Ontario Funding & Insurance Coverage: Breast Prosthetics
In Ontario, external breast prostheses (breast forms) may be eligible for coverage through provincial funding programs, while mastectomy bras are commonly covered under private or extended health insurance plans.
Important: We’re happy to help guide you through the forms and receipts you may need. However, final eligibility and coverage decisions are determined by the applicable provincial program or your private insurance provider. Coverage amounts and program requirements may change, so we recommend confirming details directly with your provider if you have any questions.
Assistive Devices Program (ADP)
Breast Prosthetics
The Ontario Assistive Devices Program (ADP) may help cover the cost of external silicone breast prosthetics (breast forms) for individuals who have experienced:
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A mastectomy (full breast removal)
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A lumpectomy (partial breast removal)
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Failed reconstructive surgery following a mastectomy or lumpectomy
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Certain congenital breast conditions affecting one or both breasts
Replacing a Breast Prosthetic
You may also qualify for funding to replace a breast prosthetic originally purchased through ADP if:
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Your current prosthetic is worn out
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Two years have passed since your previous ADP approval
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Your prosthetic is no longer under warranty
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Your body shape, size, or medical needs have changed
What ADP Does Not Cover
ADP funding does not cover:
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Mastectomy bras
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Non-silicone breast forms
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Temporary breast forms
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Swim prosthetics or swimwear
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Silicone implants or silicone nipples
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More than one prosthetic per side
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Repairs or maintenance
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Lost or damaged prosthetics caused by misuse or neglect
Our team is happy to help guide you through the fitting process and explain the forms and documentation you may need for ADP funding support.
How Much is Covered for Breast Prosthetics?
If you qualify, and your application is approved, you will receive a grant of:
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$195 per side for full-breast prosthetics
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$105 per side for partial-breast prosthetics
If you receive social assistance benefits through one of the programs listed below, you will be eligible for up to $260 per side for full-breast prosthetics, and $140 per side for partial-breast prosthetics:
Funding for Mastectomy Bras & Additional Prostheses Costs
The cost of mastectomy bras, along with any remaining balance for a breast form not covered through provincial funding, is often eligible for coverage through private or extended health insurance plans.
You can browse breast forms and mastectomy bras any time, and book a fitting for guided help.
3 Steps to Private Insurance Coverage
1. Get a Prescription
Request a prescription from your doctor or surgeon that clearly states the need for “Mastectomy Bras,” “Post-Surgical Compression Bras,” or “External Breast Prosthesis.”
2. Purchase Your Items
Purchase your items from BRA Beyond Regular Apparel. We’ll provide a detailed receipt including supplier information, product details, and medical purpose documentation where applicable.
3. Submit Your Claim
Send your prescription, detailed receipt, and any required claim forms to your private insurance provider for reimbursement.
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