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What kind of insulin pumps and supplies are covered through the Assistive Devices Program (ADP)?
ADP helps pay for insulin pumps and will provide a grant to help pay for insulin pump related supplies. Who can apply?
Any permanent resident of Ontario who has a valid Health Card and meets the established eligibility criteria. How can I apply to ADP?
You must contact one of the Diabetes Programs registered with the ADP. These programs are located throughout the province of Ontario. Each program consists of a multidisciplinary team of health professionals which will determine eligibility and assist you in completing the application form. What eligibility criteria do I have to meet?
You may be eligible for ADP funding if you are not having success with multiple daily insulin injections and are willing and able to use an insulin pump. Included in the established eligibility criteria are the requirements to have demonstrated to your diabetes assessment team an ongoing commitment to blood glucose monitoring, the safe and appropriate use of the insulin pump, participation in an insulin pump education program and regular diabetes clinic attendance. How much does ADP pay for my insulin pump?
The ADP will pay 100 % of the price for your insulin pump. Payment is made directly to the vendor of your choice on your behalf once funding is approved. How much money will I receive to help pay for supplies?
You will receive an annual grant of $2,400. How will payments for supplies be made?
You will receive 4 cheques in equal amounts, on a quarterly basis (e.g., $600 per cheque). How often must I apply?
You must continue to meet ADP eligibility criteria to receive the ongoing grant for insulin pump supplies. A renewal form will be mailed to you every year. You must complete this form with your diabetes assessment team and return it to the ADP to continue receiving your insulin pump supplies grant. After this form is returned, the ADP will continue to automatically send you payments every 3 months. Please contact ADP if you move your residence, by calling one of the numbers indicated on the next page. Where should I buy my insulin pump and supplies?
You may buy your insulin pump from any vendor who is registered with the ADP. You may buy your insulin pump related supplies from any vendor in Ontario who sells these products. Where should I buy my insulin pump and supplies?
You may buy your insulin pump from any vendor who is registered with the ADP. You may buy your insulin pump related supplies from any vendor in Ontario who sells these products. Is there a trial period for me to try the insulin pump?
Yes. Once your diabetes assessment team has determined that you are a suitable candidate for insulin pump therapy, you must undergo a 90 day trial period. At the beginning of the trial an ADP application will be submitted. Once the application has been approved, the insulin pump will be provided to you by the vendor who will bill ADP for 100 % of the price. You will also receive the first grant installment of $600 to help with the cost of supplies. What happens at the end of the 90-day trial period?
If you are successful in the use of insulin pump therapy you will continue to receive quarterly payments to help with the cost of your supplies until your annual re-application. If you are not successful, you must return the insulin pump to the vendor. The vendor will submit a credit to the ADP for 100 % of the price. On receipt of the credit, the ADP will cancel your application and will stop payment of your annual grant. This ensures that you can apply for funding assistance for an insulin pump at a future date should your circumstances change. Is there a warranty?
Manufacturers of insulin pumps provide a minimum 4 year warranty. What if I need a new insulin pump?
The replacement period for an insulin pump is 5 years. If your pump is beyond economical repair you may be eligible for ADP funding for a replacement pump. You must send the ADP a quote from your vendor describing the repairs required and the cost. ADP does not pay for a replacement during the 5 years if the original pump is lost, damaged through misuse, or under the manufacturer’s warranty. What if I have more questions?
For further information, write : Ministry of Health and Long-Term Care OR call one of the telephone numbers listed below :
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Call the Assistive Devices Program at 1-800-268-6021 (Toll-free in Ontario only) In Toronto, call 416-327-8804 TTY 1-800-387-5559 |
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