Benefits-check worksheetBefore you pay: who might help with this equipment?
Check the health benefits that cover the person who needs the equipment. Start with where they have worked, and where their spouse or common-law partner has worked.
For:Date:Equipment the clinician recommended:
1. Plans to check
- Their own plan through current work
- A former employer’s retiree plan
- A union or association plan
- A spouse’s or common-law partner’s plan, from work or retirement
- For a child: each parent’s plan
- A plan they bought themselves
- The provincial or territorial program
- Workers’ compensation or vehicle insurance, if the need comes from an injury
- First Nations and Inuit health benefits
2. What each plan said
| Ask | Plan 1 | Plan 2 | Plan 3 |
|---|---|---|---|
| Plan, who I spoke to, and the date | |||
| Is this exact equipment covered? Name it and say what it does. | |||
| What is needed before renting or buying? Prescription, assessment, written approval, estimate. | |||
| How much is paid? Any maximum, or a share I pay? Rental or purchase? | |||
| Must it come from a particular supplier? | |||
| If there is more than one plan, which pays first? | |||
| Answer received in writing? |
A question to read out
“If a clinician prescribes a powered therapeutic mattress with alternating pressure and low air loss, does my plan cover it? What documentation, supplier requirements and approval do I need before renting or buying?” Change the equipment to match what the clinician recommended, and ask for the answer in writing before you order.