
Breast Prosthesis Program

Am I eligible?
All Manitoba residents who have had a mastectomy are
eligible.
What is covered?
Manitoba Health will provide reimbursement to a
maximum of $153.50 per prosthesis. The program also provides an
allowance of up to $12.30 per surgical brassiere.
How many claims may I make?
Persons who have had a single mastectomy may claim 2
prostheses every 4 years and 2 surgical brassieres every year.
Persons who have had a double mastectomy may claim 4 prostheses every
4 years and 2 surgical brassieres every year. Benefits are
calculated according to the initial claim received at Manitoba Health.
Is there a deductible?
No deductible is required.
Who provides these services?
Check the Yellow Pages under Mastectomy Prosthesis
Forms & Apparel, Orthopedic or Surgical Appliances.
Examples of reimbursements:
| Single Mastectomy |
| Cost of prosthesis |
$400.00 |
| Manitoba Health’s maximum rebate |
$153.50 |
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| Double Mastectomy |
| Cost of prosthesis |
$600.00 |
| Manitoba Health’s maximum rebate |
$307.00 |
How do I submit my claim?
When you pay for your prosthesis or surgical bra,
obtain a receipt from the supplier. Please send the itemized receipt
to:
Ancillary Programs
Insured Benefits Branch
Manitoba Health
300 Carlton Street
Winnipeg MB R3B 3M9
CANADA
Remember: All initial receipts must
be accompanied by a medical practitioner’s prescription and
diagnosis.

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