Ontario Funded Fertility Program
Patients may opt to pay privately for fertility treatments; this will not affect their eligibility for the Ontario Funded Program as clinics are responsible for managing their own waitlists and prioritizing patients using the physician’s best clinical judgement.
- Patient must have a valid OHIP card; for those participating in Third Party Reproduction; egg donors, surrogates and 1 intended parent must have a valid OHIP card
- Female patient must be <43 at the time of eligibility submission even if using an egg donor
- An IVF patient or fertility preservation* patient must not have started funded services at another fertility clinic
- Patient must sign required consent form to participate in the funded program
- All funded IVF cycles must adhere to a single embryo transfer policy**
*Fertility preservation patients are referred to as those who have been diagnosed with a medical condition where planned treatment is known to affect fertility and may lead to infertility.
Intrauterine Insemination (IUI)
- Unlimited number of funded IUI cycles
- No age limit exists
- 1 insemination per cycle (>23 days apart)
- Patients may transfer care to another fertility clinic for treatment at any time between IUI cycles
Does not include:
- Sperm wash
- Purchase, shipping and storage of sperm
- Physician advise discontinuation or patient concludes care of the IUI program
In Vitro Fertilization (IVF) & Egg Freezing (FP)*
- One IVF cycle per lifetime for the purpose of becoming pregnant in the near future*
- Female patient must be <43
- Once the consent form is signed for the IVF funded program, a patient cannot transfer care to another fertility clinic for funded IVF treatment.
Does not include:
- Medications (can range from $3000.00-$8000.00/cycle)
- Ancillary services such as: anesthesia, Pre-Genetic Screening (PGS/PGD), purchasing and shipping of gametes (sperm/eggs/embryos), annual storage.
- Additional services such as Immune testing & therapy, time lapse photography (EEVA), Augment and alternative therapies such as Acupuncture.
- One (1) IVF cycle resulting in an egg retrieval; even if no eggs are retrieved, no eggs fertilize or no embryos are available for transfer
- Two (2) cycle cancellations after cycle monitoring has begun and an egg retrieval was not done
- Patient chooses to discontinue and concludes care
- The Funded program will cover sperm freezing diagnosed with a medical condition where planned treatment is known to affect fertility and may lead to infertility*
- Freezing of sperm obtained by masturbation and ejaculation; includes as many attempts at obtaining one viable sample
- One (1) attempt at sperm retrieval through medical surgical procedure to aspirate sperm; including Testicular Epididymal Sperm Aspiration (TESA) or Percutaneous Epididymal Sperm Aspiration (PESA); even if no viable perm is retrieved
Does Not Include:
- Ancillary services such as anesthesia, shipping & sperm storage
- One (1) sperm sample is frozen and stored
Frozen Embryo Transfer(s) (FET)
- The Funded Program will cover FET’s resulting from a single IVF cycle previously done by the patient
Does Not Include:
- Ancillary services such as: PGD/PGS, purchasing and shipping of gametes (sperm/eggs/embryos), annual storage.
- Additional services such as Immune testing & therapy and alternative therapies such as Acupuncture.
- All embryos from the “batch” or the funded IVF cycle have been transferred to the patient
- Patient chooses to discontinue treatment and concludes care
- Physicians must adhere to the Government’s Single Embryo Transfer policy for funded FET cycles.
- Once the patient signs the consent to participate in the funded FET program; all funded FETs must be done at that specific clinic
SINGLE EMBRYO TRANSFER POLICY
|Patient Age (at time of egg retrieval)||Maximum Number of Embryo(s) permitted per Fresh/ Frozen Embryo Transfer|
|Up to Age 35||1 embryo per transfer regardless of embryo’s stage of development|
|Age 36-37||1 embryo (blastocyst) per transfer OR 2 embryos per transfer if Day 3|
|Age 38+||2 embryos per transfer regardless of the embryos stage of development|
|Exception||After 3 failed single embryo transfers, may proceed to 2 embryos per transfer|
IMPORTANT: Third Party Reproduction
- Legal and Administrative requirements for the acquisition of donor embryos, eggs and sperm are the responsibility of the intended parent and must adhere to clinic requirements.