Appliances for ostomates

Eligible persons

To qualify for the program, you must meet the following 2 conditions:

• Be insured by the Québec Health Insurance Plan
• Have undergone a permanent or temporary colostomy, ileostomy or urostomy

Amount granted

For each ostomy, the program provides for an annual lump-sum payment of:

• $1,443 for a permanent ostomy
• $962 for a temporary ostomy

The amount granted is intended for the purchase of your supplies (bags and other products) and their replacement. You have to pay the overcost if the amount of your invoice exceeds the lump-sum amount granted under the program. If you have private insurance, check with your insurer to find out if it covers the difference. This amount is indexed on January 1st of each year.

Specific conditions for a temporary ostomy

The amount for a temporary ostomy is granted as follows:

• Half of the lump-sum as soon as the application is admissible
• The other half 6 months after the date of surgery shown on file

Payments are then issued every 6 months. They end as soon as the stoma is closed.

Procedure for obtaining the lump-sum payment

Complete the online form when you apply for the first time or to notify us of a change from temporary to permanent.

Fill the online form

Required information

• Identity and contact information
• Health Insurance Number
• Information on the situation (nature and type of stoma, date of the operation)
• Information about the health professional who performed the operation

Receipt of the lump-sum payment

After registering with the program, you will automatically receive the lump-sum payment granted for the purchase and replacement of your appliances. We will mail the amount to the address that we have on file for you. For this reason, remember to notify us if you move.

Processing time

The usual processing time is 50 working days. We will contact you if your application is incomplete. Please call us only if the processing time is exceeded.

Claim slip (carnet de réclamation)

If you hold a valid claim slip (carnet de réclamation), we fully reimburse the purchase and replacement of your ostomy appliances. If the amount of your invoice exceeds the lump-sum amount granted under the program, complete the online form to register with the program. Within 12 months of the purchase, send us your detailed invoices and proof of payment to the following address:

We recommend that you keep a copy of the documents you send us.

An agreement may be concluded on a voluntary basis so that we pay the actual cost of the appliances directly to the provider. You can discuss the matter with the provider of your choice and then contact us to conclude the agreement, if applicable. Signing this agreement will terminate the automatic payment of all lump-sum payments.

Contents of your detailed invoices

Any detailed invoice must contain the following information:

• The name, address and telephone number of the business where the appliance was purchased
• The date of purchase
• A description of the appliance and its price
• Your first and last names