Insulin Pump Access Program

Procedure

Program registrationEligibility CertificateChoice of PumpGetting the Pump and ReimbursementInstalling and Setting Up the Pump

Program registration

Please contact your child's paediatrician, an endocrinologist or family doctor to obtain information on the program.

If the doctor deems that your child can wear a pump, they will direct you to a designated institution where your child’s eligibility will be assessed.

The designated institutions for assessing the eligibility of children under 18 years of age are the following:

  • CHU de Québec – Université Laval
    • Centre hospitalier de l'Université Laval (CHUL)
  • Centre hospitalier universitaire (CHU) Sainte-Justine
  • MCGill University Health Centre (MUHC)
    • Montreal Children's Hospital
  • Centre intégré universitaire de santé et de services sociaux de l’Est-de-l’Île-de-Montréal
    • Hôpital Maisonneuve-Rosemont
  • Centre intégré universitaire de santé et de services sociaux de l’Estrie – Centre hospitalier universitaire de Sherbrooke (CHUS)
    • Hôpital Fleurimont
  • Centre intégré universitaire de santé et de services sociaux de la Mauricie-et-du-Centre-du-Québec
    • Pavillon Sainte-Marie (Trois-Rivières)
  • Centre intégré de santé et de services sociaux de l’Outaouais
    • Hôpital de Gatineau
  • Centre intégré universitaire de santé et de services sociaux du Saguenay–Lac-Saint-Jean
    • Hôpital de Chicoutimi
    • Hôpital d’Alma
  • Centre intégré de santé et de services sociaux de Chaudière-Appalaches
    • Hôpital de Saint-Georges
  • Centre intégré de santé et de services sociaux de l’Abitibi-Témiscamingue
    • Hôpital de Rouyn-Noranda
  • Centre intégré de santé et de services sociaux du Bas-Saint-Laurent
    • Hôpital Régional de Rimouski
    • Centre hospitalier régional du Grand-Portage

Other institutions may be added to the list.

The annual eligibility assessment for people over 18 years of age registered in the program can be conducted by several specialist doctors spread across the province.

Eligibility Certificate

If your child meets the eligibility criteria, the designated institution’s authorised doctor will give you an eligibility form.

A section of the eligibility form concerns your insurance coverage. This section must be completed with the doctor and the following information indicated:

  • The name of your insurance company
  • The name of the insurance holder
  • The number of your policy or insurance contract

The doctor will then send the form to the CHU de Québec, which is the program’s paying agent, for a file to be opened.

Choice of Pump

Before choosing a pump, you must attend an information session on type 1 diabetes with your child.

The information session is given by the designated institution’s multidisciplinary team. It covers the following subjects:

  • Diet and advanced carbohydrate counting
  • Keeping a rigorous blood sugar log
  • Basic knowledge on insulin pump therapy

Along with your child, you will then choose the most suitable pump model. The doctor or a member of the medical staff will help you in this process.

Getting the Pump and Reimbursement

For the Insulin Pump

You must procure the insulin pump selected through the company that manufactures or distributes it. To receive your reimbursement, you must submit a copy of your child’s eligibility form to the company.

For Supplies

Required supplies must be purchased according to the pump model selected. To receive your refund, send the original receipts or insurance statements to the paying agent.

The paying agent must receive the original documents in order to refund you.

For Supplies Delivered at Home

With some companies, you will not have to pay for supplies as they are directly refunded by the paying agent.

Installing and Setting Up the Pump

The pump will be installed and set up at the designated institution.

A member of the medical staff will give you the necessary training before the insulin pump is put to use. You must undergo this training with your child.

The medical team will then follow-up to verify the settings of your child’s insulin pump.

Last update: December 21, 2016 2:47 PM

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