Insulin Pump Coverage in Ontario

Ontario’s Assistive Devices Program (ADP) was created to help people living with long-term conditions manage the costs of essential medical equipment. For people with Type 1 diabetes, this means access to insulin pump therapy without having to cover the full cost on your own.

To learn more about which insulin pumps are available across Canada, check out Our guide to insulin pumps in Canada.

• Insulin Pumps: ADP pays 100 percent of the approved price for insulin pumps that are listed in the ADP Product Manual. These devices are reviewed by the Ministry of Health to make sure they meet safety and reliability standards.
• Pump Supplies: ADP provides up to $2,400 each year for pump supplies, such as infusion sets, reservoirs, and cartridges. The grant is paid in four equal installments of $600 every three months. However, pump supplies typically cost between $250 and $350 per month, which means ADP coverage generally only covers about 60–80% of the total cost.
• Replacements: If your pump is out of warranty, cannot be repaired at a reasonable cost, or no longer meets your medical needs, ADP may cover a replacement, as long as the pump is listed in the Product Manual.
• Not Covered: ADP does not cover lost or stolen pumps, damage caused by misuse or accidents, or accessories such as batteries, adhesives, or carrying cases.

Eligibility is an important part of the program, since ADP wants to make sure that insulin pumps are provided to people who will benefit from them and who are prepared to use them safely. To qualify for funding, you must:

• Be an Ontario resident with a valid Ontario Health Card
• Have a diagnosis of Type 1 diabetes or another insulin-dependent form of diabetes approved under ADP
• Work with a Diabetes Education Program (DEP) that is registered with ADP for both your assessment and your application

ADP also applies different medical requirements based on age:

• Children and youth must have been using insulin injections for at least one year, show that they are monitoring their blood glucose consistently, and participate actively in diabetes education and clinic visits.
• Adults must have experience with a basal bolus insulin regimen, be able to count carbohydrates and calculate correction doses, and stay engaged with regular follow-ups at their DEP.

Finally, all applicants must complete a 90-day trial period with pump therapy. This allows both you and your care team to confirm that the technology is appropriate and manageable before long-term funding continues.

ADP funding applies only to new insulin pumps that are purchased from ADP-registered vendors. Refurbished or second-hand devices do not qualify for coverage.

Currently, the following manufacturers have pumps that are supported through ADP:

• Medtronic
• Tandem Diabetes Care
• Insulet (Omnipod)
• Ypsomed (YpsoPump)

This list may change over time as new pumps are approved or older models are retired. For the most accurate and up-to-date information, you can review the official ADP Product Manual – Insulin Pumps and Supplies.

By limiting coverage to approved vendors and models, ADP ensures that every funded pump is safe, reliable, and supported by a manufacturer warranty.

Applying for ADP coverage involves working closely with your diabetes care team. Here is what the process usually looks like:

1. Assessment: Meet with a Diabetes Education Program that is registered with ADP. Your team will confirm your eligibility and make sure you meet the medical criteria.
2. Application Forms: Complete the ADP application form together with your prescriber, who can be a physician or nurse practitioner. You will fill in your section, and your clinician will complete theirs.
3. Approval: The Diabetes Education Program submits your application to ADP. Once it is reviewed and approved, you can move forward with pump therapy.
4. Trial Period: Begin a 90-day trial using an insulin pump to confirm that it works for you and that you can manage it effectively.
5. Funding and Supplies: After a successful trial, ADP funds your pump and provides supply grants in quarterly payments of 600 dollars.
6. Annual Renewal: Each year, you and your DEP must confirm that you still meet the medical criteria to continue receiving supply funding.

👉 Forms and details: ADP Application for Funding – Insulin Pumps and Supplies

The renewal requirement ensures that you remain supported by a care team and that the funding continues to be used appropriately.

ADP ensures the cost of pumps and supplies is covered, but many people still face challenges with the day-to-day details of diabetes care. That is where additional support can make a real difference.

• Clinician access when you need it: The Endor Health app allows ongoing communication with your care team, so questions about therapy or adjustments do not have to wait for the next appointment.
• Reliable supply delivery: The Endor Health app makes it easy and free to get home delivery of insulin, prescription items and pump supplies, reducing the risk of missed refills or last-minute pharmacy visits.