Coverage for Orthopaedic Shoes & Orthotics
An orthopaedic shoe is designed to accommodate and/or correct foot abnormalities. In order to be most effective it should be custom-made from a 3-D image or cast of your foot.
An orthotic is a device that is inserted into a regular shoe to aid in the support and/or correction of foot problems.
- to provide relief of painful foot problems or an injury
- to help maintain the normal position of the bones in the foot, ankle and knees leading to the hips and lower back
- to reduce muscle fatigue, which is particularly important for those who must walk or stand excessively on the job
- only custom made orthopaedic shoes or orthotics made with raw materials
- must be prescribed by a medical doctor, podiatrist or chiropodist for a medically necessary treatment for a foot condition
- maximum of one pair shoes or orthotics (not both) per person per year
- commercially made products sold off-the-shelf or pre-fabricated
- products purchased for convenience or general comfort only
- orthotics for sports or recreational needs only
In order to make a claim, you must submit a Sun Life Extended Health Care claim form with:
- the written prescription from your doctor/podiatrist/chiropodist that includes the diagnosis that necessitates the shoes or orthotics
- a detailed lab invoice from the manufacturer of the shoes or orthotics
- this invoice will be issued to the service provider you selected (e.g. the podiatrist or chiropodist) and will have a breakdown of the raw materials used and the cost to manufacture the device
- the original receipt from the service provider showing full payment has been made, the patient’s name and date of service
For additional instructions on submitting a health care claim by mail, visit Making a health care claim.
For more information
For more information contact Sun Life Customer Care Centre at 1-800-361-6212.
TMU reserves the right, at any time, to amend, change or discontinue any benefit coverage. If there is a question about coverage referred to in any portion of this benefits communication, the master contract from the insurer is the governing document.