Funding options

Coverage depends on your device, age, and payer. Bring insurance details to your first visit.

Provider enrolment

Certified Prosthetics & Orthopedics is a BC PharmaCare-enrolled orthotic provider. We are also listed with WorkSafeBC for prosthetic and orthotic care. Our clinicians are credentialed through Orthotics Prosthetics Canada (OPC).

For ICBC, NIHB / FNHA, Veterans Affairs (DVA), and extended health plans, we help with prior approval and invoicing when your coverage allows. Bring claim or plan details to your first visit — we do not replace advice from your adjuster or plan.

Common questions

Prosthetics - PharmaCare

PharmaCare's Prosthetic Program helps BC residents with prosthetic treatment for basic mobility. Register with PharmaCare first. You are assigned a deductible and family maximum based on household income from two years ago.

• Until the deductible is reached, you pay 100% of eligible costs.
• After the deductible, PharmaCare pays 70% until you hit the family maximum, then 100% of eligible costs.
• Certified invoices PharmaCare for their share. Not every prosthetic cost is eligible - ask your prosthetist what your plan will and will not cover.

More detail: PharmaCare for BC residents (gov.bc.ca).

Orthotics for adults - Ministry

The Ministry of Social Development and Poverty Reduction (formerly Housing and Social Development) may fund orthoses for eligible adults (19+) when the need is medically essential and no other resource can provide the item.

Typical path:

• Visit your local ministry office and ask for form 2894 (Orthosis Request and Justification).
• Get the social worker signature and your client signature.
• Have your doctor complete Section 2 and fax or drop the form at our clinic.
• Our orthotist completes Section 3. We submit once the form is complete and correct.

Approval can take 30-90 days. After approval we book casting, fitting, and follow-up.

Orthotics for children - PharmaCare

PharmaCare's orthotic program can fund orthoses for children under 18 who live in BC. With the right forms and prior approval, covered treatments, adjustments, and repairs may be paid at 100%. Funding through Fair PharmaCare follows the family deductible unless the child is on the At Home Program. After the device is dispensed, Certified invoices PharmaCare directly.

WorkSafeBC

WorkSafeBC provides coverage for prosthetic and orthotic treatment after workplace injury. See a certified prosthetist or orthotist for assessment. We submit a request for authorization before treatment starts, then invoice WorkSafeBC when care is complete.

ICBC

ICBC may fund prosthetic and orthotic care after a motor vehicle accident. You need a valid claim number plus your adjuster's name and phone. Prior approval is required before treatment. Certified invoices ICBC when treatment is finished.

NIHB (Non-Insured Health Benefits)

NIHB funds prostheses and orthoses for eligible First Nations and Inuit clients. A physician prescription is required. We send a prior-approval request before treatment and invoice NIHB after completion.

DVA (Veterans Affairs)

Veterans Affairs Canada may fund prostheses and orthoses for eligible veterans. A physician prescription is required. Prior approval is requested before treatment; Certified invoices DVA when care is complete.

Extended health

Employer or private plans (for example Pacific Blue Cross, Canada Life / Great-West Life, and others) each have their own rules. Ask your insurer what is covered and what paperwork they need. In most cases you pay our clinic, then submit the receipt for reimbursement.

The War Amps CHAMP program

The War Amps CHAMP program supports amputees 18 and under with mentoring, programs, and financial help after other payers are contacted and prior authorization is in place. Certified can invoice CHAMP directly when that path applies. Adult amputee assistance may also be available through The War Amps.

Other sources

Some patients also explore charities and foundations (for example Challenged Athletes Foundation, Variety Children's Charity, and community service clubs). Ask us or your clinician whether any of these fit your situation.

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