- Public insurance for prescription meds for Ontario residents with a valid Ontario Health Card; meds must be bought in Ontario pharmacy.
- Under ODP, the cost of PrEP is automatically covered* for:
- Seniors (65 years and up) [you only have to pay a deductible, depending on your income]
- People on Ontario Disability Support Program [FREE]
- People on the Ontario Works program [FREE]
* You may have to pay a few dollars out of pocket when the pharmacy fills each prescription. This is called a co-payment or co-pay.
- Public insurance for prescription meds for Ontario residents with a valid Ontario Health Card.
- Under OHIP+, PrEP is FREE for folks who are 24 years and under, have OHIP coverage and are NOT covered by a private plan*. If you qualify, the coverage is automatic. You don’t have to pay anything under OHIP+. No deductibles, co-pays or other fees.
*The provincial government changed up OHIP+ in April 2019. Now there is a condition that if you have ANY type of private insurance coverage, you will not qualify for OHIP+.
Trillium Drug Program
Public insurance for prescription meds for Ontario residents with a valid Ontario Health Card and who don’t qualify for ODP or OHIP+.
- Trillium might be the best option for you if you don’t have private insurance or if it doesn’t (fully) cover PrEP.
- You have to apply to Trillium and pay an amount called a deductible that depends on your household income.
- Trillium is only worth it for some folks. You can figure out if the program is for you by comparing your deductible with the cost of PrEP (and any other prescription meds you take).
- HIVNow.ca calculator can do that deductible math for you.
If you have private insurance through your job or a family member/partner, check to see if PrEP is covered and how much you have to pay out of pocket. Combining private insurance and Trillium could save you money.