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A-Z Index of Eligible Medical Supplies and Equipment Benefits

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Abdominal support

Absorptive dressing

Adhesive removers

Adhesive strips, generic, for external catheters

Adhesive suture strips

Adhesive tape, hypoallergenic

Adhesive tape, non-hypoallergenic

Adhesive Tapes & Dressing Strips

Alginates/Hydrofibres dressing

Asymmetrical Breast Prosthesis

Audiology Benefit List

Bandages

Bath chair lift manual (water powered)

Bathing & Toileting Aid Benefit Repairs

Bathing & Toileting Aids

Bedpan

Belt, ostomy

Bench/stool, adjustable/seat/arms

Brassiere (Breast Prosthesis)

Breast pump, electric, rental

Breast pump, manual

Breast, Prosthesis Partial

Breast, Prosthesis Symmetrical, left

Breast, Prosthesis Symmetrical, right

Breathing Apparatus and Supplies

Brief/diaper disposable, child over 2 years of age

Brief/diaper disposable, large/extra large, child over 2 years of age

Brief/diaper disposable, large adult

Brief/diaper disposable, medium, adult

Brief/diaper disposable, small, youth, adult

Brief/diaper reusable, adult

Briefs, pant, mesh, reusable

Built-up (padded) handle OR universal cuff

Button hook

Cane, aluminium adjustable, quad

Cane, aluminium adjustable, single

Catheter Adaptors/connectors/closures

Catheter plug

Catheter Supplies & Equipment

Catheter tray, catheterization

Catheter tray, irrigation

Catheters - irrigation

Catheters external with removable tip

Catheters external, disposable

Catheters external, reusable

Catheters indwelling

Catheters intermittent, disposable

Cervical - custom

Cervical - rigid

Cervical - soft

Cervical/thoracic/lumbar/sacral, custom

Cervical/thoracic/lumbar/sacral, rigid

Charcoal dressing

Commode, standard, purchase

Commode, standard, rental

Composite dressing

Compression glove under 50mmHg

Compression stocking/sleeve 20-30, 30-40mmHg

Compression stocking/sleeve 40mmHg & up

Compression/band, hi-sustained 35mmHg

Concentrator, (include back up cylinder) rental

Concentrator, purchase

Conforming gauze bandages

Convex inserts

CPAP cool humidifier, purchase

CPAP with complete circuit/cool humidifier, rental

CPAP with complete circuit/cool humidifier, purchase

CPAP, Breathing circuit, purchase

Crutch, hand grips

Crutch, pads

Crutches, axillary - purchase, pair

Crutches, axillary - rental, pair

Crutches, specialized, purchase, pair (forearm)

Cushion moulded back

Cushion moulded seat

Cushion, moulded cushion repairs

Cushions & Protectors

Custom-made footwear - Repairs

Custom-made footwear

Custom-made Internal Footwear Device

Custom-made internal footwear device, left

Custom-made internal footwear device, right

Custom-made internal footwear devices, pair

Custom-made internal footwear devices, repairs

Cylinder for Oxygen D (356 L), rental

Cylinder for Oxygen E (622 L), rental

Cylinder for Oxygen H or K (6900 L), rental

Cylinder for Oxygen S or M (5260 L), rental

Delivery incontinence items

Delivery mobility service

Diaper/brief disposable, child over 2 years of age

Diaper/brief disposable, large adult

Diaper/brief disposable, large/extra large, child over 2 years of age

Diaper/brief disposable, medium, adult

Diaper/brief disposable, small, youth, adult

Diaper/brief reusable, adult

Distilled water (for tracheostomy care)

Distilled water

Drainage bags, leg straps

Drainage bags, w/out tubing, disposable

Drainage bags, w/out tubing, reusable

Drainage bags, w/tubing, disposable

Drainage bags, w/tubing, reusable

Drainage night bag, reusable

Dressing Aids

Dressing hook

Dressings

Dual system, with content, rental

Dual system, without content, rental

Elastic tensor bandages

Elbow protector

Elevated (raised) toilet seat (standard)

Elevated (raised) toilet seat (with arms)

Enteral feeding supplies, adaptors/plugs

Enteral feeding supplies, extension sets

Enteral feeding supplies, gastrostomy catheters/tubes

Enteral feeding supplies, nasogastric tube

Extension oxygen tubing

Extension tubing

Eye pads

Eye Prosthesis, left

Eye Prosthesis, right

Eye Prosthesis-Polishing

Eye shield

E-Z Wrap

Feeding Aid Benefit Repairs

Feeding Aids

Feeding pump pole (IV pole)

Feeding pump purchase

Feeding pump rental

Feeding pump supplies, bags (liquid nutrition not a benefit)

Feeding pump supplies, bags 1500 (liquid nutrition not a benefit)

Filters (for purchased concentrator)

Filters

Floor to ceiling pole

Foam dressing medicated/non-medicated

Food guard

Foot elevator

Footwear Custom-made

Footwear Custom-made internal device, left

Footwear Custom-made internal device, right

Footwear Modifications to stock (this does not include the price of the shoe)

Footwear Winter overshoes (Only with custom footwear)

Gauze, abdominal pad dressing

Gauze, non-sterile dressing, 2x2

Gauze, non-sterile dressing, 3x3

Gauze, non-sterile dressing, 4x4

Gauze, non-sterile dressing, 6x8

Gauze, sterile dressing, 2x2

Gauze, sterile dressing, 3x3

Gauze, sterile dressing, 4x4

Gel stump socks

Gel, lubricant

Gel/hydrogel dressing

General MS&E Benefit List

Gloves, latex/vinyl, 100/box

Grab bar for tub (non-permanent)

Grab bar toilet (non-permanent)

Grab bar, for bed, non-permanent, purchase

Grab bar, for bed, non-permanent, rental

Gravity feeding supplies, bag

Gravity feeding supplies, delivery sets without bags

Gravity feeding supplies, delivery sets w/bags

Gravity feeding supplies, rigid containers

Hand grips, crutch

Head-Torso-Spine Orthoses - Repairs

Head-Torso-Spine Orthoses

Hearing aid accessories/supplies

Hearing aid batteries, left hearing aid

Hearing aid batteries, right hearing aid

Hearing Aid in office service fee, left

Hearing Aid in office service fee, right

Hearing Aid Performance Check/left ear

Hearing Aid Performance Check/right ear

Hearing aid repairs and/or remake by manufacturer, left aid

Hearing aid repairs and/or remake by manufacturer, right aid

Hearing Aid Repairs, out of office, service fee, left

Hearing Aid Repairs, out of office, dispenser service fee, right

Hearing Aid Replacement ear mould & impression fee, left, adult

Hearing Aid Replacement ear mould & impression fee, left, child

Hearing Aid Replacement ear mould & impression fee, right, adult

Hearing Aid Replacement ear mould & impression fee, right, child

Hearing Aid return fee, left

Hearing Aid return fee, right

Hearing Aid Service Fees

Hearing aid, assessment/fitting/dispensing fee, left ear

Hearing aid, assessment/fitting/dispensing fee, right ear

Hearing aid, bone conduction, left

Hearing aid, bone conduction, right

Hearing aid, conventional, behind the ear, left

Hearing aid, conventional, behind the ear, right

Hearing aid, conventional, custom, left

Hearing aid, conventional, custom, right

Hearing aid, programmable, behind left ear

Hearing aid, programmable, behind right ear

Hearing aid, programmable, custom, left

Hearing aid, programmable, custom, right

Hearing aids, BICROS (specify better hearing ear)

Hearing Aids, Bone Conduction

Hearing Aids, Conventional Analog

Hearing aids, CROS (specify better hearing ear)

Hearing Aids, CROS/BICROS

Hearing Aids, Programmable, Analog

Hearing assessment, complete

Hearing re-assessment (partial)

Heat moisture exchanger

Hi-sustained compression/band 35mmHg

Humidifier (bubble)

Hydrocolloid dressing

Hydrogen Peroxide

Hypertrophic Scar Compression Garment, Custom-made, Custom Fitted, Head

Chin Strap

Chin strap, modified (extended behind the ears)

Ear flap attached to mask or modified chin strap

Eye flap attached to mask

Lip covering attached to mask or chin strap

Nose covering in mask

Other garment (provide name of item)

Pocket for padding or splint

Trachea opening

Hypertrophic Scar Compression Garment, Custom-made, Custom Fitted, Limb

Anklet

Arm sleeve (wrist to axilla)

Arm sleeve and gauntlet with enclosed extended thumb

Arm sleeve with attached gauntlet

Arm sleeve with attached shoulder flap

Arm sleeve with gauntlet and shoulder flap

Arm sleeve/gauntlet/shoulder flap with enclosed extended thumb

Arm stump to axilla

Arm stump with shoulder flap

Elbow lining (inner aspect)

Foot glove

Half sleeve (elbow to axilla)

Half sleeve (wrist to elbow)

Half sleeve and gauntlet extended thumb

Half sleeve with gauntlet metacarpals to elbow

Half sleeve with shoulder flap

Lining variation

Pocket for padding or splint

Reinforced palm on glove or gauntlet

Shoulder flap, adjustable

Vest with sleeve

Vest without sleeve

Zipper

Hypertrophic Scar Compression Garment, Custom-made, Custom Fitted, Trunk

Body brief with sleeves

Body brief, sleeveless

Body suit with sleeves and legs (to distal measurement above knees)

Body suit, sleeveless with legs (to distal measurement above knees)

Impregnated venous ulcer bandages

Incontinence Supplies

Inlet filters

Interface with headgear

Invalid ring

Iodine dressing

Irrigation catheters

Irrigation solution (large volume, pour bottle)

Irrigation solution

Irrigation syringe (60cc funnel tip)

Irrigation syringe

Knee brace undersleeve

Lift, hydraulic (powered)

Lift, hydraulic, standard

Lift, manual

Lifting & Transfer Aids

Lifting/transfer Aid Benefit Repairs

Limb Orthoses - Lower Extremities

Ankle foot, custom, left

Ankle foot, custom, right

Ankle foot, rigid, left

Ankle foot, rigid, right

Ankle foot, soft, left

Ankle foot, soft, right

Hip knee ankle foot, custom, left

Hip knee ankle foot, custom, right

Hip knee ankle foot, rigid, left

Hip knee ankle foot, rigid, right

Hip orthosis, custom, left

Hip orthosis, custom, right

Hip orthosis, rigid, left

Hip orthosis, rigid, right

Hip orthosis, soft, left

Hip orthosis, soft, right

Knee ankle foot, custom, left

Knee ankle foot, custom, right

Knee ankle foot, rigid, left

Knee ankle foot, rigid, right

Patella tendon bearing knee, custom, left

Patella tendon bearing knee, custom, right

Repairs - Lower extremity limb orthosis

Thoracic hip knee ankle foot reciprocating gait mechanism), custom

Limb Orthoses - Upper Extremity

Finger, multiple digits, custom, left

Finger, multiple digits, custom, right

Finger, multiple digits, rigid, left

Finger, multiple digits, rigid, right

Finger, multiple digits, soft, left

Finger, multiple digits, soft, right

Finger, single digit soft, right

Finger, single digit, custom, left

Finger, single digit, custom, right

Finger, single digit, rigid, right

Finger, single digit, rigid, left

Finger, single digit, soft, left

Repairs - Upper extremity limb orthosis

Shoulder elbow, custom, left

Shoulder elbow, custom, right

Shoulder elbow, rigid, left

Shoulder elbow, rigid, right

Shoulder elbow, soft, left

Shoulder elbow, soft, right

Shoulder, custom, left

Shoulder, custom, right

Shoulder, elbow, wrist, hand, custom, left

Shoulder, elbow, wrist, hand, custom, right

Shoulder, rigid, left

Shoulder, rigid, right

Shoulder, soft, left

Shoulder, soft, right

Wrist hand finger, custom, left

Wrist hand finger, custom, right

Wrist hand finger, rigid, left

Wrist hand finger, rigid, right

Wrist hand finger, soft, left

Wrist hand finger, soft, right

Wrist hand, custom, left

Wrist hand, custom, right

Wrist hand, rigid, left

Wrist hand, rigid, right

Wrist hand, soft, left

Wrist hand, soft, right

Liners, disposable

Liners

Liquid oxygen (in kg)

Liquid oxygen system (without content) include portable & cart, rental

Liquid oxygen system with content, portable, cart, rental

Long handle shoe horn

Lubricating jelly

Lumbosacral spinal

Lumbosacral spinal, rigid

Lumbosacral spinal, soft

Maintenance agreement, for purchased oxygen systems

Masks (tracheostomy)

Masks

Mat non-slip, tub

Mat, feeding aids, non - slip

Medic Alert Bracelet (standard)

Miscellaneous Supplies

Modifications to Stock Footwear - Repairs

Modifications to Stock Footwear

Moulded cushion repairs

Montgomery ties (set)

Nasal Cannula

Non-Adherent dressing

Non-Adherent dressing, non-impregnated

Normal saline (3ml units)

Odor control product concentrate

Orthosis - Head - Torso - Spine Repairs

Orthosis - Lower Extremity (see Limb Orthoses )

Orthosis - Upper Extremity (see Limb Orthoses)

Orthosis Cervical - custom

Orthosis Cervical - rigid

Orthosis Cervical - soft

Orthotic and Custom Footwear Benefit List

Ostomy barrier powder

Ostomy Supplies

Absorbent flakes/capsules

Adhesive removers

Belt, ostomy

Closed pouch two-piece colostomy/ileostomy system

Continent diversion dressing - 4"x 4" - clean gauze

Convex inserts

Drainable pouch two-piece colostomy/ileostomy system

Filters

Flange for two-piece ostomy system

Flange, convex for two-piece ostomy system

Gel lubricant

Irrigation kit for ostomies

Mucus dispersant

Odor control product concentrate

One-piece closed-end colostomy pouch with seal

One-piece drainable colostomy/ileostomy pouch convex

One-piece drainable colostomy/ileostomy pouch with adhesive or Karaya

One-piece urostomy pouch

One-piece urostomy pouch, convex

Ostomy

Ostomy irrigation sleeves

Plastic faceplate

Pouch cover

Protective skin wipes/spray

Skin barrier paste

Skin barrier/wafer

Stoma cone for irrigation

Urostomy pouch for two-piece system

Other Dressings

Other recycled MS&E items

Oxygen (additional) cylinder without content, regulator, holder, cart, shoulder pouch

Cylinder D (356 L), rental

Cylinder E (622 L)

Cylinder S or M (5260 L), rental

Cylinder H or K (6900 L), rental

Oxygen cylinder with content, regulator, holder, cart, shoulder pouch c/s straps

Cylinder D (356 L), rental

Cylinder E (622 L), rental

Cylinder S or M (5260 L), rental

Cylinder H or K (6900 L), rental

Oxygen delivery service

Oxygen extension tubing

Oxygen extension tubing 50 ft

Oxygen systems, maintenance agreement

Oxygen systems, Repairs

Oxygen Therapy Benefit List

Oxygen, connectors and adaptors

Packing strips

Pads, crutch

Pant, (briefs) mesh, reusable

Pelvic belt

Pin system suspension liners

Pipe cleaners

Plastics, disposables

Pressure Garment and Pressure Orthotics Benefit List

Pressure Garments and Pressure Orthoses Accessories

Pressure Garments and Pressure Orthoses

Pressure relief pad, wedge

Pressure relief pad-bed, foam

Prosthesis, liners, gel

Prosthesis, liners, pin system suspension

Prosthesis, sheaths, regular

Prosthesis, silo sheaths

Prosthesis, socks, filler cotton, 1 ply

Prosthesis, stump shrinkers

Prosthesis, stump socks, gel

Prosthesis, stump socks, regular

Prosthesis, suction seal suspension sleeve

Prosthesis, suspension sleeve

Prosthetic glove, standard

Prosthetic Supplies

Prosthetics - Breast

Prosthetics - Eye

Prosthetics - Limbs - Lower Extremity - Definitive

Ankle disarticulation, left

Ankle disarticulation, right

Hemi-pelvectomy or Hip disarticulation, left

Hemi-pelvectomy or Hip disarticulation, right

Knee disarticulation (through knee), left

Knee disarticulation (through knee), right

Partial foot - shoe insert, left

Partial foot - shoe insert, right

Partial foot - tibial tubercle height, left

Partial foot - tibial tubercle height, right

Partial foot, patella tendon bearing, left

Partial foot, patella tendon bearing, right

Prosthetic Repairs, lower limb

Trans femoral - above knee, left

Trans femoral - above knee, right

Trans tibial - below knee, left

Trans tibial - below knee, right

Prosthetics - Limbs - Lower Extremity - Preparatory

Ankle disarticulation, left

Ankle disarticulation, right

Hemi-pelvectomy or Hip disarticulation, left

Hemi-pelvectomy or Hip disarticulation, right

Knee disarticulation, left

Knee disarticulation, right

Prosthetics - Limbs - Upper Extremity

Elbow disarticulation, left

Elbow disarticulation, right

Fore quarter, left

Fore quarter, right

Partial hand, finger remaining, left

Partial hand, finger remaining, right

Partial hand, thumb remaining, left

Partial hand, thumb remaining, right

Prosthesis Repairs, upper limb

Shoulder disarticulation, left

Shoulder disarticulation, right

Transhumeral above elbow, left

Transhumeral above elbow, right

Transradial below elbow, left

Transradial below elbow, right

Wrist disarticulation, left

Wrist disarticulation, right

Prosthetics Benefit List

Protective wipes

Quad knee separator

Reacher

Recycled lift hydraulic, powered

Recycled lift hydraulic

Recycled manual wheelchair

Recycled MS&E items

Recycled specialty wheelchair

Recycled walker

Recycled wheeled walker

Respiratory equipment, Repairs

Respiratory Secretion Clearance

Respiratory Therapy Benefit List

Safety frame for toilet

Scleral Shell, left

Scleral Shell, right

Sequential extremity pump, purchase

Sequential extremity pump, rental

Sequential Pump accessories, boots

Sequential Pump accessories, sleeves

Shower-commode chair

Silver dressing

Sling/hammock

Sock/stocking aid (previously quad grip aid)

Socks

Speaking valves

Specialized utensil, spoon

Specialized utensils, fork OR spork

Specialized utensils, knife

Sterile saline, pour bottle

Stoma cone for irrigation

Suction catheters, disposable

Suction machine, purchase

Suction machine, rental

Suspension sleeves

Suspensory belt/sheath

Symmetrical Breast Prothesis, left

Symmetrical Breast Prothesis, right

Textile Sleeves

Thoracolumbarsacral, custom

Thoracolumbarsacral, rigid

Thoracolumbarsacral, soft

Tips (ice picks)

Tips (rubber)

Tracheostomy brush

Tracheostomy drain sponge

Tracheostomy Supplies and Equipment

Tracheostomy ties (Roll)

Transparent film dressings, (adhesive)

Transparent film dressings, (spray-on)

Tubing and collection bottle

Tubular net dressing

Undergarments/diapers reusable, child over 2 years of age

Underpads, disposable

Walker, standard-purchase

Walker, standard-rental

Walker, wheeled-purchase

Walker, wheeled-rental

Walking Aids - Accessories

Walking Aids

Water traps

Wheelchair Cushions & Parts (Back Support)

Back, complex moulded (foam in place), adult

Back, complex moulded (foam in place), child

Back, flat, adult

Back, flat, child

Back, flat, cover, adult

Back, flat, cover, child

Back, sculptured custom-shaped, adult

Back, sculptured custom-shaped, child

Back, sculptured, cover, adult

Back, sculptured, cover, child

Back, simple moulded (foam in place), adult

Back, simple moulded (foam in place), child

Wheelchair Cushions & Parts (Seats)

Pelvic stabilizer, one, adult

Pelvic stabilizer, one, child

Pelvic stabilizer, pair, adult

Pelvic stabilizer, pair, child

Seat, complex designed, custom cover, adult

Seat, complex designed, custom cover, child

Seat, custom moulded (foam in place), adult only

Seat, custom-shaped, adult

Seat, custom-shaped, child

Seat, flat, adult

Seat, flat, child

Seat, sculptured, adult

Seat, sculptured, child

Wheelchair cushions (back & seat) repairs

Wheelchair Cushions & Parts (Wheelchair Parts)

Arm rest, fixed support, multi component

Arm rest, fixed support, multi components, hardware

Arm rest, fixed support, multi components, pad

Arm rest, fixed support, one piece

Arm rest, fixed support, one piece, hardware

Arm rest, fixed support, one piece, pads

Castor housing dust cover

Elevating legrest/footrest

Footrest, "L" shaped, adult

Footrest, "L" shaped, child

Footrest, adjustable, adult

Footrest, adjustable, child

Footrest, fixed, adult

Footrest, fixed, child

Frontrigging

Growable Frame

Handrim

Head rest flat, adjustable, adult

Head rest flat, adjustable, child

Head rest, complex designed, adult

Head rest, complex designed, child

Head rest, contoured, adult

Head rest, contoured, child

Heel Loop

Interfacing/mounting, complex

Interfacing/mounting, simple back

Interfacing/mounting, simple seat

Interfacing/mounting, simple

Interfacing/mounting, strap, children only

Neck rest with headrest, adjustable, adult

Neck rest with headrest, adjustable, child

Neck rest, adjustable, adult

Neck rest, adjustable, child

Pommel, fixed, adult

Pommel, fixed, child

Pommel, removable, adult

Pommel, removable, child

Push handle/backrest tube

Push to lock wheel locks

Quick-release axle pin

Restraint, pelvic, adult

Restraint, pelvic, child

Seat Sling

Spokes

Tire

Tray, elevating, adult

Tray, elevating, child

Tray, standard, adult

Tray, standard, child

Wheelchair, Manual, conventional, purchase

Wheelchair, Manual, conventional, rental

Wheelchairs

Winter overshoes (only for clients with custom footwear)

X Y Z

Yankeur-tonsil suction


	Last Updated: 2006-03-20		Important Notices