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Lymphedema-Inequities-2022-Prevalence-2025-Slides-CLF

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Source: Canadian Lymphedema Framework. Pathways Magazine, Winter 2025.


Daytime Compression Garment Coverage Comparison by Province

Inclusion Coverage %

Qty per Year Details

Inclusion Coverage % Qty per Year

Details

BC

AB

SK

MB

ON

Post-mastectomy, lumpectomy Sleeves 100%, Glove/Gauntlet: Max $150 OTC, $300 custom --------------------------------------------2 garments, 2 gloves/gauntlets

Primary/Secondary LE 75% of benchmark price 100% for low income -------------------------------3 OTC or 2 custom

Primary/Secondary LE 100%

Primary/Secondary LE 100% low income only

-------------------------------4 garments per limb

--------------------------------

Primary/Secondary LE 75% of benchmark price 100% for low income -------------------------------6 garments per limb

Above eligibility based on income & annual PharmaCare limit

1 per limb may be replaced with inelastic

QC

NL

NS

NB

PE

Primary/Secondary LE 75% of benchmark price adults 100% low income, pediatric --------------------------------------------3 OTC per limb 3 OTC or custom for trunk 6 for children

Primary/Secondary LE 100% low income only

Primary/Secondary LE 100% low income only

Primary/Secondary LE 100% low income only

None

-------------------------------2 upon qualification, Incl. any OTC/custom

-------------------------------1 garment per year

-------------------------------2 OTC

-------------------------------N/A

Adjustable hook & loop 1 Accessories 1 per limb e.g. glue, donning aids

Eligibility by assessment Both adult and pediatric

2 sets every 2 yrs max

Custom/inelastic must meet specific criteria

Inelastic also covered, 2 per limb per year

Legend: OTC = “over-the-counter/off-the-shelf” pre-made standard sized garments. Custom = made-to-measure. Inelastic = hook & loop, adjustable wrap garments Benchmark = the published, pre-determined / approved pricing as set by the respective provincial funding entity Source: Canadian Lymphedema Framework. Pathways Magazine, Summer 2022.


Nighttime Compression Garment Coverage Comparison by Province

Inclusion Coverage % Qty per Year

BC

AB

SK

MB

ON

No None --------------------------------------------N/A – 0

No None -------------------------------N/A – 0

Clients w/Stage 2+ LE 100% -------------------------------1 garment per limb *every 2 years

No None -------------------------------N/A – 0

Yes 75% of benchmark* -------------------------------1*

Details

Inclusion Coverage % Qty per Year

Details

Night garment eligibility 1 per limb every 2 yrs

*Can replace 1 of the daytime garments only

QC

NL

NS

NB

PE

Primary/Secondary LE 75% of benchmark price adults 100% low income, pediatric --------------------------------------------1 per limb per year

Must Qualify 100% low income only

No None

Primary/Secondary LE 100% low income only

No None

-------------------------------2 upon qualification, Incl. any OTS/custom

-------------------------------N/A – 0

-------------------------------1*

-------------------------------N/A – 0

Can include trunk, head/neck garments if pre-approved

Eligibility by assessment Both adult and pediatric

*Can replace 1 of the daytime garments only

Legend: OTC = “over-the-counter/off-the-shelf” pre-made standard sized garments. Custom = made-to-measure. Inelastic = hook & loop, adjustable wrap garments Benchmark = the published, pre-determined / approved pricing as set by the respective provincial funding entity Source: Canadian Lymphedema Framework. Pathways Magazine, Summer 2022.


Multilayer Compression Bandaging Coverage Comparison by Province BC

AB

SK

MB

ON

Inclusion

N/A – No Coverage

Primary/Secondary LE Only for clients seen in hospital/public setting

Primary/Secondary LE 100%

Primary/Secondary LE Only for clients seen in homecare/public setting

Primary/Secondary LE Only for clients seen in homecare/public setting

Details

N/A

Cohesive, tubular grip, foam, stockinet, cleanser, moisturizer. 2 sets MLLB for clients who self-bandage

All MLLB supplies including fibrosis “spots” and scar pads, adhesives and donning aid accessories

Cohesive bandaging if applied by homecare

Variable, depends on current formulary inclusions in region

QC

NL

NS

NB

PE

Inclusion

Primary/Secondary LE 100%

Primary/Secondary LE Only for clients seen in hospital/public setting

Primary/Secondary LE Only for clients seen in homecare/public setting

Primary/Secondary LE Only for clients seen in hospital/public setting

N/A – No Coverage

Details

All components of 1 set of MLLB per affected limb

MLLB components if applied in hospital, may include wound care.

Cohesive bandaging if applied by homecare

MLLB components if applied in hospital

N/A

Legend: MLLB = multi-layer lymphedema bandaging. LE = lymphedema. Appropriate MLLB components typically include a tubular stockinette, padding such as foam or other, and rolled, short-stretch bandages. Scarring and fibrotic tissue may require the addition of special inserts and pads for breaking down this type of complicating tissue. Lotion is recommended.

Source: Canadian Lymphedema Framework. Pathways Magazine, Summer 2022.


Source Notes:

The funding inequities information excerpted in these slides was gathered on behalf of the Canadian Lymphedema Framework and was published in our magazine, Pathways, Summer 2022 issue. Read the full, original article here: tinyURL.com/2022-Funding-Inequities Prevalence information was published in the Winter 2025 issue of Pathways. Read online here: tinyURL.com/LE-prevalence

Source: Canadian Lymphedema Framework. Pathways Magazine


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