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

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

Document produced by the Régie de l assurance maladie du Québec and published on its website Legal deposit Library and Archives Canada, 2011 ISSN 1925-4709 Québec, May 30, 2011

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

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 430.00 183 b. Digital reader with advanced functions 418.00 185 c. Hand-held single-function digital reader with a 360.00 recording mode 184 d. Digital reader software 150.00 Component: 186 Memory card for hand-held digital reader 30.00 Supplements: 187 Earphones 30.00 188 Carrying case 30.00 189 Microphone 30.00 2. Vocal note taking device 190 a. Hand-held vocal note taking device 70.00 360 3. Split-lens with additions greater than four (4) diopters 350.00 Component: 361 Frame 120.00 4. Adapted electronic calculator 401 a. Sound model, French, single-function 110.00 403 b. Sound model, English, single-function 110.00 431 c. Large-print model, single-function 60.00 257 5. Yellow filter sheet 3.00 342 6. Contact lens (left or right) 225.00 340 7. Contact lens with artificial pupil (left or right) 200.00 Updated: June 2, 2011 1

460 8. Fresnel lens 250.00 Components: 461 Carrier lenses (left and right) 250.00 462 Frame 120.00 390 9. Microscopic lens 300,00 Component: 391 Frame 120.00 10. Filtering lens 393 a. Non-prescription tinted filtering lenses, with frame 150.00 394 b. Prescription tinted filtering lenses 250.00 395 c. Non-prescription photochromic filtering lenses 200.00 396 d. Prescription photochromic filtering lenses 300.00 Component: 258 Frame (for prescription tinted model and for prescription and non-prescription photochromic models) 120.00 11. Magnifier 433 a. Pocket model 80.00 437 b. Hand-held model 120.00 438 c. Fixed-focus model 150.00 435 d. Adjustable-arm illuminated model 325.00 Component: 436 Appropriate support for fixed-focus magnifier 145.00 Supplement: 352 Auxiliary lens for adjustable-arm illuminated model 100.00 350 e. Magnifier 80.00 Supplement: 351 Appropriate support 110.00 434 f. Hand-held model 180.00 255 12. Obturator 5.00 254 13. Occluder 10.00 470 14. Fresnel prism 50.00 2 Updated: June 2, 2011

Components: 471 Lenses 250.00 472 Frame 120.00 15. Reading stand 256 a. Table-top model 105.00 259 b. Adjustable-arm model 75.00 16. Microscopic optical system 320 a. Monocular model 500.00 330 b. Binocular model 500.00 Components: 303 Carrier lenses (left and right) 300.00 304 Frame 120.00 Supplement: 302 Contact lens (left or right) 225.00 17. Telescopic optical system 310 a. Binocular 550.00 353 b. Monocular 3x 400.00 354 c. Monocular 4x 400.00 355 d. Monocular 5x 445.00 356 e. Monocular 6x 520.00 357 f. Monocular 7x 400.00 358 g. Monocular 8x 500.00 363 h. Monocular 6 x 16 160.00 364 i. Monocular 7 x 25 170.00 365 j. Monocular 10 x 20 165.00 366 k. Monocular 10 x 30 165.00 367 l. Monocular 8 x 20 205.00 368 m. Monocular 4 x 10 165.00 369 n. Monocular 4 x 12 165.00 362 o. Monocular with prescription 1,000.00 371 p. Binocular with prescription 1,800.00 359 q. Monocular, other 430.00 Components: 303 Carrier lenses (left and right) 300.00 304 Frame 120.00 Updated: June 2, 2011 3

Supplement: 302 Contact lens (left or right) 225.00 18. Video magnifier 840 a. Self-contained power supplied model, small screen 600.00 280 b. Mini-camera model, no screen 1,265.00 841 c. Standard-screen model 1,850.00 842 d. Large-screen model 2,450.00 Reassignable video magnifiers 281 e. Camera model, free-standing 1,265.00 282 f. 14 in. to 17 in. monochrome model 2,600.00 283 g. 14 in. to 17 in. monochrome model with reading 2,650.00 functions 284 h. 14 in. to 17 in. two-colour model with reading 2,960.00 functions 285 i. Large-screen monochrome model with reading 2,200.00 functions 286 j. 19 in. large-screen, two-colour model with reading 3,000.00 functions 287 k. 14 in. colour model with reading functions 3,900.00 288 l. Large-screen colour model with reading functions 3,500.00 289 m. Portable monochrome model 3,000.00 671 n. Colour model, thin screen 4,500.00 674 o. Portable colour model, with or without SVGA 3,900.00 859 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 145.00 206 Support 15.00 Reassignable valorized video magnifiers 279 q. Monochrome model (voyageur 14 in.) 675.00 Optional component: 177 Cathode ray screen 100.00 680 r. Voyageur XL model (camera and original 19 in. 675.00 monitor) 681 s. Voyageur XL model (camera and original 15 in. 675.00 monitor) 682 t. Vantage model 675.00 4 Updated: June 2, 2011

Optional component: 175 Original 15 in. monitor 125.00 683 u. Lumina model 1,275.00 253 19. Pinhole disk 11.00 251 20. Typoscope 10.00 252 21. Visor 30.00 199 22. Other reading aids S.C. Updated: June 2, 2011 5

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 1,200.00 592 b. Jumbo mechanical model 1,300.00 Component: 511 Extension keys 65.00 Supplement: 552 Carrying case 200.00 299 24. Other writing aids S.C. 6 Updated: June 2, 2011

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 40.00 602 b. Long sensing cane, rigid 30.00 Supplements: 603 Rubber tip 8.00 604 Roller 15.00 26. Door detector 860 a. Sound model 350.00 27. Electronic obstacle detector 820 a. Hand-held tactile model 500.00 830 b. Neck-mounted tactile model 1,250.00 701 28. Acquisition costs for a guide dog 210.00 702 29. Annual maintenance costs for a guide dog 1,028.00 605 30. Mobility lamp 130.00 606 31. Night vision goggle 4,500.00 32. Telescopic optical system 310 a. Binocular 550.00 353 b. Monocular 3x 400.00 354 c. Monocular 4x 400.00 355 d. Monocular 5x 445.00 356 e. Monocular 6x 520.00 357 f. Monocular 7x 400.00 358 g. Monocular 8x 500.00 363 h. Monocular 6 x 16 160.00 364 i. Monocular 7 x 25 170.00 365 j. Monocular 10 x 20 165.00 366 k. Monocular 10 x 30 165.00 367 l. Monocular 8 x 20 205.00 368 m. Monocular 4 x 10 165.00 369 n. Monocular 4 x 12 165.00 Updated: June 2, 2011 7

362 o. Monocular with prescription 1,000.00 371 p. Binocular with prescription 1,800.00 359 q. Monocular, other 430.00 399 33. Other mobility aids S.C. 8 Updated: June 2, 2011

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 550.00 502 b. Model with speech synthesis 750.00 264 c. Under Windows, French 800.00 268 d. Under Windows, English 952.00 35. Monitor 503 a. Large-screen model 350.00 504 b. Extra-large-screen model 500.00 246 c. 19 in. model 415.00 262 d. 21 in. model 1,100.00 36. Adjustable-arm support 505 a. Adjustable-arm support 300.00 274 b. For 17 in. and 19 in. monitors 250.00 653 c. For other monitors 300.00 398 37. Other aids for the Print Magnification method of communication S.C. Updated: June 2, 2011 9

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 1,600.00 508 b. English version 1,400.00 638 c. Under Windows, French 1,345.00 639 d. Under Windows, English 1,400.00 39. Print recognition unit 607 a. Software, French version 1,450.00 613 b. Software, English version 1,250.00 509 c. Off-line model 1,850.00 Component: 624 Digitizer (software, French and English versions) 210.00 620 d. French model 500.00 621 e. English model 500.00 622 f. Bilingual model 500.00 498 40. Other aids for the Sound method of communication S.C. 10 Updated: June 2, 2011

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 1,600.00 508 b. English version 1,400.00 638 c. Under Windows, French 1,345.00 639 d. Under Windows, English 1,400.00 43. Print recognition unit 607 a. Software, French version 1,450.00 613 b. Software, English version 1,250.00 509 c. Off-line model 1,850.00 Component: 624 Digitizer (software, French and English versions) 210.00 620 d. French model 500.00 621 e. English model 500.00 622 f. Bilingual model 500.00 598 44. Other aids for the Braille method of communication S.C. Updated: June 2, 2011 11

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 710 45. Arithmetic frame 55.00 Component: 711 Cubarithm 45.00 712 46. Adapted geometry kit 240.00 47. Adapted labeller 713 a. Braille model 70.00 714 b. Sound model 120.00 715 48. Magnifying mirror 80.00 49. Adapted watch 716 a. Braille model 250.00 717 50. Sound level 60.00 718 51. Inclined reading stand 120.00 52. Adapted protractor 719 a. Large-print model 25.00 720 b. Braille model 70.00 721 53. Pocket Braille frame 85.00 54. Adapted tape measure 722 a. Large-print model 30.00 723 b. Sound model 150.00 724 c. Tactile model 60.00 725 55. Tape holder for brailler 75.00 56. Braille slate (letter size) 726 a. Letter-size model 135.00 12 Updated: June 2, 2011

698 57. Other renewable aids S.C. Updated: June 2, 2011 13

SUBDIVISION II: ONE-TIME AIDS Maximum purchase or price Maximum price used to establish repair costs for reassigned aids only 740 58. Adapted plate 35.00 741 59. Adapted knife with guide 40.00 742 60. Liquid level sound detector 30.00 743 61. Check guide 25.00 744 62. Dedicated accent reading lamp, without magnifier 130.00 63 Adapted food scale 745 a. Large-print model 40.00 746 b. Sound model 200.00 747 c. Tactile model 40.00 748 64. Adapted pedometer 55.00 749 65. Adapted wallet 35.00 66. Adapted alarm clock 750 a. Large-print model 50.00 751 b. Sound model 50.00 752 c. Tactile model 95.00 753 67. Syringe stand 30.00 754 68. Adapted meat thermometer 60.00 798 69. Other one-time aids S.C. 14 Updated: June 2, 2011

SUBDIVISION III: RENEWABLE HEALTH AIDS Maximum purchase or price Maximum price used to establish repair costs for reassigned aids only 770 70. Talking blood glucose monitor 600.00 71. Adapted bathroom scale 771 a. Large-print model 60.00 772 b. Sound model 200.00 773 72. Talking blood pressure clamp 400.00 774 73. Talking personal thermometer 60.00 898 74. Other renewable health aids S.C. Updated: June 2, 2011 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 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 1,600.00 513 b. Portable model with system software 2,200.00 Components: 514 Standard printer 210.00 515 Office software, regular price 300.00 516 Office software, student price 200.00 Supplement: 518 Carrying case for portable model 100.00 397 2. Other aids for the Print Magnification method of communication S.C. 16 Updated: June 2, 2011

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 1,600.00 513 b. Portable model with system software 2,200.00 Components: 514 Standard printer 210.00 515 Office software, regular price 300.00 516 Office software, student price 200.00 517 Monitor for desktop model 200.00 Supplement: 518 Carrying case for portable model 100.00 235 4. Screen reader control keyboard 80.00 649 5. Speech synthesis software 850.00 497 6. Other aids for the Sound method of communication S.C. Updated: June 2, 2011 17

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 1,600.00 513 b. Portable model with system software 2,200.00 Components: 514 Standard printer 210.00 515 Office software, regular price 300.00 516 Office software, student price 200.00 517 Monitor for desktop model 200.00 Supplement: 518 Carrying case for portable model 100.00 235 8. Screen reader control keyboard 80.00 9. Braille display 522 a. 59-cell or less model, with cable 3,200.00 233 b. 59-cell or less model, without cable 4,000.00 523 c. 60-cell or more model 8,000.00 345 d. Personal assistant display 6,500.00 524 10. Dedicated Braille communication computer system 9,000.00 275 11. Braille printer 4,000.00 12. Braille shortening software 525 a. Braille shortening software 850.00 644 b. Under Windows 800.00 645 c. Under Macintosh 1,020.00 649 13. Speech synthesis software 850.00 597 14. Other aids for the Braille method of communication S.C. 18 Updated: June 2, 2011

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 1,100.00 Component: 186 Memory card for hand-held digital reader 30.00 Supplements: 187 Earphones 30.00 188 Carrying case 30.00 189 Microphone 30.00 16. Adapted scientific calculator 402 a. Sound model, French 550.00 404 b. Sound model, English 550.00 432 c. Large-print model 550.00 17. Reading stand 269 a. Free-standing model 125.00 18. Telemicroscopic optical system 370 a. Monocular model 1,400.00 380 b. Binocular model 2,400.00 Components: 303 Carrier lens (left and right) 300.00 304 Frame 120.00 Supplement: 302 Contact lens (left or right) 225.00 Updated: June 2, 2011 19

19. Video magnifier 850 a. Self-contained power supplied model, large screen 2,000.00 851 b. Computer-compatible model 2,900.00 290 c. SVGA model, other 4,500.00 697 20. Other reading aids S.C. 20 Updated: June 2, 2011

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 1,400.00 596 b. Multiple-function model 1,600.00 Component: 511 Extension keys 65.00 Supplement: 552 Carrying case 200.00 797 22. Other writing aids S.C. Updated: June 2, 2011 21

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 1,500.00 24. Adapted satellite geopositioning system 805 a. Single-function model 950.00 897 25. Other mobility aids S.C. 22 Updated: June 2, 2011

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 418.00 120 b. Variable-speed tape recorder, compact 315.00 130 c. Tape recorder with electronic capacity control 350.00 170 d. Conventional tape recorder, portable 45.00 180 e. Conventional tape recorder, compact 130.00 Supplements: 131 Earphone(s) 28.00 132 Microphone 18.00 136 Foot control 13.00 137 Patch cord 20.00 138 Compatible case and strap 25.00 2. Adapted calculator 420 a. Braille model with tactile reader 1,035.00 3. Computer 236 a. Desktop model N/A 241 b. Desktop model 1,000.00 242 c. Portable model 1,400.00 296 d. Portable model N/A 306 e. Portable model and Windows XP 2,900.00 347 f. Desktop model and Windows XP 2,000.00 4. Monitor 243 a. Monitor 395.00 239 a. 17 in. standard monitor 265.00 244 5. Standard printer 210.00 375 6. Standard printer N/A Updated: June 2, 2011 23

7. Voice synthesizer 265 a. French model 2,025.00 266 b. English model 1,700.00 267 c. Bilingual model 1,900.00 8. Dedicated Braille writing computer system 611 a. Model with Braille keyboard 5,500.00 612 b. Sound model 3,500.00 9. Word processing software 376 a. French version N/A 633 b. Under Windows, French, regular price 400.00 634 c. Under Windows, French, student price 185.00 635 d. Under Windows, English, regular price 350.00 636 e. Under Windows, English, student price 185.00 642 f. Under Windows Office XP, French, student price 260.00 643 g. Under Windows Office XP, English, student price 260.00 646 h. Under Windows, French or English, regular price, Word 660.00 647 i. Under Windows, French or English, student price, Office 353.00 648 j. Under Windows XP 400.00 100 10. Print converter, tactile model 5,500.00 Supplements: 102 Typewriter lens 1,445.00 104 Compatible guide control 295.00 105 Fixed-focus lens 400.00 106 Cathode ray screen lens 540.00 103 11. Lens with adjustable focus 60.00 12. Video magnifiers 220 a. Video magnifier, complete system adaptable to a typewriter including 2,300.00 an electronic line marker 297 b. Valorized video magnifier, private sector 675.00 Supplements: 201 Additional work table 45.00 204 Screen separator 150.00 205 Mirror 50.00 207 Video camera 1 650,00 208 Microfiche reader 750.00 209 Zoom lens 1,000.00 291 Automated viewing table 2,000.00 590 13. Brailler, unimanual model 420,00 24 Updated: June 2, 2011

450 14. Brailler, with tactile reader 300.00 247 15. Articulated-arm support for 14 in. monitor 40.00 499 16. Other reading, writing and mobility aids S.C. 599 17. Other writing or reading computer systems S.C. 699 18. Other print reading computer systems S.C. 195 19. 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, 2011 196 20. 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, 2011 25

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