Effective date: August 1, 2016
Application: All workers requiring orthotics/appliances.
Policy subject: Allowance and expenses
To establish eligibility guidelines for the provision, repair and replacement of orthotics/appliances.
Additional expense, for the purpose of this policy, means an out-of-pocket expense incurred by a worker for the provision, repair or replacement of an orthotic/appliance.
Orthotics/Appliances include, but are not limited to, orthopaedic footwear, eyewear, hearing aids, dentures, artificial limbs, artificial eyes, belts, braces and supports.
Orthopaedic footwear means footwear prescribed by a health care professional and is specifically manufactured or custom-made as a functional aid. Ordinary good quality footwear that is designed for everyday use and can be purchased in a retail store is not considered orthopaedic footwear.
Authorizing Agent means a Claims Entitlement Specialist, Case Manager, Case Management Support, or Vocational Rehabilitation Specialist who is authorized to approve orthotic/appliance expenses for injured workers on behalf of the Workers’ Compensation Board (WCB).
Originating from the Work Injury
Not Originating from the Work Injury
Coverage – Replacement/Repair
Leisure/Sports Footwear and Prostheses
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