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Prosthetics

Per type of prostheses

  • Enhanced plan: 100% coverage
  • Core plan: 70% coverage

Breast Prostheses 

Every calendar year (January to December), you and your dependants each have a maximum of $400 per breast towards the purchase of breast prostheses, including an additional $200 maximum per year for mastectomy bras.

Exclusion(s): 

  • Repairs

Eye Prostheses 

Based on a rolling 3-year period, you and your dependants each have a maximum of $2,110 towards the purchase and/or repair of eye prostheses.

Larynx Prostheses 

Based on a rolling 3-year period, you and your dependants each have a maximum of $2,000 towards the purchase and/or repair of larynx prostheses.

Limb Prostheses

Based on a rolling 3-year period, you and your dependants each have a combined maximum of $15,000 per limb towards the purchase, repair and/or replacement of prosthetic limbs, myoelectric limbs and stockings.

Exclusion(s):  

Adults are restricted to no more than one replacement per limb on a rolling 3-year period. Dependants under the age of 18 are still subject to the $15,000 per limb maximum but are covered for more than one prosthesis per limb.

Rehabilitation specialist guiding prosthetic limb user through balance and walking exercises in a modern therapy facility

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