This guide describes the programs and services offered to individuals coping with a loss of independence caused primarily by ageing or an illness.

Health and social services

Advanced medical directives

Should an individual of full age become incapable of expressing his or her wishes, the individual may specify in advance the medical care that he or she will agree or refuse to receive.

Consent to medical care This hyperlink will open in a new window. 
Information from Éducaloi

Barring exceptional cases, a health professional needs to obtain a patient’s consent before giving patient care. Patients have the right to accept or refuse any medical procedure or to be accommodated in a health institution.

Devices that compensate for a physical deficiency  This hyperlink will open in a new window.
Administered by the Régie de l’assurance maladie du Québec (RAMQ)

The Program for Devices That Compensate for a Physical Deficiency aims to provide devices that compensate for an individual’s motor deficiency, free of charge. The devices covered by the program are:

  • orthoses
  • prostheses
  • ambulation aid (for example, a cane)
  • standing aids
  • locomotor assists (such as a wheelchair)
  • posture assists (devices that support the body in a seated position to help the individual use a locomotor assist).

Hearing devices This hyperlink will open in a new window.
Administered by the Régie de l’assurance maladie du Québec (RAMQ)

The Hearing Devices Program enables individuals with a hearing deficiency to obtain devices to improve their hearing. They may need a hearing aid or an assistive listening device (for example, a telephone with amplifier) to compensate for problems that persist despite the use of an aid.

Info-Santé 811
Service offered by the Ministère de la Santé et des Services sociaux

Info-Santé 811 is a free, confidential telephone consultation service. By calling 811, individuals can speak with a health professional at any time for advice or information for themselves or for a family member about a health issue considered non-urgent.

Info-Social 811
Service offered by the Ministère de la Santé et des Services sociaux

Info-Social 811 is a free, confidential telephone consultation service.  Dialing 811 enables callers to consult a psychosocial intervention worker for themselves or for a family member.

Medical and Assistive Devices  This hyperlink will open in a new window.
Administered by Revenu Québec

Certain devices used to treat illnesses or reduce the effects of a disability or impairment are zero-rated (no GST or QST added). Other devices are unconditionally zero-rated, whereas some are conditionally zero-rated. For example, in some cases, a written prescription is required for certain devices to be zero-rated, while in other cases, no prescription is required.

Medical records This hyperlink will open in a new window. (in French only)
Information from the Commission d’accès à l’information du Québec

All individuals can view the content of their medical record held by an institution in the public-sector health and social services network and private-sector enterprises.

To request access to a medical or social record, or to obtain a copy of it, a Request for access to personal information  (DOC, 27.5 Kb) This hyperlink will open in a new window. must be submitted to the person in charge of access to documents and the protection of personal information of the health and social services institution holding the file.

Ostomy Appliances Program This hyperlink will open in a new window. 
Administered by the Régie de l’assurance maladie du Québec (RAMQ)

This program, for individuals who have undergone a permanent or temporary colostomy, ileostomy or urostomy, provides a lump-sum payment for the purchase or replacement of the appliances needed by them.

Québec Health Booklet This hyperlink will open in a new window. 
Administered by the Régie de l’assurance maladie du Québec (RAMQ)

This service provides on-line access to health information. Through it, individuals can consult information such as:

  • the list of medications entered on their record at the pharmacy
  • their medical imaging examination reports (for example, an echography or an x-ray)
  • their results and samples (blood tests, urine tests and other samples).

Visual devices  This hyperlink will open in a new window.
Administered by the Régie de l’assurance maladie du Québec (RAMQ)

The Visual Devices Program enables individuals who have low vision or are functionally blind to borrow reading, writing and mobility aids, as well as certain aids for daily living. The program also offers financial assistance for acquiring and caring for a guide dog.

Housing

Admission of an adult to a residential centre or public residence  This hyperlink will open in a new window.
Information from local community service centres (CLSC)

An individual whose autonomy has diminished due to ageing or physical or mental incapacity may be admitted to a residential and long-term care centre (CHSLD), to an intermediate resource or to a family-type resource. Individuals wanting to apply for accommodation for themselves or for a family member are asked to contact their nearest local community services centre (CLSC).

Cancellation of a lease  This hyperlink will open in a new window.
Information from the Régie du logement

Lessees may cancel a current lease in certain situations, in particular, if they are allocated a dwelling in low-rental housing, can no longer occupy their dwelling because of a disability or are admitted permanently to a  place of accommodation providing the care or services required by their health.

Financial contribution payable by an adult entrusted to an intermediate resource  This hyperlink will open in a new window.
Administered by the Régie de l’assurance maladie du Québec (RAMQ)

A financial contribution is payable by adults entrusted to an intermediate resource (for example, a supervised apartment). This contribution is used by the government to pay a portion of the products and services received.

Individuals may apply for an administrative review if they disagree with the contribution amount established by the RAMQ.

Financial contribution payable by an adult lodged in a healthcare facility This hyperlink will open in a new window. 
Administered by the Régie de l’assurance maladie du Québec (RAMQ)

A financial contribution is payable by individuals lodged in a Québec healthcare facility. This contribution is used by the government to pay a portion of the products and services received.

Individuals may apply for an administrative review if they disagree with the contribution amount established by the RAMQ.

Residential adaptation This hyperlink will open in a new window. 
Administered by the Société d’habitation du Québec

The Residential Adaptation Assistance Program is for individuals with a disability who are limited in carrying out their everyday activities at home because of an impairment leading to a significant and persistent incapacity.  The goal of the program is to enable individuals with a disability to enter and leave their home, to access the essential rooms in the home and to safely perform everyday activities.

Work

Absences for family or parental obligations This hyperlink will open in a new window. 
Information from the Commission des normes, de l’équité, de la santé et de la sécurité du travail

The Act respecting labour standards protects the employment relationship of the employee who must be absent from work to fulfill family or parental obligations. Generally, workers are entitled to a certain number of days of leave, paid or not, by their employer. They must notify the latter of their absence as soon as possible.

Bodily injury indemnity following an employment injury This hyperlink will open in a new window. (in French only)
Administered by the Commission des normes, de l’équité, de la santé et de la sécurité du travail

An individual who suffers permanent physical or mental impairment because of an industrial accident or occupational disease is entitled to an indemnity for bodily injury.

Disability benefits This hyperlink will open in a new window.
Administered by Retraite Québec

Individuals under age 65 whose health has permanently deteriorated to the point that they can no longer work may be entitled to disability benefits if they have made sufficient contributions to the Québec Pension Plan.

Income replacement indemnity following an employment injury This hyperlink will open in a new window. (in French only)
Administered by the Commission des normes, de l’équité, de la santé et de la sécurité du travail

Individuals who remain unable to carry on their employment following an industrial accident or occupational disease may be entitled to an income replacement indemnity.

Industrial accident or occupational disease This hyperlink will open in a new window. (in French only)
Administered by the Commission des normes, de l’équité, de la santé et de la sécurité du travail

When an accident occurs or a disease is caused by the work of the employee, the employer must be notified as soon as possible and a physician consulted.

Individuals who are unable to work because of such an injury must then present a medical certificate to their employer. If the absence exceeds 14 days or if there are medical expenses to be reimbursed, the form Worker’s Claim must be completed and submitted.

Pension from a foreign country This hyperlink will open in a new window.
Administered by Retraite Québec

A worker who is making or has made contributions to a country that has signed a social security agreement with Québec may be entitled to a disability pension from a foreign country.

Reimbursement of expenses resulting from an employment injury This hyperlink will open in a new window. (in French only)
Administered by the Commission des normes, de l’équité, de la santé et de la sécurité du travail

An individual who sustains an industrial accident or occupational disease does not generally have to assume the expenses arising from the injury.

The individual may also receive medical treatments or care at home or be reimbursed expenses tied to the purchase of medicines and other pharmaceutical products. 

Legal

Compensation following a crime This hyperlink will open in a new window. 
Administered by the Commission des normes, de l’équité, de la santé et de la sécurité du travail et l’Indemnisation des victimes d’actes criminels (IVAC)

An individual who is a crime victim may receive benefits aimed at compensating for the injury sustained. It may be an indemnity for temporary or permanent incapacity or expenses paid for rehabilitation services.

Compensation following an act of good citizenship This hyperlink will open in a new window.
Administered by the Commission des normes, de l’équité, de la santé et de la sécurité du travail et l’Indemnisation des victimes d’actes criminels (IVAC)

An individual who has sustained injuries or property damage by voluntarily going to the assistance of another person whose life is in danger or who is in danger of bodily harm may receive compensation or the reimbursement of certain expenses or services.

Power of attorney (mandate) This hyperlink will open in a new window.
Information from the Ministère de la Justice

Power of attorney is a mandate through which an individual authorizes another individual to carry out everyday administrative tasks, in particular, to pay bills, or more important actions such as signing an apartment lease or a contract to sell a house. The individual who gives this power of attorney must be capable of managing his or her property.

Protection mandate This hyperlink will open in a new window.
Administered by the Curateur public du Québec

The protection mandate is a document in which an individual, with complete lucidity, designates one or more individuals to look after him or her and his or her property if the individual becomes unable to do so because of an illness, accident, impairment or age-related deterioration. The mandate comes into effect only after having been homologated by a court.

Protective supervision of individuals of full age This hyperlink will open in a new window. 
Administered by the Curateur public du Québec

When individuals of full age require assistance in carrying out certain actions or need to be represented in exercising their civil rights, protective supervision may be opened on their behalf. If the individuals have no protection mandate, one of the following measures may apply to them, based on their needs: tutorship, curatorship or an advisor to the person of full age.

Protective supervision for individuals of full age constitutes, with the protection mandate, the four legal protection measures provided for by the law.

Search for a protection mandate by the Barreau du Québec  This hyperlink will open in a new window.
Service offered by the Barreau du Québec

A search for a protection mandate is conducted to verify whether an individual presumed to be incapacitated has drawn up a protection mandate or whether the mandate left by the individual is indeed the most recent one. This search must be performed by the Barreau du Québec and by the Chambre des notaires, which have separate registers.

Search for a protection mandate by the Chambre des notaires du Québec  This hyperlink will open in a new window.
Service offered by the Chambre des notaires du Québec

A search for a protection mandate is conducted to verify whether an individual presumed to be incapacitated has drawn up a protection mandate or whether the mandate left by the individual is indeed the most recent one. This search must be performed by the Barreau du Québec and by the Chambre des notaires, which have separate registers.

Home help

Domestic help This hyperlink will open in a new window. 
Administered by the Régie de l’assurance maladie du Québec (RAMQ)

The Financial Assistance Program for Domestic Help Services enables individuals to receive a reduction in the hourly rate charged when they use domestic help services. The services must be provided by a social economy business recognized by the Ministère de la Santé et des Services sociaux.

Home care support This hyperlink will open in a new window. 
Services offered by local community service centres (CLSCs)

Home care support services are offered to individuals who are losing their independence or have a physical or intellectual disability. Certain services are also available to these individuals’ informal caregivers. Home care support services may be provided on a temporary or long-term basis, depending on the individual’s needs. Applications for home care support services must be placed with the local community services centre (CLSC) in the individual’s region.

Meals on wheels (Popote roulante) This hyperlink will open in a new window. (in French only)
Service offered by the Regroupement des popotes roulantes

Meals on Wheels is a service that delivers hot meals to homes, thereby helping some individuals remain in their home and providing others with respite. The service is intended for seniors, persons in convalescence, individuals with disabilities, pregnant women and informal caregivers. For information on the Meals on Wheels serving your area, contact the Regroupement des popotes roulantes.

Tax credits and financial assistance

Amount for a severe and prolonged impairment in mental or physical functions This hyperlink will open in a new window. 
Administered by Revenu Québec

This amount is a non-refundable tax credit granted to individuals with a severe impairment that seriously limits the performance of their daily activities.

Independent living tax credit for seniors This hyperlink will open in a new window.
Administered by Revenu Québec

This tax credit is refundable and is paid to individuals age 70 and older who incurred expenses for the purchase, lease or installation of eligible equipment in their principal place of residence. It may, for example, be a remote monitoring device, a walk-in bath or a hospital bed. The credit can also be granted to seniors who have stayed in accommodation offering re-education and rehabilitation services after hospitalization.

Social assistance and social solidarity This hyperlink will open in a new window.
Administered by the Ministère du Travail, de l’Emploi et de la Solidarité sociale

The Social Solidarity Program offers financial assistance to individuals who have a severely limited capacity for employment and who are unable to meet their basic needs.

Tax credit for caregivers This hyperlink will open in a new window. 
Administered by Revenu Québec

This refundable tax credit is paid to an individual who, without being remunerated, continually takes care and assists an eligible relative. This tax credit is available to four types of caregivers: those who take care of their spouse, those who house an eligible relative, those who live with an eligible relative and those who support an eligible relative.

Tax credit for home-support services for seniors This hyperlink will open in a new window.
Administered by Revenu Québec

This tax credit is for individuals age 70 and older. It is a refundable tax credit based on certain expenses incurred to obtain home-support services. Such services include personal care services (nursing care, hygiene, etc.) or maintenance services with regard to a dwelling (housekeeping, minor exterior maintenance, etc.).

Tax credit for medical expenses This hyperlink will open in a new window.
Administered by Revenu Québec

Individuals who pay medical expenses for themselves, their spouse or for a dependent may benefit from this tax credit. Individuals may, under certain conditions, be entitled to a non-refundable or refundable credit.

Tax credit for respite of caregivers This hyperlink will open in a new window.
Administered by Revenu Québec

A caregiver may benefit from this tax credit for expenses paid to obtain specialized respite services. These services consist of the care, custody and supervision of a family member with a significant disability.

Tax credit for volunteer respite services  This hyperlink will open in a new window.
Administered by Revenu Québec

This refundable credit is for individuals who provided respite services to the caregiver of an individual with a significant long-term disability. The caregiver can distribute a tax credit amount among the volunteers who assisted him or her.

Transport

Disabled parking permit This hyperlink will open in a new window.
Service offered by the Société de l’assurance automobile du Québec

Individuals may request a disabled parking permit if, because of their disability, they are unable to move about unaided or without a risk to their health and safety. A disabled parking permit gives the individual access to parking spaces reserved for persons with disabilities, whether travelling in a vehicle as the driver or a passenger.

Indemnities for bodily injury sustained as a result of a traffic accident  This hyperlink will open in a new window.
Administered by the Société de l’assurance automobile du Québec

The public automobile insurance plan provides financial compensation for bodily injury sustained following a traffic accident. An individual injured in a traffic accident may thereby receive income replacement indemnity, compensation for injuries and sequelae as well as the reimbursement of certain expenses incurred following the accident.

Public paratransit service This hyperlink will open in a new window. (In French only)
Service offered by public transit organizations or municipalities

Paratransit is a public transportation service that meets the needs of individuals with disabilities. Only individuals with disabilities that significantly compromise their mobility are eligible for the service.

Purchasing or adapting a vehicle for an individual with a mobility impairment  This hyperlink will open in a new window.
Administered by the Société de l’assurance automobile du Québec

An individual with a physical disability can obtain financial assistance in order to have access to a vehicle and to be able to drive it safely.

Reimbursement of taxes paid when purchasing or adapting an adapted automobile This hyperlink will open in a new window.
Administered by Revenu Québec

An individual who proceeds with the purchase or the modification of an automobile in order to adapt it to transport an individual with a disability may receive a partial reimbursement of the goods and services tax (GST) and harmonized sales tax (HST) as well as the Québec sales tax (QST).

State of health and Driver’s licences This hyperlink will open in a new window. 
Administered by the Société de l’assurance automobile du Québec (SAAQ)

In Québec, all drivers must satisfy requirements concerning their state of health and vision. They also need to notify the SAAQ of any change that could hinder their ability to drive.