ADP & INSURANCE
Is
there any government funding?
Yes. The Assistive Devices
Program (ADP) is an Ontario Government program set up to assist the funding of
the prosthesis for residents of Ontario with OHIP coverage. You can receive a
maximum of $195.00 for a full breast prosthesis or $105.00 for a partial breast
prosthesis. The government does not fund bras, temporary breast prosthesis,
silicone nipples or breast implants. After you have paid in full for your
breast form, you may print the application form off the ADP website at
www.health.gov.on.ca or obtain an application form by contacting the ADP
directly. The phone number for the ADP in Toronto is 416-327-8804 or toll-free
1-800-268-6021. We also have forms at our store for your convenience.
What
if I have private insurance?
Before coming for your fitting,
check with your insurance provider about their coverage for surgical bras,
surgical swimwear, support garments and breast prosthesis. Your private
insurance company will usually pay for the balance of the breast form that the
ADP does not cover (less the deductible). They will often cover a certain
number of surgical bras per year as well.
Will
the ADP only cover my first prosthesis?
No. The ADP will fund your
prosthesis every two years if a new one is required. Many women will have their
prosthesis for two years or more before it fails (the prosthesis may split
after wear and tear). If, during the two years, you require a new breast
prosthesis because your body size or shape changes or you have a change in your
medical condition, you may apply once for a replacement.
Does
the ADP pay for my bras?
No. The ADP does not provide
funding for any types of bras, only the prosthesis.
More
Questions?
Please
feel free to contact us at Lovely Lingerie Woodbridge anytime if you have any other
questions. We are happy to schedule an appointment for a consultation to
address your personal concerns as well.
