A couple at home in the evening, looking at a phone together.
For vendors and clinic administrators

Veterans Affairs Canada and the Interim Federal Health Program.

Two federal programmes that pay for equipment, each with its own published rules about who may supply it, what may be claimed and what the client still owes. This page is about what each one does to your invoice.

Program of Choice 9 70% and a 30% co-payment One reference per payer share

Veterans Affairs Canada

Program of Choice 9, and how a provider is paid.

The department groups its treatment benefits into programs of choice. Program of Choice 9 is the oxygen therapy and respiratory one. Every entry is sourced and dated at the foot of this page.

What Program of Choice 9 covers

Its items include oxygen concentrators, oxygen compressors, oxygen gas, continuous, automatic and bi-level positive airway pressure machines, and ventilators. What may be approved is typically listed in the department's benefit grids, and an unlisted item can be considered where it would qualify under the programme and there is medical justification or no other acceptable equipment.

Who processes the claim

Treatment benefits are administered by Medavie Blue Cross under contract with the department. The provider submits the claim after the service date, and a Health Identification Card issued by Blue Cross on the department's behalf identifies the client and the programs of choice they are eligible for.

What a provider may claim

No more than a non-Veteran paying cash would be charged, and never above the maximum allowable cost. Payment at the established rate is full and total payment for that claim. Where a client picks a provider who charges more than the department may pay, the client can change provider or pay the difference.

The prescription, held first

Where the benefit grid requires a prescription, the provider must hold it before the benefit is supplied: a prescription obtained after the service date makes the claim ineligible, an undated prescription is invalid, and a prescription with its refills is valid for one year.

Authorization and the clock

Claims for benefits that were not authorized, or that exceed the authorized number of occurrences, are not eligible for payment. A claim submitted more than 18 months after the service date is not eligible either, and 12 months applies where the benefit is received under the Rehabilitation programme.

Signatures and audits

A paper claim form is signed by the client, never by the provider on their behalf, and signatures may not be collected in advance of the benefit. Blue Cross may audit any claim, paid or outstanding, and an amount paid on a claim that fails the requirements becomes a debt it can recover.

The Interim Federal Health Program

Temporary federal coverage, with a co-payment.

Coverage that runs until a person is eligible for provincial or territorial insurance, with a share the client pays you directly.

What the programme is

Limited and temporary health care coverage until a person is eligible for provincial or territorial insurance, with what is covered depending on the eligibility group. Medavie Blue Cross administers it and publishes the benefit grids that list the covered services and products.

Registered providers only

Coverage applies to services and products from health care professionals registered with the programme. A supplier outside that register is not a route to a programme share, which makes registration the first question on a quote.

70% and a 30% co-payment

Supplemental coverage pays 70% of eligible costs and the client pays the other 30% directly to the provider. Medical supplies and equipment, and assistive devices, are named among the supplemental benefits, and prescription medication carries a $4 co-payment for each prescription filled.

It does not coordinate

The programme does not cover services or products claimable under other health insurance, public or private, and does not coordinate with other health insurance plans. Urgent dental care under the Canadian Dental Care Plan is the published exception, where the programme is first payer.

The remainder is still a balance

A 30% co-payment is money a person owes your clinic on the day of supply. It belongs on the same invoice as the programme share so that one document shows the whole sale, and so collections chases the right figure.

On the invoice

A federal share and what is left.

Raise the invoice at your price, add the programme with its rule, and the remainder is the client's.

A percentage of the eligible cost

A coverage rule can be a percentage of the invoice total or of a named base, set once on the payer and applied to every invoice that carries it.

  • Per whole invoice, or per line where only some lines are eligible.
  • The client's co-payment is the remainder, worked out rather than typed.
  • The shares on one invoice can never add up to more than the invoice total.

A rate the programme sets

Where a programme pays a set figure for an item, the payer share is a fixed amount instead.

  • The reference the programme gives you is captured on that payer's share.
  • The share can be billed as its own numbered invoice, so payer debt ages apart from the client's.
  • One remittance covering many clients is applied across many invoices in a single pass.

Sample

Supplemental coverage on medical equipment

Supplemental coverage on medical equipment
ItemAmount
Positive airway pressure system$720.00
Invoice total$720.00
Federal programme 70% of the eligible cost-$504.00
Patient owed$216.00

Sample figures, not a real patient. The client pays the remaining 30% directly to the provider, so it sits on the same invoice as the programme share.

Sample figures, not a real patient. Invoice lines carry no tax unless the catalogue item is taxable, and respiratory supplies are set up zero rated.

In norvelle

What the clinic records.

Both programmes are in the payer directory, and your clinic enters each coverage rule once. From there the record is the same shape as any other payer.

  • The approval or claim reference is captured on that payer's share, and the payer can be set to require one before the share goes out.
  • The client's co-payment is the remainder after every payer share, and collections chases that figure only.
  • The payer's share can be billed as its own numbered invoice, so federal debt ages apart from the client's.
  • One remittance is applied across many invoices with its number recorded, and reversed as a whole if it does not clear.
  • A refused share is appealed, written off or moved to the client, and an appeal left unanswered for 60 days returns to the client by itself.
  • Your team sends the claim. norvelle holds the split, the reference and the money.

How one invoice carries more than one payer at all: funding programmes and payer billing.

Questions vendors ask.

Sources

Captured 2026-10-18. Every programme fact on this page was read from the programme's own published pages and policies on that date. Programme rules change: check the source before you rely on it.

  • Program of Choice 9 items, including oxygen concentrators, compressors, oxygen gas, continuous, automatic and bi-level positive airway pressure machines and ventilators; the benefit grids and the tests for an unlisted item; the 18 month limit for submitting a claim; and a client changing provider or paying the difference where a provider charges more than the department may pay: Veterans Affairs Canada, Treatment Benefits Program of Choice (POC) 9 Oxygen Therapy and Respiratory Equipment Policy, document 2097, veterans.gc.ca/en/about-vac/reports-policies-and-legislation/policies/oxygen-therapy-and-respiratory-equipment-poc-9 (effective 2025-03-31).
  • Administration by Medavie Blue Cross under contract with the department, claims submitted after the service date, the non-Veteran cash rate ceiling, the maximum allowable cost, payment at the established rate as full and total payment, pre-authorization, the prescription held before supply and its one year validity, the client signature on a paper claim form, the 18 and 12 month payment limits, audits and recovery, and the Health Identification Card: Veterans Affairs Canada, Benefit provisions and payment requirements for treatment benefits, veterans.gc.ca/en/mental-and-physical-health/information-healthcare-service-providers/benefit-provisions-and-payment-requirements-treatment-benefits (effective 2014-07-01, page modified 2024-04-25).
  • Limited and temporary coverage until provincial or territorial insurance begins, coverage only from providers registered with the programme, 70% of eligible costs for supplemental benefits with a 30% co-payment paid to the provider, medical supplies and equipment and assistive devices among those benefits, the $4 prescription co-payment, no coverage of services claimable under other insurance and no coordination with other plans, the Canadian Dental Care Plan exception, and administration by Medavie Blue Cross: Immigration, Refugees and Citizenship Canada, Interim Federal Health Program, what is covered, canada.ca/en/immigration-refugees-citizenship/services/refugees/help-within-canada/health-care/interim-federal-health-program/coverage-summary.html (page modified 2026-05-01).
  • People eligible for Department of Veterans Affairs Group A benefits are not eligible for Assistive Devices Program coverage: Ontario Disability Support Program directive 9.6, ontario.ca/document/ontario-disability-support-program-policy-directives-income-support/96-assistive-devices (updated 2026-03-10).

See a federal share on one invoice.

Watch the programme share, the reference and the client co-payment land in one place.