Funding

 

Karl Hager Limb & Brace is AADL, WCB, NIHB, DVA, Quikcard insurance vendor approved. Each of these paying agents has differences within their agreements and policy and procedure manuals. We try to be as efficient as possible with all of these variances and support you with getting approval for what you qualify for. In most cases there will be documents that will require your signature and is some cases multiple times. Please understand that the processes that are followed are a requirement of the paying agent. In order to secure funding these processes must be followed. You are able to bypass these processes and pay privately for the item you require if you choose. Please notify our office if you are pursuing WCB, NIHB, DVA, or private insurance funding.

Alberta Aids to Daily Living (AADL)

The Alberta Aids to Daily Living (AADL) program helps Albertans with a long-term disability, chronic illness or terminal illness to maintain their independence at home, in lodges or group homes by providing financial assistance to buy medical equipment and supplies. An assessment by a health care professional (Orthotist or Prosthetist) determines the equipment and supplies that an Albertan can receive through this program. Albertans pay 25% of the benefit cost to a maximum of $500 per individual or family per year. Seniors, low-income Albertans, and those receiving income assistance are exempt from paying the cost-sharing portion. For some benefits, clients may choose an upgraded item and must pay the additional cost of this item. These additional costs are not included in the $500 cost-share maximum.

Below is a guide as to the details required for a potential approval:

  1. Prescription that includes the following:
    1. Dated within the last three months for AADL, one year for others
    2. Specifies what device(s) you require (i.e. – custom knee brace, custom AFO)
    3. Specifies the region and limb that is affected (i.e. – left knee, right wrist)
    4. Has a medical diagnosis (i.e. – osteoarthritis, multiple sclerosis)
    5. Signed by a physician (some items require a specialist) with physician address information
  2. For custom knee braces through AADL we require a copy of your:
    1. X-Ray Report* (weight bearing position preferred) or MRI Report*
      *currently we do not have access to Netcare and do not require your disc
       

Workers’ Compensation Board (WCB) Alberta

Every hour, Albertans are injured on the job. The Workers’ Compensation Board - Alberta is a not-for-profit organization that helps injured workers return to work as quickly and as safely as possible. In some cases foot orthotics and various bracing (i.e. knee, back, etc.) is required to return to work. In most cases we will work with the prescription you received from a physician and determine what to recommend. We would then contact your WCB case worker to secure approval for the item you require. You will need to sign some paperwork and our client coordinators will take care of the rest.

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