What is a functional impairment? (Schedule K)

 According to the government of Québec, a person has a functional impairment if they have:

  • an intellectual impairment, with an intelligence quotient (IQ) of less than 70, as determined through standardized testing
  • a severe permanent psychiatric, organic*, or motor impairment which, in spite of technological assistance (in the case of motor impairment) prevents them from carrying out normal day-to-day activities
  • a severe, permanent multiple impairment, with 2 or more of the following impairments that combine to prevent them from carrying out normal day-to-day activities:
    • intellectual impairment
    • psychiatric impairment
    • organic impairment
    • motor impairment
    • speech or language impairment
    • hearing impairment (as determined by a hearing test where the person has an acuity threshold of 40 decibels or more at a frequency of 500, 1,000, and 2,000 hertz in the ear that has the best hearing capability)
    • visual impairment (after correction through the use of the appropriate lenses) that’s characterized by visual acuity in each eye of not more than 6/21 or by a field of vision in each eye that is less than 60° in the 180° and 90° meridians or that requires the use of special optical systems of over +4.00 dioptres

*An organic impairment refers to the decrease in mental function due to a physical disease rather than a psychiatric illness. 

Note: A functional impairment must be certified by a health professional.

I suffer from a functional impairment; do I have to pay a premium under the Québec Drug Insurance Program?

If you suffer from a functional impairment you might not have to pay a premium under the Québec Drug Insurance Program if:

  • the impairment started before you turned 18
  • you live with your parent(s)
  • you aren’t married or have a common-law partner
  • you aren’t receiving benefits under a last resort financial assistance program
  • you have a document from Régie de l’assurance maladie du Québec (RAMQ) that confirms your impairment

Where can I learn more?

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