Birth Control Cost in Ontario 2026: OHIP+, Free Options & Private Coverage
Updated April 2026 - Written by Krista DeKuyper
Key Takeaways
Birth control costs in Ontario vary widely depending on the method, from about $20–$55 per month for pills to $350+ upfront for hormonal IUDs.
Ontario Health Insurance Plan (OHIP) covers some birth control for residents aged 24 and under through the OHIP+ program.
For people 25 and older, OHIP generally does not cover birth control devices or prescriptions.
Some medications, newer contraceptive brands, and certain patches, rings, or IUDs may not be covered under OHIP+.
Without public coverage, costs must be paid out of pocket or through private health insurance.
Employer benefits and individual health insurance plans often include coverage for birth control, though reimbursement levels and eligible methods vary.
Comparing private plans can help you find coverage for specific methods, manage out-of-pocket costs, and maintain access to contraception after age 25.
Compare health insurance plans easily with our free instant quoting tool.
Types of Birth Control Available in Ontario
Oral Contraceptives
Often referred to as “the pill”. There are two main types:
Combination birth control pills: contains both estrogen and progestin
The minipill: only contains progestin
Intrauterine Device (IUD)
Type of birth control that is inserted into the uterus to prevent pregnancy.
Works by preventing fertilization and implantation of eggs in the uterus.
Lasts 3 to 12 years depending on the type used.
Patch
Hormonal patch made of synthetic estrogen and progesterone placed on the skin weekly.
Benefits include shorter, lighter periods and reduced cramping.
Rings
A flexible, plastic ring containing synthetic estrogen and progesterone inserted into the vagina every 3 weeks.
Prevents ovulation and thickens cervical mucus to block sperm from reaching the eggs.
Condoms
Usually made from latex or polyurethane and designed to be worn over the penis during sexual intercourse.
Also works as protection against sexually transmitted infections (STIs).
Do not require a prescription and can be purchased over-the-counter.
Nexplanon (Birth Control Implant)
Nexplanon is a small, flexible plastic rod inserted under the skin of the upper arm.
Releases a low, continuous dose of progestin hormone to prevent pregnancy for up to three years.
More than 99% effective.
Approved for use in Canada in 2020.
Popular option for people who want long-acting, low-maintenance contraception.
Cost of Different Birth Control Methods in 2026 (Without Insurance)
The cost of birth control in Canada ranges from $20-$50 for most oral contraceptives and around $50-$300+ for an IUD. The cost depends on the type of birth control. Here is every type of birth control available in Canada and their average cost ranges without insurance.
Birth Control Pills
Cost anywhere between $20 and $55 per unit on average.
Hormonal IUDs
At least $350+ up front.
Non-Hormonal IUDs
An average of $50.
Injectable Contraceptives
An average of $45 per unit.
Emergency Contraceptives (Plan B)
Cost anywhere between $30-$50 each.
Nexplanon (Birth Control Implant) Cost in Ontario
$300–$500 out-of-pocket for the device.
Nexplanon is covered by OHIP+ for individuals 24 or younger without health insurance. It’s also covered as part of the Ontario Drug Benefit program
In general, long-acting reversible contraceptives (LARCs) such as intrauterine devices (IUDs) and implants tend to be more expensive upfront but are cost-effective in the long run due to their lifespan.
Birth control pills are usually relatively inexpensive but require a monthly prescription refill, which adds up over time. Other forms of contraception, such as condoms and diaphragms, are affordable and do not require a prescription.
Some of these methods are covered by OHIP, but without OHIP coverage, you will need to pay out-of-pocket or purchase a private health plan.
Does OHIP Cover Birth Control in 2026?
If you are 24 and under…
If you are 24 or younger then some birth control methods are covered for you under the OHIP+ program.
This generally includes most oral contraceptive pills, emergency contraceptive pills (plan B), IUDs, and injections/implants (including Nexplanon).
The OHIP+ program is an extension of OHIP that was introduced in January 2018. This program provides free coverage of more than 5000 drug products for anyone age 24 of younger who is not covered by a private plan. The birth control covered by this program are pills, IUDs, and injectables.
To search for coverage of a specific drug use this tool: Check Medication Coverage
If you are over 25…
If you are 25 or older, OHIP does not cover any birth control methods in 2026*.
You can potentially access more coverage if you are considered low-income and qualify for a specialty drug program. Besides that, you will need to have private insurance or pay for your birth control out of pocket.
*While OHIP won’t cover the IUD device itself, it will cover the medical fees of inserting and/or removing an IUD device.
Birth Control Not Covered by OHIP+
OHIP+ is for individuals under 24 without insurance. It covers most birth control methods, excluding:
Newer oral contraceptive pills (e.g. Tri-Cyclen Lo 21, Novo-Cyproterone/Ethinyl Estradiol 21, Indayo 91)
Some contraceptive patches (e.g. Evra)
Some intrauterine devices (IUDs) (e.g. Copper IUD, Jaydess (LNG IUS 8) IUD)
Some contraceptive rings (e.g. Nuvaring)
Where to Get Low-Cost or Free Birth Control in Ontario
If you are uninsured, between coverage, or simply want to reduce out-of-pocket costs, several options in Ontario provide free or low-cost birth control outside of OHIP+ and private insurance.
Sexual Health Clinics
Ontario operates a network of publicly funded sexual health clinics through local Public Health Units, Community Health Centres, and standalone clinics. These clinics are staffed by physicians, nurses, and nurse practitioners and are free and confidential — no OHIP card or referral is required. Services typically include birth control counselling, low-cost or free birth control pills and emergency contraception, IUD insertion, condoms, and STI testing.
To find the closest clinic to you, use the Ontario government's sexual health clinic locator.
Community Health Centres (CHCs)
Many Community Health Centres across Ontario provide sexual health services including birth control counselling, contraceptive prescriptions, and in some cases IUD insertion, often at no cost or on a sliding-scale fee basis, regardless of insurance status.
Campus Health and Student Wellness Centres
If you are a post-secondary student in Ontario, your campus health or student wellness centre may provide free or subsidized birth control, and most colleges and universities include drug coverage in their student benefit plans. Check with your institution's health centre about what's included before paying out-of-pocket.
Planned Parenthood and Other Family Planning Clinics
Some family planning clinics in Ontario, including Planned Parenthood affiliate clinics, offer birth control pills at reduced rates, in some cases as low as $10 per month, for patients who cannot afford standard pharmacy prices.
Online Pharmacies and Telehealth Prescription Services
Several Ontario-based telehealth services allow you to obtain a birth control prescription virtually through a licensed physician, which can then be filled at a pharmacy of your choice. This can be a faster and more convenient route to getting a prescription if you don't currently have a family doctor.
Important: Even if you access birth control at a lower cost through a clinic, you will still need to fill ongoing prescriptions at a pharmacy once your supply runs out. If you anticipate ongoing birth control costs, getting a private health insurance plan is usually the most cost-effective long-term solution.
Browse Ontario’s Top Health Insurance Plans
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How to Get Birth Control Covered After 25
Since OHIP won’t continue to cover your birth control, you’ll need to turn to private coverage options.
The first option is to get your own health insurance plan. By purchasing your own plan, you can ensure the coverage includes exactly what you need, including birth control.
If you have work benefits, that plan may cover your birth control. Check your policy or ask your employer about plan details.
Consider applying for the Trillium Drug Program.
Consider visiting a sexual health clinic or other health centre for low-cost or free birth control options.
Can the Trillium Drug Program Help Cover Birth Control?
If you are 25 or older, not on Ontario Works or ODSP, and don't have private insurance, the Trillium Drug Program (TDP) may be an option if you have multiple prescription costs that add up over the year.
The Trillium Drug Program is designed for Ontario residents whose prescription drug costs are high relative to their household income. Once enrolled, you pay a deductible (approximately 4% of your after-tax household income, divided into quarterly payments), and after that threshold is met, you pay no more than $2 per prescription for the rest of the quarter.
Who qualifies for the Trillium Drug Program?
To be eligible you must:
Have a valid Ontario Health Card
Be between the ages of 25 and 64 (seniors 65+ move automatically to the Ontario Drug Benefit program)
Not already qualify for the Ontario Drug Benefit program through Ontario Works or ODSP
Not have private insurance that covers 100% of your drug costs
Is birth control covered under Trillium?
The Trillium Drug Program covers the same medications listed on the Ontario Drug Benefit (ODB) formulary — which includes many oral contraceptives, IUDs such as Mirena and Kyleena, the Depo-Provera injection, emergency contraception, and Nexplanon. If a specific method is on the ODB formulary, it is eligible under Trillium once your deductible is met.
Is Trillium worth it just for birth control?
For most people whose only prescription cost is birth control, Trillium is not as cost-effective since the deductible is determined by income. You may need to spend more before coverage kicks in than you would simply paying out-of-pocket. However, if you already take other prescription medications regularly, birth control costs can count toward your deductible, making the overall program more valuable.
Other low-income coverage options
If you receive Ontario Works (OW) or the Ontario Disability Support Program (ODSP), your birth control prescriptions are covered through the Ontario Drug Benefit program automatically even if you are over 25.
For most people over 25 without these specific circumstances, a private individual health insurance plan that covers prescription drugs is the most straightforward way to get consistent birth control coverage year-round.
What Birth Control Methods Are Typically Covered in Private Plans?
Birth control pills
IUDs (hormonal and copper)
Contraceptive injections
Vaginal rings
Emergency contraceptives (morning-after pill)
Generally any hormonal and non-hormonal method prescribed by a doctor
OHIP vs. Private Insurance for Birth Control Coverage
| Feature | OHIP (Ontario Health Insurance Plan) | Private Insurance Plans |
|---|---|---|
| Who It Covers | Ontario residents under 25 with a valid OHIP card | Individuals covered through an employer-sponsored or individually purchased plan |
| Prescription Contraceptives (Pill, Patch, Ring) | Covered for Ontario residents under 25 with a valid OHIP card | Usually covered, depending on the plan’s drug list |
| IUDs (Hormonal & Copper) | Device cost covered for Ontario residents under 25; insertion covered as a physician service | Often covered; may require co-pay or partial payment |
| Implant (e.g., Nexplanon) | Covered for Ontario residents under 25 | Frequently covered, but varies by insurer |
| Emergency Contraception (Prescription) | Covered for Ontario residents under 25 | Often covered; over-the-counter versions may not be reimbursed |
| Doctor Visits for Birth Control | Covered under OHIP | Covered through provincial health insurance |
| Upfront Costs | $0 for Ontario residents under 25 | May include co-pay, deductible, or percentage reimbursement |
| Choice of Brands | Limited to medications approved under provincial coverage | Broader selection depending on plan |
Birth Control Coverage in Ontario vs. Other Provinces
Ontario's birth control coverage is more limited than some other provinces in Canada, particularly for adults over 25. Here's a quick comparison:
| Province | Coverage for Adults 25+ |
|---|---|
| Ontario | Not covered under OHIP; the Trillium Drug Program may help if prescription costs are high relative to income. |
| British Columbia | Free prescription contraception for all ages through BC PharmaCare (introduced April 2023), covering 60+ methods. |
| Manitoba | Universal free contraception coverage introduced in 2024. |
| Alberta | Generally not covered; individuals pay out-of-pocket or rely on private insurance. |
| Saskatchewan | Partial coverage may be available through the Saskatchewan Prescription Drug Plan for eligible residents. |
| All Other Provinces | Typically not covered for adults 25+; costs are paid out-of-pocket or through private insurance. |
Top Private Health Insurance Plans that Cover Birth Control in Ontario
Manulife FlexCare ComboPlus Starter
An entry-level choice offering comprehensive coverage for health, dental, and drug benefits for birth control coverage.
Manulife FlexCare ComboPlus Enhanced
An upgraded option offering higher coverage: 90% drug coverage, 100% dental coverage, and no maximum dispensing fee.
Blue Cross Complete Health Entry + Essential Drug Benefits
Blue cross’s entry-level option with basic health and drug coverage, including birth control.
Blue Cross Complete Health Essential + Enhanced Drug Benefits
An upgraded option offering Blue Cross’s maximum drug coverage.
Manulife FlexCare ComboPlus Starter
| Manulife FlexCare ComboPlus Starter | |
|---|---|
| Premium |
Starting at $87–97* *Pricing changes based on province, based on a single person aged 18–44 |
| Birth Control Coverage | |
| Oral Contraceptives | Yes |
| Intrauterine Device (IUD) | Maybe |
| Patch | Maybe |
| Rings | Maybe |
| Condoms | No |
| Coverage Details – What Else It Covers | |
| Prescription Drugs | 70% coverage up to $500/year |
| Dental | 70% coverage up to $500/year |
| Vision | $150 every 2 years |
| Paramedical Services | $300 per practitioner/year |
| Travel Insurance | Not included |
Blue Cross Complete Health Entry + Essential Drug Benefits
| Blue Cross Complete Health Entry + Essential Drug Benefits | |
|---|---|
| Cost | Starting at $65 to $75 |
| Birth Control Coverage | |
| Oral Contraceptives | Yes |
| Intrauterine Device (IUD) | Yes |
| Patch | Yes |
| Rings | Yes |
| Condoms | No |
| Coverage Details | |
| Prescription Drug |
70% coverage No overall maximum Smoking Cessation: $800/5CYs |
| Does Not Cover |
Allergy Serums Vaccines Erectile Dysfunction Fertility Treatment |
| Health Practitioners |
Psychologist: $55 per visit, up to $250 per calendar year Physiotherapist: $40 per visit, up to $250 per calendar year Chiropractor: $40 per visit, up to $250 per calendar year Dietitian: $40 per visit, up to $250 per calendar year Audiologist: $40 per visit, up to $250 per calendar year Occupational Therapist: $40 per visit, up to $250 per calendar year Osteopath: $40 per visit, up to $250 per calendar year Podiatrist / Chiropodist: $40 per visit, up to $250 per calendar year Speech Therapist: $40 per visit, up to $250 per calendar year |
| Not Covered Under Complete Health Entry |
Massage Therapist Acupuncturist Naturopath |
| Additional Health Coverage |
Orthotics: Up to $150 per calendar year Vision Care: Up to $100 every 2 calendar years Accidental Dental: Up to $7,000 per lifetime |
| Not Covered |
Ambulance services Hearing aids Diabetic supplies Medical equipment Nursing services Prosthetics No travel coverage |
Manulife FlexCare ComboPlus Enhanced
| Manulife Flexcare ComboPlus Enhanced | |
|---|---|
| Premium |
Starting at $194.00* *Pricing changes based on province, based on a single person aged 18–44 |
| Birth Control Coverage | |
| Oral Contraceptives | Yes |
| Intrauterine Device (IUD) | Yes |
| Patch | Yes |
| Rings | Yes |
| Condoms | No |
| Coverage Details – What Else It Covers | |
| Prescription Drugs |
90% coverage up to $2,400/year Brand-name or generic drugs Maximum dispensing fee: No maximum Reimbursement: 90% of the first $2,222, 100% of the next $8,000 Maximum per year: $10,000 |
| Dental |
100% coverage up to $1,500/year Reimbursement for maintenance services: 100% of the first $500, 60% of the next $700 Anniversary maximum: $920 Major restorative services covered after Year 2 Additional reimbursement for surgical extractions and orthodontics |
| Vision |
$250 every 2 years Maximum of $250 every 2 consecutive benefit years Optometrist visit reimbursement: Maximum of $70 per 2 consecutive benefit years |
| Paramedical Services |
$400 per practitioner/year $25 per visit, maximum of 20 visits per specialist Registered psychologist visits: Maximum 15 visits, first visit $80, subsequent visits $65 |
| Travel Insurance | 9-day emergency coverage |
| Lifetime Maximum Coverage | $500,000 per person |
Blue Cross Complete Health Essential + Enhanced Drug Benefits
| Blue Cross Complete Health Essential + Enhanced Drug Benefits | |
|---|---|
| Premium | Starting at $105–115 |
| Birth Control Coverage | |
| Oral Contraceptives | Yes |
| Intrauterine Device (IUD) | Yes |
| Patch | Yes |
| Rings | Yes |
| Condoms | No |
| Overall Coverage Details | |
| Health Benefits |
70% coverage Psychologist: $55 per visit – max $400/CY Physiotherapist: $55 per visit – max $400/CY Chiropractor: $55 per visit – max $400/CY Dietitian: $55 per visit – max $400/CY Audiologist: $55 per visit – max $400/CY Occupational Therapist: $55 per visit – max $400/CY Osteopath: $55 per visit – max $400/CY Podiatrist / Chiropodist: $55 per visit – max $400/CY Ambulance: $420/CY Hearing aids: $400/5CYs Orthotics: $150/CY Vision Care: $150/2CYs Diabetic Supplies: No overall maximum Medical Equipment: No overall maximum Nursing: $3,500/2CYs Prosthetics: Up to $10,000/LT Accidental Dental: $7,000/LT |
| Dental Benefits |
70% Fillings: No overall maximum Includes dental exams, cleanings and x-rays Extractions and Root Canals: No overall maximum |
| Drug Benefits |
80% coverage No overall maximum Smoking Cessation: $800/5CYs Allergy Serums: $500/CY Vaccines: $250/CY Fertility: $1,500/CY up to $3,000/LT |
Frequently Asked Questions
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Birth control is free for Ontario residents aged 24 and under with a valid OHIP card.
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OHIP stops covering birth control once a OHIP card holder turns 25.
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Yes, if you are under 25 years old, OHIP will cover the cost of a hormonal birth control arm implant.
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Nexplanon is covered at no cost under OHIP+ for Ontario residents aged 24 and under who have no private insurance. For adults 25 and over, Nexplanon costs approximately $300–$500 out-of-pocket.
Many private insurance plans cover it. However, Nexplanon is relatively new to Canada so coverage may vary by insurer and plan. Most major employer benefit plans now include it, but some individual health plans have not yet added it to their drug lists. Always confirm with your insurer before booking the insertion appointment.
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Ontario has a network of publicly funded sexual health clinics where you can access free or low-cost birth control counselling, pills, emergency contraception, and sometimes IUD insertion — no OHIP card or referral required. Community Health Centres and some family planning clinics also offer subsidized services. Use the Ontario government's sexual health clinic locator at ontario.ca to find the nearest location.
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Yes, OHIP will cover the morning-after pill for OHIP card holders aged 24 and under, as long as they don’t have private insurance.
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People over 25 are no longer covered by OHIP for birth control. For birth control coverage, they must either pay-out-pocket or purchase a private health insurance plan.
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Private health insurance coverage is usually worth it if you pay for birth control regularly or don’t have workplace benefits.
Private plans can reduce out-of-pocket costs for prescriptions and other health needs, but coverage varies and may not include every method.
It’s especially valuable for individuals seeking IUDs, which can be very expensive out-of-pocket.
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Yes, the Trillium Drug Program (TDP) covers medications listed on the Ontario Drug Benefit formulary, which includes many oral contraceptives, IUDs like Mirena and Kyleena, Depo-Provera, emergency contraception, and Nexplanon. However, you must first meet your income-based deductible (approximately 4% of your after-tax household income) before coverage kicks in. For most people whose only prescription is birth control, a private health insurance plan is often more cost-effective.
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Yes. While OHIP does not cover the cost of the IUD device itself for adults over 25, the physician fees for IUD insertion and removal are covered by OHIP for all Ontario residents with a valid health card. The device cost must be paid out-of-pocket or through private insurance.