Funding For CPAP Therapy

CPAP equipment is partly government funded for most people who have an Ontario Health Card. The Assistive Devices Program (ADP) is the branch in the Ministry of Health and Long-Term Care that will cover 75% of the cost of your equipment up to a maximum of $780. If you are receiving social assistance benefits from Ontario Works (OW) or Ontario Disability Support Program (ODSP), you may be eligible for more funding.

You can find out more information about Ministry of Health funding by contacting ADP: 1-800-268-6021 or visit their website: http://www.health.gov.on.ca/english/public/pub/adp/cpap.html

Private health insurance policies often supplement funding. You pay up-front for your equipment and services and then apply for reimbursement from your insurer. If you have an extended health insurance plan, we advise contacting your insurer before your purchase. Your insurer will need to know that OSAS is a long-term diagnosis. Key questions to ask your insurer include:

• Is a copy of your CPAP prescription required?
• What other official documentation do they require?
• What percentage of your payment portion does your policy cover?
• Is the cost of an Extended Warranty covered?
• Is the cost of equipment rentals/trials covered?
• Are you covered for future costs of "soft goods?" (i.e. items which will need replacing after six months to one year of usage due to wear and tear, such as masks, headgear, hoses, and filters.)
• Are you eligible for coverage on replacement costs of the CPAP unit? If so, how often?

Whatever your situation, we will help you investigate options for paying for your CPAP Therapy and equipment.

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