Ontario Monitoring for Health Program

Who is Eligible for Financial Assistance?

To qualify for financial assistance through this program, applicants must:

What Items and How Much Does The Program Reimburse?

Important links:


Ontario Drug Benefit Plan (ODB), Ministry of Health and Long-Term Care

Who qualifies?

Patients on a provincial social assistance program and those who are 65 years of age or older.

For what supplies?

Diabetes supplies including most types of insulin, oral medications (hypoglycemics), and blood testing strips.

Note :

If you are 65 years of age or older, are using the ODB and have an annual income of $16,018 or more (or a combined income of $24,175 or more for a couple), you will have to pay an annual deductible of $100 up front. After that, you will pay up to $6.11 per prescription. If your annual income is under $16,018 or $24,175 for a couple, no up-front payment will be required and you will pay a $2 prescription fee.

Products listed on the ODB Formulary for diabetes are:

Contact :


Trillium Drug Program, Ministry of Health and Long-Term Care

Who qualifies?

Patients whose drug costs are high compared to their annual income. You will need to make an up-front payment, broken up into four parts over the year, to access the program. This payment is based on a review of your household income.

For what supplies?

Diabetes supplies including most types of insulin, oral medications (hypoglycemics), and blood testing strips.

Contact: 1-800-575-5386  or visit website


Assistive Devices Program (ADP), Ministry of Health and Long-Term Care

Who qualifies?

Patients 65 years of age or older who use insulin by injection on a daily basis.

Annual grant of $170, paid once per year, for the purchase of needles and syringes used to inject insulin.

Who qualifies?

Children, youth and adults with type 1 diabetes who meet the program’s medical eligibility criteria. You must be assessed and followed up by an ADP-registered Diabetes Education Program.

Patients who continue to qualify will have to show that they meet the eligibility criteria.

For what supplies?

Contact: 1-800-575-5386  or visit website

 

Assistive Devices Program (ADP), administered by the Canadian Diabetes Association, Ministry of Health and Long-Term Care

Who qualifies?

Eligible patients who use insulin or have gestational diabetes.

For what supplies?

Contact: Canadian Diabetes Association: 1-800-361-0796  


Syringes for Seniors Program ($125.00 grant), assistance with costs for various assistive devices - Assistive Devices Branch (Ministry of Health)

Who qualifies?

Those over 65 living in Ontario (with a health card). Those that qualify must complete an application form annually to receive the grant. The Branch will also assist those in need of assistive devices (such as wheelchairs, prosthesis, canes etc.) - no age requirement - by offering financial assistance.

For what supplies?

Contact: 1-800-268-6021


Social Benefits Tribunal (Appeal Centre for provincial assistance programs)

Who qualifies?

Any individual on social assistance who feels he or she has been assessed unfairly (for funding), the individual may appeal the decision through this office.

For what supplies?

Funding assistance

Contact: 1-800-753-3895


Lilly Canada Cares Insulin Assistance Program

(Note: Individual must apply to this program through a Health professional only - such as a Diabetes Educator)

Who qualifies?

This program will provide insulin to patients who cannot afford it and do not have government or private insurance. Those eligible for this assistance include patients requiring insulin whose household incomes fall below Statistics Canada Low-Income Cut-Off levels AND who do not have other government or private health insurance. The supply will be delivered to the designated Diabetes Education Centre for the individual to pick up. If the need is still present after three months the individual, with their Health Care Professional can reapply.

For what supplies?

Insulin (approximately 3 month supply)

Contact: 1-888-479-7587 ext. 3006 (information line for healthcare providers)

 

Additional Supportive Material

MOHLTC

Assistance with insulin pumps and supplies Funding Manual [PDF, 192 KB]