Navigating fertility treatments can be overwhelming, especially when it comes to understanding eligibility and funding options. If you’re considering in vitro fertilization (IVF) in Ontario, it’s crucial to know the eligibility criteria and what is covered under the provincial funding program. Here’s a comprehensive guide to help you determine if you qualify for IVF treatment and what you can expect.
Eligibility Criteria for IVF in Ontario
To be eligible for IVF treatment funded by the Ontario Health Insurance Plan (OHIP), you must meet the following requirements:
- Ontario Residency: You need to be a resident of Ontario with a valid OHIP card. This ensures that you are covered under the provincial health insurance plan.
- Age Requirement: You must be under 43 years of age at the time of treatment. This age limit is set to align with the higher success rates of IVF procedures in younger women.
- Funding Limitations: The funding program covers one IVF cycle per lifetime. This limitation emphasizes the importance of thorough planning and consultation with your fertility specialist.
What’s Covered Under OHIP Funding
If you meet the eligibility criteria, the following services are covered:
- Cycle Monitoring: Up to two attempts at cycle monitoring to track ovarian response and readiness.
- Embryo Management: Includes freezing, thawing, and culturing of embryos.
- Surgical Sperm Retrieval: One attempt at sperm retrieval using specific techniques, if needed.
- Fertilization and Embryology: This encompasses services such as intra-cytoplasmic sperm injection (ICSI), assisted hatching, and blastocyst culture
- Embryo Transfer: One-at-a-time transfer of all embryos, whether fresh or frozen.
What’s Not Covered
There are certain aspects of IVF treatment that are not covered under the provincial funding:
- Donor Gametes: The purchase of donor sperm or eggs is not included.
- Storage and Shipping: Fees for the storage or shipping of eggs, sperm, or embryos are not covered.
- Non-Eligible Participants: Any services performed on individuals participating in the IVF cycle who do not hold a valid Ontario health card are not covered.
Understanding the eligibility criteria and what is covered by OHIP is vital for anyone considering IVF treatment in Ontario. By meeting the residency and age requirements and knowing what aspects of treatment are funded, you can better prepare for your fertility journey. If you believe you qualify and need further assistance or wish to discuss your options, don’t hesitate to reach out to a fertility specialist.
For more detailed information, visit the below:
Ontario Ministry of Health: Get Fertility Treatments
TRIO Fertility: IVF funding details
Wishing you all the best on your path to building your family.