Description

This program assists clients of this department with coverage for ostomy, catheterization and incontinence supplies which are not covered by other agencies or private health insurance plans.

Benefit Amount

This program covers supplies directly related to the management of:

• A colostomy, ileostomy or urostomy
• Internal, external or intermittent catheterization
• Incontinence

The following items are not covered by the Health Services Ostomy/ Incontinence Program:

• Gloves used for general patient care
• Sterile gloves
• Intestinal remedies and other over the counter medications
• General purpose moisturizers
• Prescription drugs
• Dressings for wounds other than an ostomy site
• Pouch covers
• Room deodorants
• Rubbing alcohol or alcohol swabs
• Antiseptic
• Scissors, stoma hole cutters when not provided with the appliance
• Wipes – medicated and non-medicated
• Anti-diarrheal products
• Bowel prep products
• Stool softeners
• Any products not directly related to management of an ostomy, catheterization or incontinence

Eligibility Criteria

This program is available to:

• Department of Social Development clients and their dependents who hold a valid white Health Card indicating:
• “Supplementary” in the BASIC HEALTH ELIGIBILITY section

OR

• “OS.” (Ostomy Supplies) in the ADDITIONAL HEALTH ELIGIBILITY section
• Department of Social Development clients who hold a valid yellow Health Card that indicates
• a “Y” under the OTH in the VALID ONLY FOR box

OR

Clients must not have any other medical coverage to be eligible for full benefits.

Application Process

1. Client presents application to the prescriber.
2. Prescriber completes application and returns it to client.
3. Client brings application to Vendor and fills an estimate.
4. Send the two documents to Health Services for review.