Surgical Stockings / Brassieres

Surgical stockings and brassieres are specialized medical garments prescribed to assist in recovery or to manage health conditions such as poor circulation, lymphedema, or post-surgical healing. Health plans often reimburse a portion of the cost up to a defined annual or per-item limit.

Compression stockings help prevent swelling and improve blood flow, while surgical brassieres provide support after mastectomy or other chest surgeries. Coverage typically requires a physician’s prescription and may specify a maximum number of garments per year.

Example:

If your plan covers up to $200 per calendar year for compression stockings and you buy two pairs for $240 total, the insurer reimburses $200 and you pay $40.

What to Watch For:

Most insurers require medical documentation to verify necessity. Replacement frequency and eligible brands or suppliers may also be restricted.

Related Terms

Hospital Room (Semi-Private / Private)

Hospital room coverage pays for the cost of upgrading from a standard ward room to a semi-private or private hospital room. This benefit allows greater privacy and comfort during inpatient stays.

Shared Dispensing Fee / Fee Limit

The shared dispensing fee, or fee limit, refers to the portion of a pharmacy’s dispensing charge that your insurance plan will cover. Pharmacies add this professional fee each time a prescription is filled to cover handling, verification, and counselling.

Short-term Disability Insurance

Short-term disability (STD) insurance provides temporary income replacement when you are unable to work for a limited period due to illness, injury, or surgery. It helps protect your income during the early stages of a disability, usually before long-term disability (LTD) benefits begin. This coverage ensures financial stability while you recover and are expected to return to work within a few weeks or months.

Smoking-Cessation Drugs

Smoking-cessation drugs are prescription medications designed to help individuals quit smoking by reducing nicotine cravings and withdrawal symptoms. Examples include bupropion and varenicline. These medications are considered lifestyle-related but medically supported treatments.

Split Modules

Split modules refer to the structure of a health insurance plan that allows members to mix and match different coverage categories, such as drug, dental, and extended health care. Each module operates independently with its own premiums and limits.

Have questions about your insurance coverage?

Our licensed advisors can help you understand your options and find the right plan for your needs.