Funding Options - Orthotics
Third Party Insurance (Pacific Blue Cross, Canada Life ,Greenshield, etc)
Key requirements:
Prescription from your doctor with diagnosis
An estimate for the device if you are applying for pre-approval
A paid invoice if you are submitting a claim
Appropriate claim form from insurance company
Vancouver Prosthetics and Orthotics can direct bill Greenshield, depending on your plan, and Pacific Blue Cross if the claim is over $1000 and we receive pre-approval
If you receive a denial for your application, contact our office because the insurance company may need more information.
Ministry of Social Development and Poverty Reduction
The process of funding applications:
Must be registered with the Ministry of Social Development and Poverty Reduction or Persons with Disabilities (PWD)
Fill out Section 1 of form HR2894
Have your doctor fill out Section 2
Have an assessment with a Certified Orthotist
The Certified Orthotist will fill out Section 3 and submit it to the Ministry program
If approved, they will contact the patient and our office
If denied, they only contact the patient. If you receive any information about your claim, please contact our office
Once approved, we can continue the process of distributing the device to you, whether that be a fitting appointment for an off-the-shelf device or a casting appointment for a custom device
Worksafe BC
Key requirements:
A worksafe BC claim number and open claim
An assessment with a Certified Orthotist
The Orthotist will submit the pre-authorization for the device. Once approved, the device can be dispensed to the patient.
ICBC
Key requirements:
ICBC claim number, adjudicator name and contact information
Prescription from a doctor with diagnosis
Assessment with a Certified Prosthetist
The prosthetist will submit the claim form for the device. Once approved, the device can be dispensed to the patient.
BC Pharmacare
BC Pharmacare is only accessible for individuals under the age of 18. Vancouver Prosthetics and Orthotics will direct bill on your behalf after an assessment by a Certified Orthotist. PharmaCare reimbursement is dependent on your plan rules, including any annual deductible requirement. The deductible amount is based on your combined family income and resets the 1st of January each year.
BC Pharmacare does not cover foot orthotics or upper extremity orthotics.
Key requirements:
Enrolled in BC Medical Services Plan (MSP)
Prescription from doctor with diagnosis
Assessment by a Certified Orthotist
