Funding
Navigating funding for prosthetic and orthotic care can be complicated. At Hamilton Prosthetics & Orthotics, our experienced team helps you understand available funding programs, insurance coverage, and financial assistance options. We guide you through the application and approval process, helping you access the care and devices you need.
Let’s Discuss Your Funding Options
We review potential funding sources, including government programs, workplace benefits, private insurance, and other assistance programs, to help determine which options may apply to your care.
Our team assists with the required forms, clinical documentation, estimates, and supporting information needed for funding applications and insurance claims.
We work with funding agencies, insurers, healthcare providers, and other involved parties to coordinate submissions, approvals, and follow up requirements.
We explain your coverage, potential out of pocket expenses, and next steps, keeping you informed throughout the funding process.
We assist eligible patients with funding applications through Ontario’s Assistive Devices Program (ADP), Ontario Disability Support Program (ODSP), Ontario Works, Non Insured Health Benefits (NIHB), Interim Federal Health Program (IFHP), and Veterans Affairs Canada.
We work with the Workplace Safety and Insurance Board (WSIB), private health insurance providers, employer benefit plans, and motor vehicle accident insurance claims to help coordinate prosthetic and orthotic funding.
Additional support may be available through The War Amps, including the Child Amputee (CHAMP) Program, adult amputee assistance, and other specialized community funding programs.
Your out of pocket costs depend on the device prescribed, your funding eligibility, and the coverage available through government programs or private insurance. Our team will explain applicable funding and any remaining costs before proceeding with treatment.
Costs vary depending on the type of device, its components, complexity, and individual clinical requirements. Following your assessment, we can provide a detailed estimate and review potential funding options.
A prescription may be required depending on the type of device and the funding program involved. You can book an initial consultation without a prescription, and our team will explain any documentation needed to proceed.
Approval timelines vary depending on the funding agency, type of device, and documentation required. Some applications can be processed relatively quickly, while others require additional review or prior authorization. We will help you understand the process and keep you informed of your application’s progress.
Many extended health benefit plans provide coverage for eligible prosthetic and orthotic devices. Coverage limits, prescription requirements, and reimbursement amounts vary by insurer and policy. We can provide estimates and supporting documentation to assist with your claim.
Yes. Depending on your circumstances, additional financial assistance may be available through The War Amps, government benefit programs, or other charitable organizations. Our team can help identify potential options and explain the application process.
Whether you are receiving your first prosthetic or orthotic device, replacing an existing device, or exploring available financial assistance, our team is here to help.
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