ADP : Breast Prostheses

The ADP will provide a grant to help pay for a portion of the cost of external silicone breast prostheses.

Any permanent resident in 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

The ADP does not fund brassieres, temporary breast 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.

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.

You may print the application form off of our website or obtain an application form by contacting the ADP directly (see below for contact numbers).

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

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.

You will receive a cheque within six to eight weeks after the ADP receives your application form.

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.

Certain insurance companies may cover additional costs. The ADP recommends that you check with your insurer.

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.

Legal agents must attach applicable documents, such as :

• Power of Attorney
• Continuing Power of Attorney

You are required to send your original receipt to the ADP with the application form.

You should 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.

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.

Call the ADP at one of the numbers listed below: :

June 2006 Cat. No. 2104066