The Program for Devices That Compensate for a Physical Deficiency is intended for persons covered by the Québec Health Insurance Plan who have a motor deficiency.
To find out more, refer to the page Devices that compensate for a physical deficiency.
This form is used to apply for a reimbursement of the cost of supplies purchased from a provider that has not signed an agreement with RAMQ. Must be accompanied by the original invoices and proofs of payment, as well as a medical prescription in the case of a first application.
To find out more about the procedure, refer to the page Compression garments for lymphedema.
Note: You must save the claim form on your computer and open it with Adobe Acrobat Reader software.
Form 4258
This form is used to request a reduction in the financial contribution amount required for an adult being accommodated in a public health facility. For instructions for completing the form, use the Guide to the Application for Exemption or for Re-evaluation.
Form 4473
This Guide informs you of your obligations regarding the use of visual aids and accessories loaned to you for your various daily activities.
