Coverage of Services Provided by Optometrists

Transcription

Coverage of Services Provided by Optometrists
You may encounter problems viewing this document with adaptative technology. For an accessible
version, please refer to our website.
Visually impaired
persons
To be insured, visually impaired persons
must be registered with one of the following
rehabilitation centres, where they can receive
covered services.
BAIE-COMEAU
Centre intégré de santé et services sociaux de la Côte-Nord
Point de service Centre de protection et de réadaptation de la
Côte-Nord
418 589-2038 or 1 866 389-2038
GATINEAU
Centre régional de réadaptation La RessourSe
819 777-6261
LÉVIS
Centre intégré de santé et services sociaux de Chaudière-Appalaches
Programme Déficience physique
418 380-2064
LONGUEUIL
Institut Nazareth et Louis-Braille
450 463-1710 or 1 800 361-7063
MONT-JOLI
Centre intégré de santé et de services sociaux du Bas-Saint-Laurent
418 775-8454, ext. 4411
MONTRÉAL
Centre de réadaptation MAB-Mackay
514 489-8201
QUÉBEC
Centre intégré universitaire de santé et de services sociaux de la
Capitale-Nationale
418 529-9141
REPENTIGNY
Centre intégré de santé et de services sociaux de LanaudièreCentre de réadaptation en déficience physique Le Bouclier
Programme déficience visuelle
450 581-3113 or 1 888 880-8240
ROUYN-NORANDA
Centre intégré de santé et de services sociaux
de l’Abitibi-Témiscamingue
Centre de réadaptation
819 762-6592
RÉGIE DE L’ASSURANCE MALADIE DU QUÉBEC
FOR FURTHER INFORMATION
Go to our website at
www.ramq.gouv.qc.ca
You may also obtain information by calling.
Coverage of Services
Provided by
Optometrists
In Québec
418 646-4636
In Montréal
514 864-3411
Elsewhere in Québec
1 800 561-9749
By mail
Régie de l’assurance maladie du Québec
Case postale 6600
Québec (Québec) G1K 7T3
Opening hours
Monday, Tuesday, Thursday
and Friday: 8:30 a.m. to 4:30 p.m.
Wednesday: 10:00 a.m. to 4:30 p.m.
Outside our opening hours, our office phone
numbers connect you to an automated information
system.
Direction des communications et du Web
July 2015
Original text in French
SAGUENAY
Centre de santé et de services sociaux de Jonquière
(Visual impairment)
418 695-7770
SAINTE-ANNE-DES-MONTS
Centre intégré de santé et de services sociaux de la Gaspésie
Point de service Réadaptation
418 763-3325
SHERBROOKE
Centre intégré universitaire de santé et de services sociaux de l’Estrie
Centre hospitalier universitaire de Sherbrooke
819 346-8411
TROIS-RIVIÈRES
Centre intégré universitaire de santé et de services sociaux de la
Mauricie-et-du-Centre-du-Québec
819 374-0016
100%
K-0504-1
Services covered for certain persons
Certain services provided by optometrists are paid
by the Régie de l’assurance maladie du Québec.
These services are covered only for the persons mentioned in the table below:
• eye and eye health examinations;
• examinations specific to a particular condition, such as strabismus;
• prescription of eyeglasses or contact lenses following an examination, prescription of exercises to improve vision,
or referral to another health professional.
Who is
covered?
Persons under
the age of 18 and
those age 65 or
over
Recipients of lastresort financial
assistance for
at least the past
12 consecutive
months, aged 18
to 64
Persons age 60 to 64 who
have been receiving a spouse’s
allowance under the Old
Age Security Act for at least
12 consecutive months and
who, without this allowance,
would be entitled to last-resort
financial assistance benefits
Visually impaired
persons (see
details on reverse)
What to
present?
Valid Health
Insurance Card
Valid Health
Insurance Card
and carnet de
réclamation
(claim slip)
Valid Health Insurance Card and
carnet de réclamation (claim
slip)
Valid Health
Insurance Card
Any
restrictions?
One complete
examination per
calendar year
One complete
examination every
two calendar
years
One complete examination
every two calendar years
None
A service covered
for everyone
The examination needed in the event of sudden
eye damage (e.g. laceration, inflammation
or foreign body on the surface of the eye) is
covered for everyone. Just present your valid
Health Insurance Card.
Examples of services excluded from coverage
Regardless of age or situation, persons must pay for the following:
• the purchase of eyeglasses or contact lenses;
• prescription drugs and anesthetics (including
ophthalmic drops) used during an examination;
• eye examinations required by educational institutions, employers, insurers, summer camps,
associations or organizations;
• eye examinations to obtain a licence to drive a passenger vehicle.
The information in this pamphlet does not have force of
law and does not apply to all specific cases.
www.ramq.gouv.qc.ca
For more detailed information, visit our website.