Services Scarborough 416-438-6074Back 2 Feet Inc. Scarborough 416-335-3701Scarborough Proresp Inc. Scarborough 416-299-0223Comfort Stride Foot Clinic Scarborough 647-989-7794K. Sherkin Podiatry Scarborough 416-291-9901Cpap Direct Ltd Scarborough 416-298-6727Listenup Canada Scarborough 416-282-5574Instep Foot Clinic Scarborough 416-203-8563Eagle Orthopaedics Shannonville 613-968-3330Trillium Hearing Centre Simceo 519-426-2288Haldimand Norfolk Hearing Simcoe 519-428-1964Silver Cross Simcoe 519-426-0525Professional Mobility & Simcoe 519-428-0871Listen Up Canada Simcoe 519-428-1964Respiratory Homecare Solutions Simcoe 855-230-0202Ontario East Rehabilitation In Smith Falls 613-283-3636Niagara Prosthetics & Orthotic St Catharines 905-688-2553Shoppers Home Health Care 8472 St. Catharines 905-641-5200Orvitz S H St. Catharines 905-687-4979Vitalaire Canada Inc St. Catharines 905-641-8063Medsox St. Catharines 905-646-6352Listen Up Canada St. Catharines 905-682-5598Bio Ped Foot Care St. Catharines 905-685-7751Gait Maxx Foot Care Clinic Inc St. Catharines 905-934-4248Clarke Ventresca St. Catharines 905-685-6304Pedco Foot Care Clinic Inc. St. Catharines 905-704-1128Family Hearing Clinic Inc St. Catharines 905-938-2479Pro Resp Niagara St. Catharines 905-641-9838Hotel Dieu Shaver St. Catharines 905-685-1381Rexall #8213 St. Catharines 905-938-5138Motion Specialties St. Catharines 905-688-0420St. Catharines Hearing Clinic St. Catharines 905-227-7204Foot Clinic & Orthotic Centre St. Catharines 905-687-8982Listen Up Canada St. Thomas 519-633-3330Elgin Audiology Consultants St. Thomas 519-637-5925St. Thomas Hearing Clinic St. Thomas 519-633-1624Medigas St.Catharines 905-641-5272Connect Hearing St.Catharines 905-685-6185The Foot Clinic St.Catherines 905-684-5953Foot Dynamics St.Thomas 519-633-4198Elgin County Foot Services St.Thomas 519-631-0000Total Foot Solutions St.Thomas 519-637-5910Helix Hearing Care Centre Stittsville 613-836-3883Roger D. Newell Stoney Creek 905-662-5723Bio Ped Foot Care Centre Stoney Creek 905-662-1222The Chestnut Tree Stoney Creek 905-664-9498Shoppers Home Healthcare #8510 Stoney Creek 289-649-0827Hear Right Canada Stoney Creek 905-662-0781Connect Hearing Stoney Creek 905-664-5310Connect Hearing Stoney Creek 905-664-3033Shannon Bunnelt Stratford 519-272-1023Ontario Home Oxygen & Respira. Stratford 519-273-5770Horizon Pro Health Stratford 519-272-0202Alternative Hearing Aid Clinic Stratford 519-272-2600Foot Worx Strathroy 519-245-2200Resolution Rehab Strathroy 519-245-8100Listen Up Canada Strathroy 519-245-8406De Simone Foot & Ankle Centre Sudbury 705-560-3338Medigas - Sudbury Sudbury 705-566-9792Connect Hearing Sudbury 705-525-5528Medical Centre Foot Clinic Sudbury 705-523-5658Bergeron Hearing Aids Sudbury 705-671-3235Vitalaire Canada Inc Sudbury 705-566-1834Bio Ped Foot Care Centre Sudbury 705-523-0264




Sudbury Regional Hearing Serv Sudbury 705-674-3533Algonquin Foot Clinic Sudbury 705-523-2109Boreal Orthotics And Shoes Sudbury 705-522-4195Keizer's Hearing Clinic Sudbury 705-688-1400Medi Chair Sudbury Sudbury 705-525-7442Shoppers Home Health Care 8473 Sudbury 705-560-5190Sudbury Audiology Clinic Sudbury 705-673-2885Health Sciences North/Horizon Sudbury 705-523-7100Stewart James S Sudbury 705-674-7660The Orthotic Centre Sudbury 705-524-3315Canadian Hearing Society, The Sudbury 705-522-1020Bioped Timmins Sudbury 705-523-0264Sudbury Prosthetic And Sudbury 705-670-9990Northeastern Amputee And Sudbury 705-523-1642Professional Audiology And Sudbury 705-523-9000Northern Ontario Foot & Ankle Sudbury 705-673-7373Complete Healthcare Solutions Sudbury 705-523-9400Listen Up Canada Sudbury 705-670-8250Aquilon Foot Clinic Sudbury 705-222-3668Health Care Pharmacy Sudbury 705-560-6750Motion Specialties Sudbury Sudbury 705-522-0025Salzmann Teresa Thornhill 416-993-8987Hear After Thornhill 905-660-6228Bioped (Thornhill) Inc. Thornhill 905-882-2273St Joseph's Care Group Thunder Bay 807-343-2407Balanced Foot Care Thunder Bay 807-768-4040Brand New You Thunder Bay 807-345-7911Thunder Bay Orthopaedic Inc Thunder Bay 807-345-4665Expert Hearing Solutions Thunder Bay 807-345-4327Medichair Thunder Bay Thunder Bay 807-623-9110Shoppers Home Health Care Thunder Bay 807-345-6564Medigas - Thunder Bay Thunder Bay 807-345-8288Thunder Bay Chiropody Thunder Bay 807-346-8320Stride Orthopaedics & Footwear Thunder Bay 807-344-9608Bay View Foot Clinic Thunder Bay 807-346-0246Connect Hearing Thunder Bay 807-623-0322Northland Prosthetics Inc. Thunder Bay 807-344-0080Expert Hearing Solutions Thunder Bay 807-623-7877Superior Hearing Center Thunder Bay 807-346-0101Hear-Med Inc. Tillsonburg 519-688-0022Alternative Hearing Aid Clinic Tillsonburg 519-842-5500Northern Ontario Audiology Timmins 705-267-1472Vitalaire Canada Inc Timmins 705-268-5512Shoppers Home Health Care Timmins 705-268-6893The Foot Health & Timmins 705-531-3026Northern Allergy Services Timmins 705-264-7575Medigas - Timmins Timmins 705-268-0622D B Hearing Clinic Timmins 705-268-6698Medichair Northern Ontario Timmins 705-264-2299Ethier Hearing Clinic Timmins 705-360-6680The Orthotic Clinic Timmins 705-268-3338Motion Specialties Inc Timmins 705-360-1941Shoppers Home Health Care #495 Toronto 416-586-8709Toronto Eye Prosthetics Toronto 416-232-1089Occular Prosthetic Clinic Toronto 416-946-4588Academy Chiropractic Clinic Toronto 416-465-8737Hme Ltd Toronto 416-633-9333Klein, Ronald J Toronto 416-745-3338Hearing Aid Dispensary Toronto 416-586-4584Rosenberg Elliot L Dpm Toronto 416-461-6494Sleep Management Group Toronto 416-484-9880Listen Up Canada Toronto 416-920-7474Hear For Life Toronto 416-466-9866Walkrite Foot Clinic Toronto 416-227-9255Clarington/Gta Sleep Apnea Toronto 647-404-2581Agincourt Allergy Centre Ltd Toronto 416-499-2716Canadian Hearing Society, The Toronto 416-964-9595


Toronto Orthopaedic Appliance Toronto 416-766-6800Webb Ocular Prosthesis Toronto 416-921-4931Shoppers Home Health Care #496 Toronto 416-789-3368Shoppers Home Health Care 8476 Toronto 416-757-2011Canada Hearing Centre Ltd. Toronto 416-691-3305Cary A. Collis D.P.M. Toronto 416-690-6160Walking Mobility Clinic Toronto 416-929-1015Maritime Lab. Canada Ltd. Toronto 416-921-0268The Hospital For Sick Children Toronto 416-813-7073Sunnybrook Health Sciences Cen Toronto 416-480-4217Recovery Garment Centre Toronto 416-762-3327Step By Step Professional Toronto 416-214-4697Foot Care Centre Toronto 416-323-6020Union Hearing Aid Centre Ltd. Toronto 416-348-8913Pro Resp Toronto Toronto 416-798-0844Bioped Bayview Toronto 416-440-4189Prosthetic Energy Inc. Toronto 416-291-7434Listen Up Canada Toronto 416-591-9124The Hearing Source Toronto 416-463-4327Bloorview Kids Rehab Toronto 416-425-6220Bio Ped Beach Toronto 416-778-8853Sheppard Hearing Aid Toronto 416-630-2901Shoppers Home Healthcare #8458 Toronto 416-752-8885Canadian Medicalert Foundation Toronto 416-696-0142Ec Orthotics Toronto 416-363-0409Essential Respiratory Services Toronto 647-288-0350Medichair - Etobicoke Toronto 416-237-9654Foster Shoes And Pedorthics Toronto 416-757-5062Hear At Last Toronto 416-987-0280Hear Toronto Toronto 416-484-4327Motion Specialties Toronto Toronto 416-751-0400Quinte Foot Care Clinic Trenton 613-394-5454Hitchon's Hearing Centre Inc. Trenton 613-955-1000Quinte Cpap Inc Trenton 613-392-5082Tweed Hearing Centre Tweed 613-478-0022Helix Hearing Care Vanier 613-745-0862Bio Ped Footcare Centre Vaughan 905-851-4224Complete Healthcare Solutions Vaughan 416-663-5757Auditory Health Care Walkerton 519-881-4994Foot Works Waterloo 519-888-6274Home Sleep Care Waterloo 519-570-9600Audiology Services Waterloo 519-746-6940Connect Hearing Waterloo 519-741-9770Durham Audiometric Services Whitby 905-666-7726Medichair Durham Whitby 905-666-5001Durham Family Footcare Clinic Whitby 905-725-3849Clinical Orthotics Consultants Windsor 519-944-8340Windsor Allergy & Asthma Windsor 519-258-1577Bio Ped Foot Care Centre Windsor 519-973-1770Shoppers Home Health Care 8474 Windsor 519-252-2715Loewen Prosthetic Services Ltd Windsor 519-253-9797Pro Resp Windsor Windsor 519-254-0202Helix Hearing Care Centre Windsor 519-258-0622Helix Hearing Care Windsor 519-969-5222Kinetic Konnection, Inc. Windsor 519-258-4795Bio-Kinetics 2 Windsor 519-252-9500Hear For Life Windsor 519-250-6315Mcniece Tens Inc. Windsor 519-948-4004Windsor Regional Proresp Inc. Windsor 519-254-0202Maxim Medical Supplies Windsor 519-977-7200Total Hearing Centre Woodstock 519-537-2472Hear-Med Inc. Woodstock 519-537-8083Oxford Pro Health Woodstock 519-421-0222Action Medical Woodstock 519-533-0376




NEW-BRUNSWICKNorth Nova Hearing Centre Amherst 902-667-1710Lawtons Home Health Care #122 Amherst 902-667-1212Highland Hearing Clinic Limite Antigonish 902-863-0633Vitalaire Canada Inc. Bathurst 506-545-6743E. Arseneau Audiologist Inc Bathurst 506-546-3372Beltone The Hearing Aid Bedford 902-835-3494Bedford Orthotics Ltd Bedford 902-832-9292Professional Audiology Service Bedford 902-832-0888Bioped Bedford Bedford 902-832-3777Central Respiratory Care Botwood 709-293-4505South Shore Sleep Solutions Bridgewater 902-530-3290Lawtons Home Health Care #167 Bridgewater 902-527-5427Provincial Hearing Aid Service Bridgewater 902-543-5872Connect Hearing Bridgewater 902-543-0044Clinical Orthotic Services Inc Caanan Forks 506-387-6099Ortho M.L. Campbellton 506-759-1084Audiologie Campbellton Campbellton 506-789-0498Pierre Bujold Foot Centre Campbellton 506-789-7711Elias Elegant Silhouette Campbellton 506-789-0007Bujold Audio Campbellton 506-753-4316Home Safe Living Charlottetown 902-370-3792Maritime Asthma And Charlottetown 902-626-3376Murphys Home Health Charlottetown 902-628-1500Lawtons Home Health Care #882 Charlottetown 902-628-6611Atlantic Prosthetics Inc. Charlottetown 902-368-7767Respiratory Therapy Specialist Corner Brook 709-632-2693Aware Home Health Care Corner Brook 709-634-8066Island Orthotics Inc Corner Brook 709-634-0779Lawtons Home Health Care #143 Corner Brook 709-639-8971Newfoundland Hearing Health Corner Brook 709-634-1183National Shoe Orthotic Clinic Corner Brook 709-634-5603Restair Ltee Dalhousie 506-684-2051Respiratory Therapy Specialist Dartmouth 902-469-2693Hearing Institute Atlantic Dartmouth 902-482-2222Soles In Motion Dartmouth 902-468-7911Vitalaire Canada Inc Dartmouth 902-450-5162The Snore Shop Dartmouth 902-435-0298Connect Hearing Dartmouth 902-469-8409Lawtons Home Health Care #884 Dartmouth 902-434-4553Maritime Foothold Ortho Inc Dartmouth 902-434-3668Home Safe Living Dartmouth 902-404-7233Lawtons Rehab & Equipment #884 Dartmouth 502-480-3590Medigas Div Of Praxair Canada Dartmouth 902-468-7725Banfield Ocular Prosthetics Dartmouth 902-468-2610Centre Auditif Leblanc Dieppe 506-389-4327Equilibrum Maritime Dieppe 506-389-2552Able Orthotics Douglas 506-454-2253Centre De Sante Auditive Edmundston 506-735-7667Vitalaire Canada Inc. Edmundston 506-737-8552Audiologie Consultant A T Inc Edmundston 506-739-5505Specialiste En Ajustement De Edmundston 506-739-7103Biotech Orthotic Design Elmsdale 902-883-7521The Hearing Specialists Ltd Elmsdale 902-883-9562Arthritis & Injury Care Centre Fredericton 506-474-0340Vitalaire Canada Inc. Fredericton 800-561-2473Brunswick Podiatry Fredericton 506-472-3668Instep Orthotics Ltd Fredericton 506-454-9112Innovative Hearing Solutions Fredericton 506-452-2913Quality Respiratory Care Fredericton 506-453-7810River Valley Health Fredericton 506-452-5400Lawtons Home Health Care #117 Fredericton 506-450-4161Banfield Ocular Prosthetics Fredericton 506-451-2266Audiocorp Limited Fredericton 506-459-1883A R Menzies & Sons Ltd. Fredericton 506-458-8988

This list of providers is not exhaustive.NEW-BRUNSWICK

Vitalaire Canada Inc Fredericton 506-452-8680Respiratory Therapy Specialist Gander 709-256-2693C & D Medical Care Products Glace Bay 902-849-4700Exploits Hearing Aid Center Grand Falk Windsor 709-489-8900Health Quest-Central Inc Grand Falls Windsor 709-489-2111Beltone Audiology & Grand Falls-Windsor 709-489-8500Valley Podiatric Greenwood 902-765-3668Hearing Institute Atlantic Halifax 905-482-2222Hearing Institute Atlantic Halifax 902-482-2222The Snore Shop Inc. Halifax 902-422-1957Accurate Hearing Halifax 902-423-7734Lawtons Home Health Care # 163 Halifax 902-453-8852Provincial Hearing Services Halifax 902-455-3888Arthritis And Injury Care Halifax 902-442-5199Oh My Sole Footwear Limited Halifax 902-423-4244Curwin Health & Sport Halifax 902-423-4244Canadian Medicalert Foundation Halifax 866-679-3217Ns Rehabilitation Centre Halifax 902-473-1299Lifecare Respiratory Services Halifax 902-450-5664Medichair Halifax Halifax 902-455-4649Lawtons Home Health Care # 112 Halifax 902-455-4573Lawtons Home Health Care # 132 Halifax 902-422-3806Connect Hearing Halifax 902-429-4180Orthotics East Ltd Halifax 902-420-0610Atlantic Provinces Special Halifax 902-424-8500Scotia Atlantic Hantsport 902-482-3142Health Labrador Corporation Happy Valley-Goose Bay 709-897-2366Feet First Orthopedics Howie Center 902-371-3533Respiratory Therapy Specialist Kentville 902-681-2694Connect Hearing Kentville 902-678-5682Provincial Hearing Aid Service Kentville 902-678-2153Sole Provider Custom Orthotics Kentville 902-678-0020Marquin Orthotic Modification Kippens 709-643-4602The Physioclinic - Liverpool Liverpool 902-354-7004Hearing Institute Atlantic Lower Sackville 902-482-2222Sackville Hearing Centre Lower Sackville 902-865-4455Somerfield Philip Family Focus Lower Sackville 902-865-8185Atlantic Sleep Apnea Services Lower Sackville 902-864-6076Lawtons Home Health Care # 895 Lr. Sackville 902-864-3005Northeast Orthopedic Supplies Miramichi 506-622-4119Breatheasy Services Ltd Miramichi 506-773-7001Miramichi Hearing & Audio Inc. Miramichi 506-773-7111Miramichi Medical Supplies Ltd Miramichi 506-778-8811Quality Respiratory Care Mirimachi 506-622-9099Reseau De Sante Vitalite Moncton 506-862-3733Vitalaire Canada Inc. Moncton 506-857-9709Avant Sleep Moncton Moncton 506-382-1301Maritime Sleep Clinic & Moncton 506-384-7667Innovative Hearing Solutions Moncton 506-857-4252Natalie M. Price Preston Moncton 506-854-1117The Eastern Prosthetic Clinic Moncton 506-858-9667Ortho Solutions Moncton 506-388-2021Thera-Ped Moncton Moncton 506-382-3668Shoppers Home Health Care Moncton 506-388-9679Lawtons #833 Moncton Rehab Moncton 506-855-1874Bio Ped Moncton 506-389-3788Harding Medical Supplies Moncton 506-855-5200B N H Home Health Ltd. Moncton 506-384-3450Footech Inc. Moncton 506-854-7339Argus Hearing Centre Moncton 506-857-3223Alexander Hearing Center Moncton 506-384-4327Newfoundland Hearing Health Mount Pearl 709-745-5133Health Walks New Glasgow 902-755-9675Connect Hearing New Glasgow 902-755-6620Keays Home Health Care Centre New Glasgow 902-755-5020Beltone Professional New Glasgow 902-752-3115Family 1st Medical New Minas 902-681-0202


This list of providers is not exhaustive. NEW-BRUNSWICK


This list of providers is not exhaustive.NEW-BRUNSWICK

River Valley Hearing Clinics Oromocto 506-357-3222Sunset Residential & Rehab Plegwash 902-243-2571Assure Care Riverview 506-386-2274Medigas Saint John 506-657-2111Quality Respiratory Care Saint John 506-638-8401Audiocorp Limited Saint John 506-634-7136Thera-Ped Ltd. Saint John 506-657-0068Better Hearing Aid Center Saint John 506-642-2355Metro Health Services Inc Saint John 506-648-6150Orthopaedics Plus Ltd Saint John 506-633-1312Parrotts Hearing Clinic St. John''s 709-754-4884Respiratory Therapy Specialist St. John's 709-579-3749Eastern Medical Supplies Ltd. St. John's 709-754-7711Lawtons Home Health Care #843 St. John's 709-722-3171Health Quest Inc. St. John's 709-754-5944Atlantic Orthotics Ltd. St. John's 709-754-3368The Podiatry Associates Inc. St. John's 709-739-3338Maico Hearing Aid Services St. John's 709-722-6071Vitalaire Canada Inc St. John's 709-754-3036Beltone Hearing Service St. John's 709-726-8083Kin-Excel Fitness Centre Ltd. St. Peter's 902-535-2488Charlotte County Hearing St. Stephen 506-466-1648Lawtons Home Health Care #149 St.John 506-635-1126Lawtons Home Health Care #142 St.Johns 709-722-5460The Foot Clinic St.Johns 709-579-7975Banfield Artificial Eyes St.Johns 709-754-3937Peter Jordan Orthotic And Stephenville 709-643-3453Vitalaire Stratford 902-894-3724Lawtons Home Health Care #880 Summerside 902-432-3563Connect Hearing Summerside 902-432-8154Home Safe Living Sydney 902-564-0475Body Tech Prosthetics Sydney 902-567-7519Otarion Hearing Aid Centre Sydney 902-539-5881Advanced Mobility Orthopedic Sydney 902-270-4687Medigas Sydney 902-567-0882Lawtons Home Health Care #829 Sydney 902-539-7304Lawtons Home Health Care #150 Sydney 902-564-8200Podiatric Care Ltd Sydney 902-567-1727Marco Hearing Health Centre Sydney 902-567-2929Harding Medical Supplies Sydney 902-567-1144East Side Orthopaedic Sydney 902-539-7332Cape Breton District Health Sydney Mines 902-736-4402Cape Breton Hearing Services Sydney River 902-562-8900Chaussures Ortheses Mcgraw Tracadie Sheila 506-395-2280Maritime Hearing Solutions Inc Truro 902-897-4243Physio On Queen Truro 902-897-7040Macquarries Pharmasave Truro 902-897-4144Provincial Hearing Aid Truro 902-897-1046Lawtons Home Health Care # 875 Truro 902-896-0808Connect Hearing Truro 902-895-3277The Hearing Specialists Upper Tantallon 902-826-9712Wolfville Hearing Clinic Ltd Wolfville 902-542-0024Ritcey Hearing Woodstock 506-328-8723Innovative Hearing Solutions Woodstock 506-325-2725Connect Hearing Yarmouth 902-742-7349Medigas Yarmouth 902-742-8969Beltone Hearing Aid Service Yarmouth 902-742-7774