Ontario's Fertility Program - IVF Funding

The Services included in Ontario's Fertility Program for In-vitro Fertilization (IVF) consist of a group of services, including a number of funded supporting services. Not all patients will require all of the services. Necessary services will depend on what is clinically appropriate as determined by the physician.
 

Services included in a Funded IVF Cycle:

  • Medical assessments and counselling by a physician or nurse;

  • Diagnostic laboratory and imaging services;

  • Cycle monitoring of follicle production and ovulation;

  • Egg retrieval and preparation;

  • Sperm sample collection and preparation, including sperm washing and surgical sperm aspiration if required.

  • Embryology services including: IVF, Intra-Cytoplasmic Sperm Injection (ICSI), assisted hatching, blastocyst culture, embryo freezing, and embryo thawing and culture.

  • Embryo transfer of all fresh and frozen embryo(s) resulting from the funded oocyte retrieval procedure or from a single batch of pre-existing oocyte(s) or embryo(s).

 

Single Embryo Transfer Policy:

The Province has established a Single Embryo Transfer (SET) Policy and each Embryo Transfer (using either fresh or frozen embryos) provided as part of Funded IVF Services must adhere to the SET Policy as defined in the chart below:
 

SET Policy for all Funded IVF Services 

Age*

Maximum Number of Embryo(s) Permitted per Embryo Transfer (fresh/frozen)

Up to age 35 

1 embryo per transfer, regardless of the embryo's developmental stage.

Ages 36 & 37 

1 embryo per transfer, if at blastocyst stage of embryo development; or 2 embryos per transfer, if at day 3 of embryo development

Ages 38 - 42 

2 embryos per transfer, regardless of the embryo's developmental stage. 

Exception:

After 3 failed transfers using 1 embryo per transfer, may proceed to 2 embryos per transfer.

Age does not refer to the age of the Primary IVF Patient at the time the Embryo Transfer is performed, but instead refers to the age of the Primary IVF Patient (or Secondary IVF Patient or egg donor) at the time the Egg Retrieval was performed.

 


Ancillary Services NOT covered under the Program:

An IVF cycle may have associated ancillary elements , which are products or services that are not funded under the Program. To access these products or services, patients are required to pay out-of-pocket.

 

Examples are:

  •  Medication/drugs for the IVF cycle

  • Services delivered in support of an IVF cycle including genetic testing, purchasing genetic material (ie: donor sperm), and storing or transferring genetic material.

 

Completion of a Funded IVF Cycle:

Not all IVF cycles will result in creation or transfer of embryos. Nevertheless, the following circumstances represent completion of a funded cycle and patients who meet one of the following criteria will not be eligible for additional funded IVF cycles under the Program.

  • Two attempts at Cycle Monitoring have been performed and in both instances Egg Retrieval was not performed;

  • One attempt at Egg Retrieval has been performed but no viable eggs were retrieved;

  • One attempt at Sperm Retrieval has been performed and no viable sperm were collected and the Primary IVF Patient does not proceed by using an alternate sperm source;

  • An IVF cycle that results in either no embryos or embryos that are not suitable for transfer;

  • The Primary IVF Patient has Concluded Care.

 

For more information about the Program, please contact our office at 519-944-6400.