A-29, r. 4 - Regulation respecting devices which compensate for a physical deficiency and are insured under the Health Insurance Act

Section 68 Disposition versions

2012-09-01

68. The Board assumes the cost of purchase, fitting, replacement or repair of a device that is determined to be insured or of one or a combination of its components or supplements, where a written medical prescription indicates the need, in accordance with section 70, to furnish an insured person with such a device, component or supplement, or such service.

The written medical prescription shall be produced by one of the following persons:

(1)  a physician specializing in orthopedics, physiatry, neurology, rheumatology, in geriatrics or neurosurgery; or

(2)  a general practitioner or a physician specializing in pediatrics who holds specific privileges for that purpose in a hospital or in a rehabilitation centre that offers technical aid services for persons with motricity impairment and is operated by an institution holding a permit issued by the Minister under section 437 of the Act respecting health services and social services (chapter S-4.2) or section 136 of the Act respecting health services and social services for Cree Native persons (chapter S-5), or whose designation by the agency has been approved by the Minister of Health and Social Services in accordance with section 71;

(3)  a physician specializing in cardiology or pneumology, in respect of an insured person referred to in subparagraph 3 of the first paragraph of section 53.

Notwithstanding the foregoing, a prescription is not required where the insured person’s physical condition has not changed and where a fitting, preventive adjustment or repair is to be made to extend the use of a device, or where the device is to be replaced in accordance with the original medical prescription.

The expressions “hospital” and “rehabilitation centre for persons with motricity impairment” have the same meaning, in each case, as the meaning assigned by the Health Insurance Act (chapter A-29), the Act respecting health services and social services (chapter S-4.2) or the Act respecting health services and social services for Cree Native persons (chapter S-5) to the extent that it applies to the territory of the Cree Board of Health and Social Services of James Bay, in accordance with the law or laws that apply.

O.C. 612-94, s. 68; O.C. 1334-98, s. 34; O.C. 999-2002, s. 1; O.C. 1092-2011, s. 7.