Difference between revisions of "Welfare and Health Supplements (21:X)"

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== I. Medical equipment and devices ==
== I. Medical equipment and devices ==


Where a person meets eligibility criteria (see s 67 of the EAR and s 62 of the EAPWDR), the Ministry may provide funding for certain medical equipment and devices. The devices and eligibility criteria are listed in s 2(3) of Schedule C of each regulation. The devices may include:
Where a person meets eligibility criteria (see s 67 of the EAR and s 62 of the EAPWDR), the Ministry may provide funding for certain medical equipment and devices. Sections 3 through 3.12 of Schedule C of each regulation list the devices and eligibility criteria. The devices may include:  
*canes, crutches, and walkers;  
*canes, crutches, and walkers;  
*wheelchairs;  
*wheelchairs;  
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*positioning items on a bed, positioning chairs, and standing frames;   
*positioning items on a bed, positioning chairs, and standing frames;   
*ventilator supplies;  
*ventilator supplies;  
*orthoses;  
*orthoses; and
*and hearing aids.  
*hearing aids.  


'''NOTE:''' In order to qualify for these supplements, a prescription from a qualified medical practitioner must be supplied and the cost must be pre-approved by the Ministry. There are very detailed eligibility criteria that must be met for each item requested.  
'''NOTE:''' In order to qualify for these supplements, a qualified medical practitioner must supply a prescription and the cost must be pre-approved by the Ministry. The Ministry provides very detailed eligibility criteria in Schedule C of both Regulations.


See Schedule C of both Regulations for details.  
See Schedule C of both Regulations for details.  
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== J. Medical and Surgical Supplies ==
== J. Medical and Surgical Supplies ==


Certain “disposable or reusable” medical supplies may be provided if they are necessary to prevent the recipient from becoming very ill (to avoid what the Ministry calls “an imminent and substantial danger”) and if they are prescribed by a doctor. See s 2(1)(a) of Schedule C of each Regulation.
Certain “disposable or reusable” medical supplies may be provided if they are necessary to prevent the recipient from becoming very ill (to avoid what the Ministry calls “an imminent and substantial danger”) and if a doctor prescribes them.   See s 2(1)(a) of Schedule C of each Regulation.  


The supplies are only available if they are needed for one of these following purposes: wound care; ongoing bowel care required due to loss of muscle function; catheterization; incontinence; skin parasite care; or limb circulation care.  
The supplies are only available if an applicant needs them for one of these following purposes: wound care; ongoing bowel care required due to loss of muscle function; catheterization; incontinence; skin parasite care; or limb circulation care.


The supplies must be the least expensive ones appropriate for the purpose. Exclusions to this list include: nutritional supplements, food, vitamins and minerals, and prescription medications.
The supplies must be the least expensive ones appropriate for the purpose. Exclusions to this list include nutritional supplements, food, vitamins and minerals, and prescription medications


== K. “Direct and Imminent Life-Threatening Health Need” ==
== K. “Direct and Imminent Life-Threatening Health Need” ==


Section 76 of the EAR and s 69 of the EAPWDR provide that the Ministry may provide certain health supplements to a person who is otherwise ineligible for the supplements (or indeed, for welfare benefits), if the person can show that the person faces an '''imminent and life threatening need''' that cannot be addressed except by the supplement. See the Regulations for details.
Section 76 of the EAR and s 69 of the EAPWDR provide that the Ministry may provide certain health supplements to a person who is otherwise ineligible for the supplements (or indeed, for welfare benefits), if the person can show that the person faces an '''imminent and life-threatening need''' that cannot be addressed except by the supplement. See the Regulations for details.  


== L. Alternative and Complementary Therapies ==
== L. Alternative and Complementary Therapies ==


Up to 12 visits per calendar year are payable by the minister for any combination of physiotherapy services, chiropractic services, massage therapy services, non-surgical podiatry services, naturopathy services, and acupuncture services for which a medical practitioner or nurse practitioner has confirmed an acute need. See Schedule C, s 2 of each Regulation, especially s 2(c).
Up to 12 visits per calendar year are payable by the minister for any combination of physiotherapy services, chiropractic services, massage therapy services, non-surgical podiatry services, naturopathy services, and acupuncture services for which a medical practitioner or nurse practitioner has confirmed an acute need. See Schedule C, s 2 of each Regulation, especially s 2(c).  


== M. Transportation to Medical Appointments ==
== M. Transportation to Medical Appointments ==


Under Schedule C, s 2(f) of each Regulation, the Ministry may cover the cost for the least expensive mode of transportation to and from the office of a local medical practitioner, nurse practitioner, specialist, general hospital, rehabilitation hospital, provided that:  
Under Schedule C, s 2(f) of each Regulation, the Ministry may cover the cost for the least expensive mode of transportation to and from the office of a local medical practitioner, nurse practitioner, specialist, general hospital, rehabilitation hospital, provided that:  
*the transportation is to enable the person to receive a benefit under the ''Medicare Protection Act'' or a general hospital service under the ''Hospital Insurance Act'';  
*The transportation is to enable the person to receive a benefit under the ''Medicare Protection Act'' or a general hospital service under the ''Hospital Insurance Act''; AND
*and there are no resources available to the person's family unit to cover the cost.
*There are no resources available to the person's family unit to cover the cost.




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