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Ministry of Health British Columbia – PharmaCare Prosthetics and Orthotics Program

* age ranges tend to vary depending on program

BC resident
For prostheses, must be covered by one of the following PharmaCare plans: Fair PharmaCare, Plan B (Residential Care), Plan C (BC Income Assistance), or Plan F (At Home Program)
For orthoses, must be 18 years of age or younger and covered by one of the following PharmaCare plans: Fair PharmaCare, Plan C (BC Income Assistance), or Plan F (At Home Program)

Program covers pre-approved prostheses and supplies for eligible patients of any age, and pre-approved orthoses for eligible patients age 18 or younger
Covers repairs if they are for devices covered by PharmaCare when bought, not covered by a warranty, help attain or maintain basic functionality, and extend the useful life of device
May cover replacements of device

If appropriate, the orthotist submits an Application for Financial Assistance to PharmaCare for pre-approval for the orthosis on the child's behalf
For prostheses, a physician completes a prescription, and then a detailed request for approval is submitted to PharmaCare by the prosthetist
If the cost is less than $400 and the applicant is covered under Fair PharmaCare, the claim shall be sent directly to PharmaCare (if on another PharmaCare plan, the supplier will send the claim on the applicant's behalf)
For costs more than $400, PharmaCare pre-approval is required (the prosthetic or orthotic supplier will submit an Application for Financial Assistance to PharmaCare on the applicant's behalf)

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