Home Insurance & Funding Ontario
Insurance & Funding in Ontario
Explore ADP funding for PAP equipment, home oxygen and respiratory care, plus insurance options and local MedPro support in Ontario.
Ontario
Choose Your Coverage Path
Ontario’s Assistive Devices Program (ADP) supports eligible equipment. Residency, health-card status, medical criteria and application requirements apply.
CPAP, APAP & Bilevel
Review ADP support for eligible PAP systems, assessment requirements and patient costs.
Home Oxygen
Learn about home oxygen funding, medical eligibility and additional coverage for qualifying clients.
Other Respiratory Benefits
Find the relevant program information for equipment and supplies with different funding arrangements.
PAP Equipment
CPAP, APAP & Bilevel Funding
Funding applies to the approved system and program price. Your clinical assessment and application determine eligibility.
ADP Funding & Your Share
For eligible PAP systems, ADP generally pays 75% of its approved price. The client pays the remaining 25% of that price. Ask for an itemized quote showing any optional extras.
Qualifying clients receiving Ontario Works, Ontario Disability Support Program (ODSP) or Assistance for Children with Severe Disabilities (ACSD) may receive 100% of the ADP price.
Assessment & Supplies
ADP requires PAP assessment by a doctor at an ADP-registered sleep clinic. The clinic and registered equipment vendor complete their parts of the application.
Confirm what is included with the initial system. ADP does not cover replacement CPAP masks and headgear; ask about insurance or other benefits for ongoing supplies.
Home Oxygen
Home Oxygen Funding
Medical eligibility and the home oxygen application process determine the approved support.
Coverage & Costs
ADP generally funds 75% of eligible home oxygen therapy costs, with 25% payable by the client.
100% coverage applies to eligible clients who are 65 or older, live in a long-term care home, receive Ontario Works, ODSP or ACSD, or receive professional services through Ontario Health atHome.
Application & Ongoing Service
Your doctor or nurse practitioner checks medical eligibility and completes the clinical application. A registered home oxygen vendor completes its part and submits the form.
Approved support can include oxygen, equipment, delivery, setup and maintenance. Follow the program’s medical reassessment and renewal requirements.
Respiratory Care
Other Respiratory Benefits
Check the relevant category for equipment, supplies and how the benefit is paid.
Other Equipment
ADP also has benefits for selected respiratory equipment, including medication compressors, suction devices and airway clearance devices. Category-specific medical and vendor requirements apply.
Supplies & Additional Coverage
Tracheostomy and suction supplies follow separate grant rules. For costs outside ADP, ask your insurer or benefit program about additional coverage and required documentation.
Getting Started
Prepare Your ADP Application
1. Complete the Medical Requirements
Arrange the required assessment and clinical paperwork. Your care team can identify the tests, prescription and forms needed for the equipment.
2. Confirm the Vendor Route
For funded equipment, use a vendor registered with ADP for that category. Supply grants can have different retailer rules; follow the relevant application instructions.
3. Check Approval & Costs
Follow the program’s application and approval steps before ordering or buying equipment. Confirm your share of the cost and any optional extras in writing.
MedPro can prepare an equipment quote and product details for a coverage review. Visit Insurance & Funding for general coverage questions or Financing to review payment options.
Local Support
Find a MedPro Team in Ontario
MedPro appears in Ontario’s ADP vendor records for home oxygen and respiratory equipment. Contact your clinic to confirm the registered location, equipment category and referral route.
For a coverage enquiry, have your equipment type, prescription or referral, and insurer or funding-program details ready. ADP or the relevant payer determines eligibility, authorization and funding.
Questions About Ontario Funding?
Talk With Your Local MedPro Team
Tell us your community, prescribed equipment and the name of your insurer or funding program. We can help you identify the appropriate next step.