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Ontario Fertility Program

Ontario's Fertility Program


Launched in 2015 with the intention to provide partially funded fertility services to eligible residents. Fifty fertility clinics participate in the program, each of which has its own funding allocation from the province. Access to the program is not based on sex, gender, sexual orientation, or family status and is not restricted to individuals with a medical diagnosis of infertility. Eligibility for fertility services requires the patient to be an Ontario resident with a valid OHIP card. For a funded IVF cycle, women need to be under age 43.
Funded fertility services include both Intra-Uterine Insemination (IUI) and In-Vitro-Fertilization (IVF), each of which has its own eligibility requirements.

Services included in a Funded IUI Cycle:


Medical assessments and counselling by a physician or nurse;
Cycle monitoring of ovarian follicle production and ovulation;
Diagnostic laboratory services (blood work during the fertility cycle);
Diagnostic imaging services including pelvic and trans-vaginal ultrasounds IUI procedure

Ancillary Services NOT covered under the Program:

An IUI cycle may have un-funed ancillary services delivered in support of the procedure. To access these products or services, patients are required to pay out-of-pocket. Examples are:
Medication/drugs for the IUI cycle;
Sperm washing and preparation;
Purchase of donor sperm;
Genetic testing

The services included in Ontario's Fertility Program for In-vitroFertilization (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-CytoplasmicSperm 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

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Age*Maximum Number ofEmbryo(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, i fat 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 proceedto 2 embryos per transfer.

* Age does not refer to the age of thePrimary IVF Patient at the time the EmbryoTransfer is performed, but instead refers to the age of the Primary IVF Patient (orSecondary IVF Patient or egg donor) at the time the Egg Retrieval was performed.
Ancillary Services NOT covered under the Funded IVF 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 IVFcycle
* Services delivered in support of an IVF cycle including genetic testing, purchasing genetic material (ie: donor sperm), and storing or transferring genetic material.
Each of the 50 participating fertility clinics in Ontario have their own unique limited funding for either IUI or IUI/IVF services. It is common for funding to become exhausted throughout the fiscal year and patients are free to visit other clinics or wait for services in their own area.
For more information, please visit Ontario.ca/fertility for more information, or see the Patient Information Sheet.