ORTHOPEDIC OFF-THE-SHELF FOOTWEAR(WITHOUT MODIFICATIONS)

ORTHOPEDIC OFF-THE-SHELF FOOTWEAR(WITHOUT MODIFICATIONS)

Benefit Code Number
503728
Program of Choice
11 - Prosthetics and orthotics
Province
Alberta
Prescriber Required
Physiotherapist
Pedorthist
Podiatrist
Orthotist
Medical Doctor
Chiropodist
Recommender Required
No
Preauthorization Required
Yes
Limit
$250
Frequency
$250/1 CY
Provincial Coverage
No
Notes
GENERAL NOTES COMMAS APPEARING IN THE "PRESCRIBER REQUIRED" AND "RECOMMENDER REQUIRED" COLUMNS INDICATE OR, EG. "MD", "RN" MEANS "MD" OR "RN". SPECIAL NOTES