Individuals with diabetes may face high medical costs for medications, supplies (e.g. blood glucose test strips, continuous glucose monitors, needle tips, etc.) & medical devices (i.e. insulin pump) to help manage their diabetes. To help cover some of the costs, there are a number of options available to those who qualify. Many private benefit programs also have their own coverage options. Contact your plan administrator for details.

OHIP +

Provides more than 4400 drug products currently available through the Ontario Drug Benefit Program at no cost for individuals 24 years or younger & who are not covered by a private drug plan. Individuals do not have to enroll or register to access OHIP + coverage & coverage will automatically stop on your 25^th birthday.
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Ontario Drug Benefit Program (ODB)

Provides coverage for more than 4400 drug products & supplies for individuals 65 years or older. Under this program, on the first day of the month after turning 65 years of age you will pay a yearly deductible up to $100 towards medications as well as a co-payment dispensing fee of up to $6.11 for each prescription.
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Seniors can apply for help with these costs through the Seniors Co-Payment Program (SCP). Under this program, the co-payment is reduced to $2.00 or less & there is no yearly deductible.
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Ontario Disability Support Program (ODSP) & Ontario Works (OW)

ODSP & OW is available to individuals 18 years or older who demonstrate financial need & meets the program’s definition of a person with a disability. This program provides coverage of more than 4400 drug products & supplies with the provision of a drug card. You may need to pay an annual deductible & copayment for each prescription medication. Contact your local social services agency or health care provider to see if you qualify.
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Trillium Drug Benefit Program

The Trillium Drug Benefit is available to anyone whose prescription drug costs are high compared to their annual income & where no other coverage exists. This program provides coverage for most medications & supplies with the provision of a drug care. There is a deductible (determined by household income & number of people in the household) which must be paid every 3 months. Contact your local social services agency or health care provider to see if you qualify.
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Non-Insured Health Benefits Program (NIHB)

Provides eligable First Nations & Inuit clients with coverage for a specified  range of medically necessary health-related benefits that are not covered through other social programs, private insurance plans or provincial/territorial health insurance.  The program provides coverage for medical supplies & equipment, prescriptions & over-the-counter medications among other services.
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Ontario Monitoring for Health Program (from Diabetes Canada)

Available to individuals who take insulin or have gestational diabetes & where no other coverage exists. This program will cover 75% of the cost of blood glucose monitoring strips up to a maximum of $920.00/year for individuals who use insulin. It will also cover 75% of the cost of a blood glucose meter up to a maximum of $75.00 once every 5 years.
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Insulin Syringes for Seniors (Assistive Devices Program – ADP)

Available to individuals 65 years or older who take insulin daily. Eligible individuals are provided with an annual grant of $170.00, paid out once per year, to be used for the purchase of needle tips and/or syringes to inject insulin. Ask your diabetes educator for more information.

Assistive Devices Program (ADP) for Insulin Pumps & Pump Supplies

Insulin pumps are 100% covered through ADP if you meet the necessary eligibility criteria. The ADP will also provide a grant of $2400.00 per year paid to you in $600.00 instalments every 3 months for the purchase of insulin pump supplies. This grant does not cover blood glucose monitoring strips, insulin, continuous glucose monitors or glucose sensors.
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Continuous Glucose Monitors & Sensors

Private insurance plans may cover some of these expenses. Insulin pump or monitoring companies can assist you in seeking this coverage if interested. Ask your diabetes educator for more information.

Compassionate Supplies

Contact your local Diabetes Program or 519-272-8210 ext. 2365 for more information about compassionate insulin, medications or diabetes supplies.