BRACES - CUSTOM MADE OR CUSTOM FITTED

BRACES - CUSTOM MADE OR CUSTOM FITTED

Benefit Code Number
502509
Program of Choice
11 - Prosthetics and orthotics
Province
Prince Edward Island
Prescriber Required
Vascular Surgeon
Specialist in Rehibilitation Medicine
Rheumatologist
Physiotherapist
Physiatrist
Othropedic Surgeon
Nurse practitioner
Medical Doctor
Recommender Required
No
Preauthorization Required
Yes
Limit
$2,500.00
Frequency
1/2 CY PER BODY PART
Provincial Coverage
No
Comments
SEE NOTE 1
Notes
GENERAL NOTES COMMAS APPEARING IN THE "PRESCRIBER REQUIRED" AND "RECOMMENDER REQUIRED" COLUMNS INDICATE OR, EG. "MD", "RN" MEANS "MD" OR "RN". SPECIAL NOTES NOTE 1 - PRESCRIBER NOT REQUIRED FOR REPLACEMENT ISSUE