Disability
Tax Credit
Provincial Insulin Pump Coverage
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Diabetes is a costly disease in
so many ways. Trying to fight complications can be a financial
burden that often is too much to carry. Sadly it is the poorest in our
world who stand the highest chance of experiencing complications. Some
provinces and states in North America offer help to cover the costs of
such items. That is still not enough. There are those of us in Canada
who are and will continue to lobby various government agencies so that
one day there is no longer this gap and everyone living with diabetes
will have equal access to the best methods of care.
Government Aid Canada
For a complete listing of what coverage your province has for your
diabetes supplies please check out the Canadian Diabetes Association's
Advocacy section at
www.diabetes.ca/Section_advocacy/advCoverageComp.asp
Registered Disability Savings Plan from the government of Canada.
Similar in principal to an RRSP but for the assistance of medical
expenses.
British Columbia offers a PharmaCare
program. Benefits and coverage under this program depend on income
level. They do extend to all insulin on its formulary as well as insulin
pump supplies.
Alberta
Alberta Monitoring for Health Program provides
support to assist in the purchase of some diabetes supplies for low
income Albertans without insurance, whether they manage their diabetes
with insulin, oral medications or diet. The AMFH Program enables
Albertans with diabetes, who meet eligibility requirements, to access
limited funding to cover a portion of the cost of eligible diabetes
testing supplies. This Program is funded by Alberta Health and Wellness
and administered by the Canadian Diabetes Association.
AMFH Program
Suite 1020 Royal Bank Building
10117 Jasper Ave NW Edmonton, Alberta T5J 1W8
(780) 423-2634 or outside Edmonton
1-800-267-7532
Saskatchewan
As of July 2003, Saskatchewan has expanded its drug plan for people with
diabetes. It will now cover syringes and lancets. It is thought that
this will benefit at least 15,000 people. Insulin pumps and supplies are
covered for children up to 18 years.
Ontario has two provincial drug programs that work the same way.
The Ontario Drug Benefits Program and the Trillium Drug Plan both offer
insulin coverage for families meeting the provincial criteria. Insulin
covered only includes those listed on the provincial drug formulary. The
provincial formulary in this province now covers Lantus and Levemir.
On March
23, 2006 the Ontario government released in its budget $12 million to
provide insulin pumps and supplies for 6,500 children in Ontario.
Funding will be increased to $30m in 2008-09.
Insulin pumps and supplies are covered for children and adults.
Newfoundland and Labrador
Effective October 31, 2007, Newfoundland and
Labrador will introduce their new "Assurance" prescription drug plan.
The Assurance Plan offers protection against the financial burden
of eligible high drug costs, whether from the cost of one extremely
high-cost drug or the combined cost of different drugs. Depending on
their income level, individuals and families will be assured that their
annual out-of-pocket costs for eligible drugs will be capped at a
percentage of their net family income.
| Annual Income (net) |
Maximum % of Income to Spend on Eligible Drug Costs
|
| $0 -
$39,999 |
5% |
| $40,000
- $74,999 |
7.5% |
| $75,000
to $149,999 |
10% |
Applications are available in physician’s offices and pharmacies as
well as on-line at www.gov.nl.ca/health
Insulin pumps and supplies are covered for children
under 18 years of age.
Nova Scotia has recently changed its
diabetes
care program. As of January 2006, they have launched the New
Diabetes Assistance Plan which covers test strips, lancets, syringes and
insulin listed on its formulary. This plan is designed to assist
low-income families and people who are under the age of 65 and have no
other drug coverage. Registration is underway for the
Diabetes Assistance Program. Registration forms and information booklets are available by
calling the Nova Scotia Diabetes Assistance Program. Information is also
available on the Department of Health website. Forms and booklets
can also be found in doctors' offices, pharmacies, and diabetes
centres.
In New Brunswick financial
assistance is for insulin coverage is limited to those receiving income
support or low-income seniors. They only offer coverage to those insulins listed on their provincial formularies unless special
authorization is given. Insulin pumps are now covered for children
The situation in the Yukon and other territories remains somewhat
unique. Many people living in the north receive 100% coverage of all
insulins, pumps and pump supplies under the Non-Insured Health Benefits
plan (NIHB). For those not covered under NIHB, there are different
policies for the different territories. In the Yukon for example, all
insulins except Levemir® are covered. They also cover pumps and pump
supplies. To have your pump paid for, you must have an application
filled that gives details of your case history stating your failure on
MDI, evidence of your commitment and competence to use the pumps, as
well as support for initiation and follow up therapy. Requests based on
life style choices will not be considered. These requests must be signed
by an endocrinologist. There are no specialists in the North. Patients
seeking the support of doctors such as endocrinologists must go to major
centres such as Vancouver, Edmonton, and Winnipeg to have their pumps
prescribed
The Canadian Diabetes
Association has launched a Compassionate Use Program aimed at
economically challenged Canadians who are unable to afford the
out-of-pocket costs for monitoring their blood glucose levels. Through
this program, the Association is looking to distribute 4,901 free blood
glucose monitoring kits across Canada, consisting of:
1 OneTouch® UltraMini® System Kit
300 OneTouch® Ultra® Blue Test Strips
300 OneTouch® Delica® Lancets
Trademarks owned by Johnson &
Johnson and used under license.
If anyone can benefit from this program or knows
someone that could, they can apply by visiting
www.diabetes.ca/meter or by
calling 1-800-BANTING (1-800-226-8464), option 7 (option 8 for French),
to request an application.
Insulin Pump Programs
International Efforts to Help
with Supplies
-
www.ipump.org
is a board-governed,all-volunteer, nonprofit diabetes charity
located in Upland, CA, USA. In addition to financial donations, they
also take donations of diabetes supplies, insulin pumps, and insulin
pump supplies. They give away all
donated items for free to qualifying persons in need. They also have
a fun program for children newly diagnosed with diabetes where they
can request (free) a handmade quilt. In addition to diabetes goods,
they can also take donations of handmade quilts and fabric for this
program.
This quilt program is also open to Canadians. They can offer a tax
receipt for all donations both in-kind and financial. They offer a
variety of assistance programs that offer both financial
assistance as well as free insulin pumps to children, and free
diabetes supplies to persons of any age. For further information and
contact information go to
www.ipump.org
- The
Children with Diabetes Foundation
has a program that would see qualifying
families receive free supplies for up to 3 months during periods of
financial hardship. To apply go to the Children With Diabetes
Foundation online (link pending). If you would like to donate to
this cause, the is a registered US charity.
-
International Diabetes Federation. A dollar a day will
help a child live with diabetes in a developing nation.
- If you know of other organizations
collecting supplies please
let us know and we
will share that information online.
- If you have extra supplies that you can no
longer use and would like to donate them to someone who may not be
able to afford them, please let us know and we will try to connect
you with a needy person/organization.
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