Ontario Ministry of Health Assistive Devices Program
The objective of the Assistive Devices Program (ADP) is to provide consumer centered support and funding to Ontario residents who have long-term physical disabilities and to provide access to personalized assistive devices appropriate for the individual’s basic needs.
Devices covered by the program are intended to enable people with physical disabilities to increase their independence through access to assistive devices responsive to their individual needs.
We Can Help!
BodyMed has the forms, we even fill them out and mail it for you.
Breast Prostheses
What kind of breast prostheses are covered by the Assistive Devices Program (ADP)?
The ADP will provide a grant to help pay for a portion of the cost of external silicone breast prostheses.
Who can apply?
Any permanent resident of Ontario who has a valid Health Card Number and:
- Has had a mastectomy or lumpectomy OR
- Was born with a deformity of one or both breasts
What is not funded by the ADP?
Brassieres, temporary breast prostheses, swim prostheses, silicone nipples or breast implants.
ADP does not help pay for prostheses available under the Workplace and Safety Insurance Board (WSIB) or for Group “A” Veterans for their pensioned conditions.
How do I get my breast prosthesis(es)?
Select any vendor in Ontario that sells breast prostheses and has staff trained to fit you properly. Once you are fitted with your prosthesis(es) you will pay the vendor and obtain a receipt of payment.
How do I apply for the ADP grant?
You begin by getting an Application for Funding Breast Prostheses Grant form.
The form can be downloaded and printed from the Assistive Devices Program website at www.health.gov.on.ca/adp
Or you can contact the Assistive Devices Program directly.
Complete the application form in full, attach the original receipt from the vendor and mail to:
Ministry of Health and Long-Term Care
Assistive Devices Program
5700 Yonge Street, 7th floor
Toronto ON M2M 4K5
How much money will I receive?
If you require one full breast prosthesis, you will receive $195. If you require two full prostheses, you will receive $390.
If you require one partial breast prosthesis, you will receive $105. If you require two partial prostheses, you will receive $210.
If you are receiving social assistance benefits under Ontario Works, Ontario Disability Support Program or Assistance to Children with Severe Disabilities, you are eligible to receive $260 for each full prosthesis and $140 for each partial prosthesis.
Check all of the applicable boxes in the section entitled “Confirmation of Eligibility” on the application form.
How will payment be made?
You will receive a cheque within six to eight weeks after the ADP receives your application form.
Does this mean that the full cost of my breast prosthesis(es) will be covered?
Not always. If the vendor’s retail price is more than the grant amount, you will be responsible to pay the difference. Be sure to ask your vendor how much of the total cost you are responsible for.
Does this mean that the full cost of my breast prosthesis(es) will be covered?
Not always. If the vendor’s retail price is more than the grant amount, you will be responsible to pay the difference. Be sure to ask your vendor how much of the total cost you are responsible for.
Will my private insurance cover any additional costs?
Some insurance companies may cover additional costs. The ADP recommends that you check with your insurer.
How often can I apply?
You can apply every two years if the prosthesis is worn out or is no longer usable.
If, during the two years, you require a new breast prosthesis because your body size or shape changes or because of a change in your medical condition, you may apply once for a replacement.
The ADP does not provide the grant for a replacement during the two years if the original prosthesis is lost, stolen or damaged due to misuse. You are encouraged to buy insurance for coverage in these situations.
Must I keep my receipts?
You are required to send your original receipt to the ADP with the application form.
You must keep a copy of your receipt for two years.
Note that for income tax purposes, you can only claim receipts for expenditures that exceed the amount of the ADP grant.
Is there a warranty?
Manufacturers of breast prostheses provide a two-year warranty. You are encouraged to speak to the fitter of your breast prosthesis(es) for more information.