Simplifying the Funding Process
Your Guide to Coverage and Payment Options
We understand that navigating funding for orthotic treatments can be complex and sometimes stressful. At Ortho Dynamics, our goal is to make this process as simple as possible for you.
Funding for Your Orthosis
Funding for orthotic treatments may come from a combination of self-payment, private insurance, and/or government funding agencies. Depending on factors such as family income, level of disability, and age, some agencies may cover part or all of your orthotic device. All funding agencies require pre-authorization for funding. We will assist you in determining your funding eligibility and help you complete the required paperwork during your first appointment.
To qualify for funding, agencies and private insurers will need information about your orthosis, including a doctor’s prescription, materials used, and proof that it was provided by a Certified Orthotist. Some private insurers may require a pre-application with PharmaCare, as well as additional documents like a biomechanical assessment, which we can provide.
Payment Methods
We accept the following payment methods:
- Mastercard
- Debit
- Visa
- Certified Cheques
- Cash
- E-transfer
Government Funding Agencies
PharmaCare
PharmaCare provides funding for specific orthoses for eligible British Columbia residents under age 19. Most residents qualify for assistance through Fair PharmaCare, which is based on family income. Different plans provide various levels of support:
- Plan I: Requires a deductible based on family income.
- Plan C: Covers families on social assistance up to PharmaCare’s maximum for eligible orthoses.
- Plan F (At Home Program): For children with physical limitations affecting independence, providing coverage for certain orthoses when a doctor’s prescription is provided.
PharmaCare requires pre-authorization for coverage and does not cover 100% of orthotic costs. To check your registration with PharmaCare, contact 604-683-7151 (Vancouver) or 1-800-663-7100 (BC) or visit this link to register.
At Home Program
This program assists children under 18 with mobility limitations. The At Home Program may cover specific orthoses, shoes, or adjustments once per year. If eligible, we will assist with the application process.
Ministry of Social Development and Poverty Reduction (MSDPR)
For those over 18, the Ministry offers coverage for eligible orthoses. This funding requires pre-authorization, and approval may take several months, so we recommend starting the process early.
FNHA (First Nations Health Authority)
Funding under FNHA is available for eligible orthoses with no age restrictions. A doctor’s prescription and pre-authorization are required, and the orthosis must be provided by a Certified Orthotist.
Non-Governmental Funding Organizations
Several organizations provide funding assistance for orthoses, especially for children. While we mainly work with a few key organizations, we are happy to help connect patients with other relevant programs as needed.
Variety - Children’s Charity of BC
Parents or legal guardians must apply, and our office will provide required documentation, such as letters and estimates.
Spina Bifida and Hydrocephalus Association of British Columbia
This organization helps with costs not covered by other funding sources, up to $1,500 CAD, for those with Spina Bifida.
Extended Health Insurance
Our office cannot bill insurance companies directly. Patients will need to pay for their orthosis and then submit the receipt for reimbursement. We recommend applying to your insurance for a preapproval early to avoid delays in reimbursement. We can provide you with a cost estimate for this process. They will also require a prescription.
Financial Policy
At your first appointment, we’ll provide a cost estimate for your orthosis and discuss payment options. Patients are responsible for any remaining balance not covered by funding agencies or insurance. Payment is due upon receipt of the orthosis unless other arrangements are made. Our Office Manager is available to help you choose a payment option that best suits your needs.