SCHEDULE I (s. 1) TARIFF FOR VISUAL DEVICES AND INSURED REALTED SERVICES

Transcription

1 SCHEDULE I (s. 1) TARIFF FOR VISUAL DEVICES AND INSURED REALTED SERVICES

2 Document produced by the Régie de l assurance maladie du Québec and published on its website Legal deposit Library and Archives Canada, 2011 ISSN Québec, May 30, 2011

3 PART I: CATEGORIES AND TYPES OF AIDS INSURED FOR ALL PERSONS WITH A VISUAL DEFICIENCY...1 DIVISION I: READING AIDS...1 DIVISION II: WRITING AIDS...6 DIVISION III: MOBILITY AIDS...7 DIVISION IV: COMPUTER AIDS...9 SUBDIVISION I: AIDS FOR THE PRINT MAGNIFICATION METHOD OF COMMUNICATION 9 SUBDIVISION II: AIDS FOR THE SOUND METHOD OF COMMUNICATION...10 SUBDIVISION III: AIDS FOR THE BRAILLE METHOD OF COMMUNICATION...11 DIVISION V: AIDS FOR DAILY AND DOMESTIC LIFE...12 SUBDIVISION I: RENEWABLE AIDS...12 SUBDIVISION II: ONE-TIME AIDS...14 SUBDIVISION III: RENEWABLE HEALTH AIDS...15 PART II: CATEGORIES AND TYPES OF AIDS INSURED FOR PERSONS WITH A VISUAL DEFICIENCY REFFERED TO IN SECTION 26 OF THE REGULATION RESPECTING INSURED VISUAL AIDS AND RELATED SERVICES...16 DIVISION I: COMPUTER AIDS...16 SUBDIVISION I: AIDS FOR THE PRINT MAGNIFICATION METHOD OF COMMUNICATION...16 SUBDIVISION II: AIDS FOR THE SOUND METHOD OF COMMUNICATION...17 SUBDIVISION III: AIDS FOR THE BRAILLE METHOD OF COMMUNICATION...18 DIVISION II: READING, WRITING AND MOBILITY AIDS...19 SUBDIVISION I: READING AIDS...19 SUBDIVISION II: WRITING AIDS...21 SUBDIVISION III: MOBILITY AIDS...22 PARTE III: UNINSURED VISUAL AIDS WHOSE COST HAS ALREADY BEEN REIMBURSED BY THE RÉGIE, BY A PROGRAM REPORTING TO THE MINISTER OF HEALTH AND SOCIAL SERVICES OR BY THE INSURED PERSON FOR REPAIR PURPOSES...23 PART IV: MAXIMUM HOURLY RATE FOR THE REPAIR OF INSURED VISUAL AIDS...26

4

5 PART I: CATEGORIES AND TYPES OF AIDS INSURED FOR ALL PERSONS WITH A VISUAL DEFICIENCY DIVISION I: READING AIDS Maximum purchase or price Maximum price used to establish repair costs for reassigned aids only 1. Hearing aid 182 a. Single-function digital reader b. Digital reader with advanced functions c. Hand-held single-function digital reader with a recording mode 184 d. Digital reader software Component: 186 Memory card for hand-held digital reader Supplements: 187 Earphones Carrying case Microphone Vocal note taking device 190 a. Hand-held vocal note taking device Split-lens with additions greater than four (4) diopters Component: 361 Frame Adapted electronic calculator 401 a. Sound model, French, single-function b. Sound model, English, single-function c. Large-print model, single-function Yellow filter sheet Contact lens (left or right) Contact lens with artificial pupil (left or right) Updated: June 2,

6 Fresnel lens Components: 461 Carrier lenses (left and right) Frame Microscopic lens 300,00 Component: 391 Frame Filtering lens 393 a. Non-prescription tinted filtering lenses, with frame b. Prescription tinted filtering lenses c. Non-prescription photochromic filtering lenses d. Prescription photochromic filtering lenses Component: 258 Frame (for prescription tinted model and for prescription and non-prescription photochromic models) Magnifier 433 a. Pocket model b. Hand-held model c. Fixed-focus model d. Adjustable-arm illuminated model Component: 436 Appropriate support for fixed-focus magnifier Supplement: 352 Auxiliary lens for adjustable-arm illuminated model e. Magnifier Supplement: 351 Appropriate support f. Hand-held model Obturator Occluder Fresnel prism Updated: June 2, 2011

7 Components: 471 Lenses Frame Reading stand 256 a. Table-top model b. Adjustable-arm model Microscopic optical system 320 a. Monocular model b. Binocular model Components: 303 Carrier lenses (left and right) Frame Supplement: 302 Contact lens (left or right) Telescopic optical system 310 a. Binocular b. Monocular 3x c. Monocular 4x d. Monocular 5x e. Monocular 6x f. Monocular 7x g. Monocular 8x h. Monocular 6 x i. Monocular 7 x j. Monocular 10 x k. Monocular 10 x l. Monocular 8 x m. Monocular 4 x n. Monocular 4 x o. Monocular with prescription 1, p. Binocular with prescription 1, q. Monocular, other Components: 303 Carrier lenses (left and right) Frame Updated: June 2,

8 Supplement: 302 Contact lens (left or right) Video magnifier 840 a. Self-contained power supplied model, small screen b. Mini-camera model, no screen 1, c. Standard-screen model 1, d. Large-screen model 2, Reassignable video magnifiers 281 e. Camera model, free-standing 1, f. 14 in. to 17 in. monochrome model 2, g. 14 in. to 17 in. monochrome model with reading 2, functions 284 h. 14 in. to 17 in. two-colour model with reading 2, functions 285 i. Large-screen monochrome model with reading 2, functions 286 j. 19 in. large-screen, two-colour model with reading 3, functions 287 k. 14 in. colour model with reading functions 3, l. Large-screen colour model with reading functions 3, m. Portable monochrome model 3, n. Colour model, thin screen 4, o. Portable colour model, with or without SVGA 3, p. Video magnifiers assignable pursuant to section 15 of the Regulation respecting insured visual aids and related services N/A Supplements: 202 Height-adjustment device Support Reassignable valorized video magnifiers 279 q. Monochrome model (voyageur 14 in.) Optional component: 177 Cathode ray screen r. Voyageur XL model (camera and original 19 in monitor) 681 s. Voyageur XL model (camera and original 15 in monitor) 682 t. Vantage model Updated: June 2, 2011

9 Optional component: 175 Original 15 in. monitor u. Lumina model 1, Pinhole disk Typoscope Visor Other reading aids S.C. Updated: June 2,

10 DIVISION II: WRITING AIDS Maximum purchase or price Maximum price used to establish repair costs for reassigned aids only 23. Brailler 591 a. Bimanual mechanical model 1, b. Jumbo mechanical model 1, Component: 511 Extension keys Supplement: 552 Carrying case Other writing aids S.C. 6 Updated: June 2, 2011

11 DIVISION III: MOBILITY AIDS Maximum purchase or price Maximum price used to establish repair costs for reassigned aids only 25. Cane 601 a. Long sensing cane, folding b. Long sensing cane, rigid Supplements: 603 Rubber tip Roller Door detector 860 a. Sound model Electronic obstacle detector 820 a. Hand-held tactile model b. Neck-mounted tactile model 1, Acquisition costs for a guide dog Annual maintenance costs for a guide dog 1, Mobility lamp Night vision goggle 4, Telescopic optical system 310 a. Binocular b. Monocular 3x c. Monocular 4x d. Monocular 5x e. Monocular 6x f. Monocular 7x g. Monocular 8x h. Monocular 6 x i. Monocular 7 x j. Monocular 10 x k. Monocular 10 x l. Monocular 8 x m. Monocular 4 x n. Monocular 4 x Updated: June 2,

12 362 o. Monocular with prescription 1, p. Binocular with prescription 1, q. Monocular, other Other mobility aids S.C. 8 Updated: June 2, 2011

13 DIVISION IV: COMPUTER AIDS SUBDIVISION I: AIDS FOR THE PRINT MAGNIFICATION METHOD OF COMMUNICATION Maximum purchase or price Maximum price used to establish repair costs for reassigned aids only 34. Print magnification software 501 a. Model without speech synthesis b. Model with speech synthesis c. Under Windows, French d. Under Windows, English Monitor 503 a. Large-screen model b. Extra-large-screen model c. 19 in. model d. 21 in. model 1, Adjustable-arm support 505 a. Adjustable-arm support b. For 17 in. and 19 in. monitors c. For other monitors Other aids for the Print Magnification method of communication S.C. Updated: June 2,

14 SUBDIVISION II: AIDS FOR THE SOUND METHOD OF COMMUNICATION Maximum purchase or price Maximum price used to establish repair costs for reassigned aids only 38. Screen reader software 507 a. French version 1, b. English version 1, c. Under Windows, French 1, d. Under Windows, English 1, Print recognition unit 607 a. Software, French version 1, b. Software, English version 1, c. Off-line model 1, Component: 624 Digitizer (software, French and English versions) d. French model e. English model f. Bilingual model Other aids for the Sound method of communication S.C. 10 Updated: June 2, 2011

15 SUBDIVISION III: AIDS FOR THE BRAILLE METHOD OF COMMUNICATION Maximum purchase or price Maximum price used to establish repair costs for reassigned aids only 41. Braille display 278 a. Outdated model N/A 529 b. Model that can be assigned pursuant to section 22 of the Regulation respecting insured visual aids and related services N/A 42. Screen reader software 507 a. French version 1, b. English version 1, c. Under Windows, French 1, d. Under Windows, English 1, Print recognition unit 607 a. Software, French version 1, b. Software, English version 1, c. Off-line model 1, Component: 624 Digitizer (software, French and English versions) d. French model e. English model f. Bilingual model Other aids for the Braille method of communication S.C. Updated: June 2,

16 DIVISION V: AIDS FOR DAILY AND DOMESTIC LIFE SUBDIVISION I: RENEWABLE AIDS Maximum purchase or price Maximum price used to establish repair costs for reassigned aids only Arithmetic frame Component: 711 Cubarithm Adapted geometry kit Adapted labeller 713 a. Braille model b. Sound model Magnifying mirror Adapted watch 716 a. Braille model Sound level Inclined reading stand Adapted protractor 719 a. Large-print model b. Braille model Pocket Braille frame Adapted tape measure 722 a. Large-print model b. Sound model c. Tactile model Tape holder for brailler Braille slate (letter size) 726 a. Letter-size model Updated: June 2, 2011

17 Other renewable aids S.C. Updated: June 2,

18 SUBDIVISION II: ONE-TIME AIDS Maximum purchase or price Maximum price used to establish repair costs for reassigned aids only Adapted plate Adapted knife with guide Liquid level sound detector Check guide Dedicated accent reading lamp, without magnifier Adapted food scale 745 a. Large-print model b. Sound model c. Tactile model Adapted pedometer Adapted wallet Adapted alarm clock 750 a. Large-print model b. Sound model c. Tactile model Syringe stand Adapted meat thermometer Other one-time aids S.C. 14 Updated: June 2, 2011

19 SUBDIVISION III: RENEWABLE HEALTH AIDS Maximum purchase or price Maximum price used to establish repair costs for reassigned aids only Talking blood glucose monitor Adapted bathroom scale 771 a. Large-print model b. Sound model Talking blood pressure clamp Talking personal thermometer Other renewable health aids S.C. Updated: June 2,

20 PART II: CATEGORIES AND TYPES OF AIDS INSURED FOR PERSONS WITH A VISUAL DEFICIENCY REFFERED TO IN SECTION 26 OF THE REGULATION RESPECTING INSURED VISUAL AIDS AND RELATED SERVICES DIVISION I: COMPUTER AIDS SUBDIVISION I: AIDS FOR THE PRINT MAGNIFICATION METHOD OF COMMUNICATION Maximum purchase or price Maximum price used to establish repair costs for reassigned aids only 1. Computer 512 a. Desktop model with system software 1, b. Portable model with system software 2, Components: 514 Standard printer Office software, regular price Office software, student price Supplement: 518 Carrying case for portable model Other aids for the Print Magnification method of communication S.C. 16 Updated: June 2, 2011

21 SUBDIVISION II: AIDS FOR THE SOUND METHOD OF COMMUNICATION Maximum purchase or price Maximum price used to establish repair costs for reassigned aids only 3. Computer 512 a. Desktop model with system software 1, b. Portable model with system software 2, Components: 514 Standard printer Office software, regular price Office software, student price Monitor for desktop model Supplement: 518 Carrying case for portable model Screen reader control keyboard Speech synthesis software Other aids for the Sound method of communication S.C. Updated: June 2,

22 SUBDIVISION III: AIDS FOR THE BRAILLE METHOD OF COMMUNICATION Maximum purchase or price Maximum price used to establish repair costs for reassigned aids only 7. Computer 512 a. Desktop model with system software 1, b. Portable model with system software 2, Components: 514 Standard printer Office software, regular price Office software, student price Monitor for desktop model Supplement: 518 Carrying case for portable model Screen reader control keyboard Braille display 522 a. 59-cell or less model, with cable 3, b. 59-cell or less model, without cable 4, c. 60-cell or more model 8, d. Personal assistant display 6, Dedicated Braille communication computer system 9, Braille printer 4, Braille shortening software 525 a. Braille shortening software b. Under Windows c. Under Macintosh 1, Speech synthesis software Other aids for the Braille method of communication S.C. 18 Updated: June 2, 2011

23 DIVISION II: READING, WRITING AND MOBILITY AIDS SUBDIVISION I: READING AIDS Maximum purchase or price Maximum price used to establish repair costs for reassigned aids only 15. Hearing aid 181 a. Multiple-function digital reader with a recording mode 1, Component: 186 Memory card for hand-held digital reader Supplements: 187 Earphones Carrying case Microphone Adapted scientific calculator 402 a. Sound model, French b. Sound model, English c. Large-print model Reading stand 269 a. Free-standing model Telemicroscopic optical system 370 a. Monocular model 1, b. Binocular model 2, Components: 303 Carrier lens (left and right) Frame Supplement: 302 Contact lens (left or right) Updated: June 2,

24 19. Video magnifier 850 a. Self-contained power supplied model, large screen 2, b. Computer-compatible model 2, c. SVGA model, other 4, Other reading aids S.C. 20 Updated: June 2, 2011

25 SUBDIVISION II: WRITING AIDS Maximum purchase or price Maximum price used to establish repair costs for reassigned aids only 21. Electric brailler 595 a. Single-function model 1, b. Multiple-function model 1, Component: 511 Extension keys Supplement: 552 Carrying case Other writing aids S.C. Updated: June 2,

26 SUBDIVISION III: MOBILITY AIDS Maximum purchase or price Maximum price used to establish repair costs for reassigned aids only 23. Electronic obstacle detector 810 a. Sound model 1, Adapted satellite geopositioning system 805 a. Single-function model Other mobility aids S.C. 22 Updated: June 2, 2011

27 PARTE III: UNINSURED VISUAL AIDS WHOSE COST HAS ALREADY BEEN REIMBURSED BY THE RÉGIE, BY A PROGRAM UNDER THE RESPONSIBILITY OF THE MINISTER OF HEALTH AND SOCIAL SERVICES OR BY THE INSURED PERSON FOR REPAIR PURPOSES 1. Recording and listening device Maximum cost that may have been reimbursed upon purchase or 110 a. Variable-speed tape recorder, portable b. Variable-speed tape recorder, compact c. Tape recorder with electronic capacity control d. Conventional tape recorder, portable e. Conventional tape recorder, compact Supplements: 131 Earphone(s) Microphone Foot control Patch cord Compatible case and strap Adapted calculator 420 a. Braille model with tactile reader 1, Computer 236 a. Desktop model N/A 241 b. Desktop model 1, c. Portable model 1, d. Portable model N/A 306 e. Portable model and Windows XP 2, f. Desktop model and Windows XP 2, Monitor 243 a. Monitor a. 17 in. standard monitor Standard printer Standard printer N/A Updated: June 2,

28 7. Voice synthesizer 265 a. French model 2, b. English model 1, c. Bilingual model 1, Dedicated Braille writing computer system 611 a. Model with Braille keyboard 5, b. Sound model 3, Word processing software 376 a. French version N/A 633 b. Under Windows, French, regular price c. Under Windows, French, student price d. Under Windows, English, regular price e. Under Windows, English, student price f. Under Windows Office XP, French, student price g. Under Windows Office XP, English, student price h. Under Windows, French or English, regular price, Word i. Under Windows, French or English, student price, Office j. Under Windows XP Print converter, tactile model 5, Supplements: 102 Typewriter lens 1, Compatible guide control Fixed-focus lens Cathode ray screen lens Lens with adjustable focus Video magnifiers 220 a. Video magnifier, complete system adaptable to a typewriter including 2, an electronic line marker 297 b. Valorized video magnifier, private sector Supplements: 201 Additional work table Screen separator Mirror Video camera 1 650, Microfiche reader Zoom lens 1, Automated viewing table 2, Brailler, unimanual model 420,00 24 Updated: June 2, 2011

29 Brailler, with tactile reader Articulated-arm support for 14 in. monitor Other reading, writing and mobility aids S.C Other writing or reading computer systems S.C Other print reading computer systems S.C Aids, components or supplements whose cost has already been reimbursed by a visual aid program under the responsability of the Minister of Health and Social Services before June 2, Aids, components or supplements whose cost was assumed by the insured person and whose repair is eligible pursuant to section 10 of the Regulation respecting insured visual aids and related services N/A N/A Updated: June 2,

30 PART IV: MAXIMUM HOURLY RATE FOR THE REPAIR OF INSURED VISUAL AIDS HOURLY RATE: BILLED LABOUR PRICE 26 Updated: June 2, 2011