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Funding Sources


These are the primary organizations who provide financial support for prosthetic treatment (click on the name to go to the organization's website):


Alberta Aids to Daily Living (AADL)

  • Patient must have a prescription from a physician for orthotic treatment.
  • Patients are eligible for a new orthosis every two years at the discretion of the healthcare professionals. (Knee orthoses are replaced every four years)
  • Generally foot orthotics are not covered. AISH has special requirements prior to approving custom foot orthotics

 

Alberta Residents with valid AB Healthcare under the age of 65:

  • AADL will cover 75% of the cost of the orthosis
  • The patient portion is 25% to a maximum of $500/year

Alberta Residents with valid AB Healthcare over the age of 65:

  • AADL will cover 100% of the cost of the orthosis

Alberta Residents with valid AB Healthcare who are on a form of assisted living:

  • AADL will cover 100% of the cost of the orthosis

Workers’ Compensation Board (WCB)

  • Patient must have a prescription from a physician for orthotic treatment.
  • The Orthotist must fill out the appropriate paperwork for pre-approval (in writing) from the WCB Case Manager for orthotic treatment.
  • With pre-approval, orthotic treatment is covered 100%.


Non-Insured Health Benefits for First Nations and Inuit (NIHB)

  • Patient must have a prescription from a physician for orthotic treatment.
  • The Orthotist must fill out the appropriate paperwork for pre-approval (in writing) for orthotic treatment.
  • With pre-approval, orthotic treatment is covered 100%.

 

Department of Veterans Affairs Canada (DVA)

  • Patient must have a prescription from a physician for orthotic treatment.
  • The Orthotist must fill out the appropriate paperwork for pre-approval (in writing) for orthotic treatment.
  • With pre-approval, orthotic treatment is covered 100%.


 Private Health Insurance

  • Patient must have a prescription from a physician for orthotic treatment.
  • The Orthotist may have to provide an estimate or a justification letter.
  • Patients are required to pay up front and apply for reimbursement from the insurance company.