Who covers the costs of a prosthesis
If you have private insurance, the amount of reimbursement depends on your specific contract. If the contract covers reimbursement for the prosthesis, you may need a physician's prescription. If your health insurance rejects the application for reimbursement, you may appeal the decision.
The reimbursement process
After the consultation, the prosthetist takes care of the application for reimbursement. He will prepare a cost estimate for the prosthesis and submit it to the respective paying party. The The paying parties include Provincial funding agencies, Worker’s Compensation Board, NIHB (Non-Insured Health Benefits Program), Health Insurance, Automobile Insurance, and Charitable Organizations:
When the costs for the prosthesis are not covered
Sometimes reimbursement for your prosthesis is not approved. The medical supply company will then receive notification of rejection. If this happens, you can appeal the decision.