Custom made orthopedic shoes or orthotics are covered by the IBEW Local 353 Benefit Plan to a combined maximum of $500 in any 12-month period, including:

  • Orthopedic shoes or orthotics and special foot appliances prescribed by a physician or surgeon, custom-made and specifically designed and moulded to protect or restore the function of a limb or limbs, to compensate for limitations or to increase physiological performance.
  • Custom-made orthotics, lifts or wedges prescribed by a podiatrist, chiropodist, chiropractor, orthopedic surgeon or physician (does not include sport orthotics or fashion orthotics).

Click here for the orthotic claim submission guidelines.

Remember: an estimate or pre-approval should be sent to Canada Life prior to incurring any costs.

You will require a prescription, including a diagnosis, to receive reimbursement for custom-made orthotics. The requirements for custom-made orthotics are not specific to the IBEW Local 353 Benefit Plan but are consistent with requirements adopted by all major Canadian group insurers. 

Custom-made orthotics are generally covered under a benefits plan when they are a reasonable treatment for disease, deformity, or injury, and prescribed by a physician (MD), chiropractor, chiropodist, podiatrist, or orthopedic surgeon. One of these regulated health professionals can determine if you need custom-made orthotics and prescribe them for you.

There are many different types of shoes marketed as “orthopedic,” as well as many different types of in-shoe insoles referred to or marketed as “orthotics.” Advances in shoe design technology and widespread availability of these products in an unregulated market make it confusing for plan members to obtain orthopedic shoes, or orthotics eligible for coverage under their plan. Claim submission requirements outline what you will need to be eligible for reimbursement, and ensure your claim is adjudicated in a timely manner, and in accordance with the rules of our benefit plan.

Reviews by licensed medical professionals ensure that our benefits are used for the right reasons and help to prevent fraud.

For more information on how to submit your claims for custom-made orthotics and custom-made orthopedic shoes, click here for orthotic claim submission guidelines.