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Manitoba Health Services Insurance Plan - Are You Covered?


Breast Prosthesis Program

Am I eligible?

All Manitoba residents who have had a mastectomy are eligible.

What is covered?

Manitoba Health will provide reimbursement to a maximum of $153.50 per prosthesis.  The program also provides an allowance of up to $12.30 per surgical brassiere.

How many claims may I make?

Persons who have had a single mastectomy may claim 2 prostheses every 4 years and 2 surgical brassieres every year.  Persons who have had a double mastectomy may claim 4 prostheses every 4 years and 2 surgical brassieres every year.  Benefits are calculated according to the initial claim received at Manitoba Health.

Is there a deductible?

No deductible is required.

Who provides these services?

Check the Yellow Pages under Mastectomy Prosthesis Forms & Apparel, Orthopedic or Surgical Appliances.

Examples of reimbursements:

Single Mastectomy
Cost of prosthesis $400.00
Manitoba Health’s maximum rebate $153.50
   
Double Mastectomy
Cost of prosthesis $600.00
Manitoba Health’s maximum rebate $307.00

How do I submit my claim?

When you pay for your prosthesis or surgical bra, obtain a receipt from the supplier.  Please send the itemized receipt to:

Ancillary Programs
Insured Benefits Branch
Manitoba Health
300 Carlton Street
Winnipeg MB  R3B 3M9
CANADA

Remember:  All initial receipts must be accompanied by a medical practitioner’s prescription and diagnosis.

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For more information call:

In Winnipeg:
786-7365 or 788-2526

Within Manitoba toll free:
1-800-392-1207 Ext. 7365

Outside Manitoba Toll Free:
1-800-392-1207

TDD/TTY: 774-8618
TDD/TTY Relay Service outside Winnipeg: 711 or 1-800-855-0511

Questions?  E-mail the Insured Benefits Branch

 

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