SUNLIFE'S ORTHOTIC DISPENSING GUIDE LINES CONTINUED

What’s covered, what’s not
Although your plan doesn’t cover the cost of off-the-shelf orthopaedic shoes, it may help cover:

  • Custom-made orthotics placed within orthopaedic shoes
  • The cost of modifying off-the-shelf orthopaedic shoes, when medically-necessary and prescribed and modified by a qualified specialist. Examples include shoe lifts or extensions for someone with one shorter leg.
Examples of qualified specialists
Prescribers: Providers:
  • Physician
M.D.
  • Podiatrist
D.P.M.
  • Podiatrist
D.P.M.
  • Chiropodist
D.Ch. or D Pod M
  • Chiropodist
D.Ch. or D Pod M
  • Pedorthist
C.Ped. (C) or C Ped MC
   
  • Orthotist
C.O. (c) or CPO (c)
Did you know?
These health care professionals are licensed and governed under either provincial or national organizations. As such, they are subject to standards of practice and codes of ethics, which helps ensure both their accountability and your protection.

What to do when you have a claim

  • Complete a Sun Life Financial Extended Health Care claim form. You can get a claim form on our Plan Member Services website or through your benefits administrator.
  • Include a copy of your prescription, which should indicate the medical condition for which the orthotic, custom-made shoe or orthopaedic shoe is being prescribed.
  • Attach your original detailed receipt showing that the products have been paid in full and received.

Know your coverage
If you have access, visit our Plan Member Services website (sunlife/member.ca) or refer to your employee booklet to confirm your coverage details: from what’s covered, the percentage you’re covered for, and any limits that apply, such as a yearly maximum. You can also confirm if your plan accepts prescriptions from any other health care professionals. For example, some plans accept prescriptions from chiropractors, while others don’t.

PROFESSIONAL FOOT CLINIC

416-465-8737

Toronto, ON Chiropodist Academy Foot and Orthotic

752 BROADVIEW AVENUE Toronto, ON M4K 2P1 

Across from the Broadview Subway | Professional Family Foot Care