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List of frequently asked questions about costs billed that are covered by health insurance or in connection with a covered service.

Do you disagree with any other decision rendered by RAMQ? You have 6 months to contest the decision by filing an application for review.

Form 4185

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