Under the Ontario Fertility Program (OFP), eligible patients are entitled to receive one funded In vitro fertilization (IVF) cycle per lifetime. The one funded IVF cycle under the OFP includes up to two attempts at cycle monitoring, one egg retrieval procedure, one sperm retrieval procedure, one round of embryology services to fertilize the eggs and culture the embryos, and the transfer of all viable embryos resulting from the start of the cycle (including the thawing and culture process for each transfer).
Under the OFP, eligibility for a funded IVF cycle is always determined based on the patient who will undergo the embryo transfer (the patient who is trying to get pregnant). This patient must meet all of the following criteria:
• Hold a valid Ontario health card; and
• Be under age 43 years old (i.e., maximum age of 42 years old); and
• Have not yet received one funded IVF cycle per lifetime through the OFP
Other people participating in the cycle (such as sperm donors) also have to meet the eligibility requirement of having a valid Ontario health card to receive funded services.
If in the opinion of the treating physician, your husband requires a therapeutic medical surgical procedure such as Testicular Epididymal Sperm Aspiration (TESA) or Percutaneous Epididymal Sperm Aspiration (PESA) to retrieve a sperm sample, then this would be covered under the OFP provided that your husband has a valid Ontario health card. Please note that more advanced diagnostic and therapeutic microsurgical techniques such as TESE (Testicular Sperm Extraction), Microscopic or Microdissection TESE, etc. are not covered.
The OFP only covers one sperm retrieval procedure per funded IVF cycle, and if no viable sample is retrieved then the cycle will end or else you will have to pay for additional sperm retrieval attempts or use an alternative sperm source.
If your fertility clinic requires clarification or confirmation that TESA or PESA is funded under the OFP they can contact us directly for assistance.
If you are concerned with the information that was provided to you by your fertility clinic, the OFP can contact your fertility clinic on your behalf to address your concerns. In order to do so, please provide your health card number as well as explicit permission to contact the clinic and share your personal health information. This consent can be sent to [email protected]
We hope this information is helpful.
The OFP Team