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Ontario Monitoring for Health Program

Update (May 21, 2020)

Diabetes Canada offices remain closed at this time, in line with the emergency lockdown measures introduced by the Ontario government on March 24

Claims processing for the Monitoring for Health Program will resume once non-essential workplaces in Ontario are given approval to open again. 

We recognize that this delay poses an additional burden for many program participants and are extremely grateful for the support we have received to date from all involved -- claimants, diabetes educators, and pharmacists.  We hear from program participants daily and have been heartened by their patience and understanding.  We will get back to claims processing as soon as possible.

In the meantime, we recommend holding off on submitting any new claims until our office has re-opened.  For the current program year (April 1, 2020 – March 31, 2021), claimants will have until March 31, 2021 to submit their claims.

If you have any questions about the Monitoring for Health Program, please see information below or contact us at mfhp@diabetes.ca.

Important program update due to COVID-19 pandemic

Due to the recent and unexpected disruption caused by the global covid-19 pandemic, the processing of claims for the Monitoring For Health Program has been temporarily suspended. Diabetes Canada is a non-essential business, our offices have all been closed and we are respecting the need to stay at home at this time. All claims received at our office by March 10 were processed and cheques issued, however claims received after that date and onwards can not be processed until such a time when it is safe for staff to return to the workplace to administer the program. We are working hard to find a solution to this unforeseeable circumstance as the program administration relies on systems and processes that cannot be completed via remote or online services at present.

In light of this recent situation we have also extended the deadline for year-end claim submissions to April 30, 2020.

Diabetes Canada understands that now more than ever, program recipients rely on this program to help with the financial costs of diabetes supplies and we will do everything possible to get the program running to previous capacity. Rest assured, we are in continuous communication with the Assistive Devices Program who fund the Monitoring for Health Program.

We will update our website with information on claim processing timelines as soon as possible.

Program overview

The Monitoring for Health Program helps Ontarians with diabetes who use insulin or have gestational diabetes pay for the cost of their blood glucose testing supplies. The program is funded by the Ministry of Health and Long-Term Care and administered by Diabetes Canada.

Who is eligible?

To qualify for this program, you must:

  • be an Ontario resident with a valid Ontario health card;
  • be using insulin or have gestational diabetes;
  • have no other coverage (in whole or in part) through a group benefit plan, private insurance or other government program for the supplies being claimed.

NOTE: Your first claim form to the program must be signed by a doctor or nurse practitioner to confirm that you use insulin to manage your diabetes or have gestational diabetes.

What supplies does the program cover?

  • Blood glucose test strips
  • Lancets (used to prick your finger for testing)
  • Blood glucose meters
  • Talking blood glucose meters (for visually-impaired clients only; letter from doctor required)

NOTE: Children and youth 24 years and under, seniors 65 years and over,  ODSP/ OW clients, and Trillium Drug Program clients can only submit to the program for reimbursement of lancets (and a blood glucose meter once every 5 years, if needed). Test trips are covered through the Ontario Drug Benefit program.  Long-term care home residents are not eligible for the Monitoring for Health Program.

How much does the program cover?

  • Strips and lancets: 75% reimbursement up to a maximum of $920 per year. This means that you can submit up to $1227 in receipts for strips and lancets each year; the program will reimburse 75% ($920).
  • Blood glucose meter: 75% reimbursement up to a maximum of $75 once every five years
  • Talking blood glucose meter: 75% reimbursement up to a maximum of $300 once every five years;  visually-impaired clients only; letter from doctor required to confirm visual impairment

Contact

Ontario Monitoring for Health Program c/o Diabetes Canada

1-800-361-0796

mfhp@diabetes.ca