Regie de l'assurance maladie du Quebec Low Income Program -24 Consecutive Months

Description:

Certain services provided by dentists and denturists are paid by the Régie de l’assurance maladie du Québec. Some services are covered for everyone. Other services are covered only for children under age 10 and for persons who have been recipients of lastresort financial assistance for a specific period of time.

Region of Administration:

Provincial

Government / Department:

Ministère Santé et Services sociaux

Eligibility:

For recipients of last resort financial assistance and their dependants for at least 24 consecutive months.

Coverage:

These persons and their dependants are entitled (in dental clinics or hospitals) to the same services as children under age 10. The only exceptions are root canal treatment and apexification, which are covered, in these cases, only for children under age 13.

The following services are also covered:

• cleaning of teeth and teaching hygiene procedures, from age 12;

• application of fluoride, age 12 to 15 inclusive;

• scaling, from age 16.

In emergencies only, certain services may be provided free of charge to persons who have been recipients of last-resort financial assistance for less than 12 months.

In addition to the above services, coverage includes one lower dental prosthesis and one upper acrylic dental prosthesis every eight years.

The Régie also pays for:

• one re-coating every five years;

• half the cost of replacing lost or damaged dental prostheses;

• replacement of prostheses following surgery.

Written authorization from a local employment centre is required to obtain coverage for the above services. The authorization must then be presented to the dentist or denturist.

The following services are also provided free of

charge:

• repair of prostheses;

• addition of a structure.

Providers:

Dentists, Denturists

Therapeutic Responsibility:

Dentists, Denturists

Compensation:

Fee-for-service

How it Works:

They receive covered services by presenting their Health Insurance Card or their personal or family claim slip (carnet de réclamation), as the case may be.

The Ministère de l’Emploi et de la Solidarité sociale determines the conditions for entitlement to covered services.

For further information on eligibility, the local employment centre needs to be contacted.