Insulin Pump Coverage in Quebec

Quebec’s Insulin Pump Access Program helps people living with Type 1 diabetes manage the cost of insulin therapy by providing financial assistance for approved insulin pumps and supplies. The program supports eligible residents in accessing the technology they need to safely and effectively manage their condition.

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

Insulin Pumps and Supplies

• The program provides funding toward one insulin pump every five years, up to a maximum reimbursement of $6,300 per pump, through approved vendors.
  
• Eligible pump supplies include reservoirs, catheters, and cartridges, with a maximum reimbursement of $4,000 per year.
  
• Only insulin pumps and supplies on the program’s approved vendor list qualify for funding.
• The program does not cover devices or supplies purchased outside the approved network.
• Because of these restrictions, participants may have some out-of-pocket costs or experience delays in accessing equipment not available through the program.

Eligibility under Quebec’s program is restricted. To qualify, you must:

• Be covered by RAMQ (the Quebec public health insurance).
• Be under 18 years of age at the time of enrollment.
  Meet certain clinical criteria (as determined by your physician and designated diabetes center).
• Commit to regular follow-ups, training, and monitoring under a designated care team.
  

If you enroll before age 18 and meet ongoing clinical eligibility, you may continue in the program after turning 18.

However, new applicants who are aged 18 or older are not eligible to begin under the program.

Because of this, Quebec is currently the only province in Canada that maintains age restrictions on public insulin pump coverage.

The program does not publish a complete list of approved pump models in all cases, but devices must meet safety and program criteria to be eligible for reimbursement.

When purchasing, you must use a pump within the program framework, and you’ll need to submit the proper documentation (receipts, prescription or eligibility forms) to the program’s designated payor (CHU de Québec – Université Laval) for reimbursement. 

👉 For full details, device eligibility, and procedure: see Quebec’s official Program page, Programme d’accès aux pompes à insuline.

Here is the typical path to accessing the program:

1. Physician assessment: Your doctor (pediatric endocrinologist or family physician) evaluates whether pump therapy is appropriate under program criteria.
   
2. Application for eligibility: Submit a form through the designated health center. For children under 18, the form is often initiated through the designated institution or diabetes team.
   
3. Approval & enrollment: If approved, you’ll be enrolled in the program and receive an eligibility certification.
   
4. Purchase & reimbursement: You purchase the pump and supplies, then submit original receipts or documentation to the program’s payor (CHU de Québec – Université Laval) for reimbursement.
   
5. Ongoing follow-ups: You must attend at least 3 follow-up visits per year with the diabetes care team.
   
6. Annual review: For participants over 18, eligibility must be reassessed each year.
   

Replacement eligibility: After five years, you may apply again for a new pump, subject to program criteria.

The program reimburses the cost of pumps and supplies (within its limits), but many day-to-day challenges remain in managing 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.