PharmaCare helps eligible B.C. residents with the cost of pre-approved prostheses needed to attain or maintain basic functionality.
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A prosthetic device provider determines your needs. If required, the prosthetist, or orthotist in the case of a transmetatarsal prosthesis, submits an Application for Financial Assistance to PharmaCare ("the application") for pre-approval of coverage for the device, supplies, or service, on your behalf.
PharmaCare reviews the application and determines the maximum amount it will cover. The amount PharmaCare actually reimburses depends on your plan rules, including any annual deductible. You are responsible for paying any remaining cost.
Time and quantity limits may apply to all prosthetic benefits. These limits are different for each item; please talk to your device provider for details.
To be eligible you must be covered by one of the following PharmaCare plans:
Note: you must have PharmaCare coverage in place before your device provider dispenses your device.
PharmaCare covers basic functionality prostheses, supplies, and services for
PharmaCare does not cover prostheses for individual toes or fingers. Some limits apply.
PharmaCare covers custom ocular prostheses and polishing provided by certified ocularists. Some limits apply.
PharmaCare does not cover:
The program covers repairs and replacements only if they:
Note: all repairs and replacements of $400 or more require PharmaCare pre-approval. There are time and quantity limits for repairs and replacements. Your provider can help you determine which repairs and replacements are covered.
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