The Ontario Health Insurance Plan provides coverage for prescription drugs and medical services, including reproductive healthcare. As one of Ontario’s most qualified health insurance brokerages, many of our clients ask us about OHIP’s birth control coverage and whether they’ll require private insurance options. OHIP does not cover birth control methods for individuals over 25. Continue reading to find out what your coverage options are.

Types of Birth Control Available in Ontario

First and foremost, talk to your family doctor and discuss which type of birth control is right for you. There are hormonal and non-hormonal options, as well as methods that are more effective than others. Keep in mind that no birth control is 100% effective.

Oral Contraceptives

Probably one of the most well-known types of birth control often referred to as “the pill”. This type of contraceptive is taken orally at the same time each day. There are two main kinds of birth control pills:

1. Combination birth control pills: contains both estrogen and progestin
2. The minipill: only contains progestin

Those two types are able to be broken down as well. Talk to your healthcare provider for more details.

Intrauterine Device (IUD)

The Intrauterine Device (IUD) is a type of birth control that is inserted into the uterus to prevent pregnancy. The device is a small, T-shaped plastic or copper device that can be left in place for up to 3 to 12 years depending on the type used. The IUD works by preventing fertilization and implantation of eggs in the uterus. However, the device has side effects such as cramping, bleeding, pain, and discomfort, especially during the first few weeks following insertion. It is recommended that anyone considering using an IUD consult with a healthcare provider to discuss the pros and cons of this birth control method.

Patch

A contraceptive patch is a form of birth control that utilizes a hormonal patch placed on the skin weekly. It contains synthetic estrogen and progesterone, which are absorbed through the skin and work to prevent pregnancy. The patch must be applied to a clean, dry, and hairless area of skin on the abdomen, buttock, upper arm, or torso. It is important to change the patch every week on the same day to maintain its effectiveness. Benefits include shorter, lighter periods and reduced cramping. However, it is not recommended for everyone. Its side effects include headaches, nausea, weight gain, and mood changes. Discuss the use of the contraceptive patch with a healthcare provider to determine if it is suitable for you.

Ring

The contraceptive ring is a type of hormonal birth control that is a flexible, plastic ring containing synthetic estrogen and progesterone slowly released over time. The ring is inserted into the vagina and left in place for three weeks. It’s removed for the week in which menstruation occurs. The ring prevents ovulation and thickens cervical mucus to block sperm from reaching the eggs. The contraceptive ring also has non-contraceptive benefits such as less menstrual cramps and a lighter menstrual flow. However, the contraceptive ring has side effects such as headaches, nausea, breast tenderness, and mood changes. Discuss the use of the contraceptive ring with a healthcare provider to determine if it is suitable for your individual needs.

Condoms

Condoms are a popular and widely used form of contraception and protection against sexually transmitted infections (STIs). Made from latex, polyurethane, or other materials, condoms are designed to be worn over the penis during sexual intercourse. The use of condoms helps prevent unwanted pregnancy and lower the risk of STIs, including HIV. Additionally, condoms are easy to find, inexpensive, and do not require a prescription. However, condoms are not 100% effective and are susceptible break or slip off, which is why it is recommended to use them in combination with other forms of contraception. It is also important to choose the right size and be careful when using them to ensure maximum effectiveness.

Cost of Different Birth Control in 2025

The cost of birth control in Canada is dependent on the type of birth control. For example:

• Birth control pills cost anywhere between $20 and $55 per month on average.
• Hormonal IUDs cost at least $350+ up front.
• Non-hormonal IUDs cost an average of $50.
• Injectable contraceptives cost an average of $45.
• Emergency contraceptives cost anywhere between $30-$50 each.

The cost of different contraceptive methods vary widely depending on the type of method and a person’s insurance coverage. 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. The costs of LARCs range from a few hundred to a few thousand dollars. 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.

Does OHIP cover birth control in 2025?

25 years and older

If you are 25 or older, OHIP does not cover birth control methods. 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.

If you are 24 or younger

If you are 24 or younger then some birth control methods are covered for you under the OHIP+ program.

The OHIP+ program in the province of Ontario, Canada is an extension of the 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.

What Birth Control Methods are Covered by OHIP+?

• Most oral contraceptive pills
• Emergency contraceptive pills, such as plan B
• Some IUDs
• Some contraceptive injections and implants

Talk to your doctor for details.

To search for a specific drug use this tool: Check Medication Coverage

What Birth Control Methods Does OHIP+ Not Cover?

Not all birth control methods are covered under OHIP+. Here are examples of what contraceptives aren’t covered as of 2025:

• Condoms (although not covered by OHIP+, they are typically given out for free at local sexual health clinics)
• Contraceptive Patches
• Contraceptive Rings
• Birth control pills from new brands, OHIP+ opts to cover less expensive alternatives
• Non-hormonal IUDS
• Higher cost IUDS that have less expensive alternatives

Is Birth Control Covered Outside of Ontario?

No. As of 2025, Ontario is the only province that covers the cost of birth control for those under 25 years old. Other provinces and territories offer financial assistance for birth control to low-income individuals, but do not give residents birth control for free at any age. That being said, there have been recent pushes in parliament to have birth control become accessible for all of Canada.

Are Birth Control Pills Covered By Individual Health Plans?

For those over 25 years old, the only option to get birth control covered is to get a private health insurance plan. Make sure to read all the plan details, as not all health insurance plans will cover birth control.

Which Health Insurance Plans Cover Birth Control in 2025

Manulife Flexcare

The first plan that covers birth control is Manulife Flexcare enhanced plans. More specifically, either the DrugPlus Enhanced plan or the ComboPlus Enhanced plan.

Blue Cross

All health plans under Blue Cross that have prescription coverage will cover birth control.

Sun Life Financial

Similar to Manulife Flexcare, only the enhanced plan from Sun Life Financial will cover the cost of birth control pills. Specially the Sun Life Personal Health Insurance Plan

The bottom line – OHIP does not cover your birth control if you are over 24 years old. You will need to have private insurance. If you’re under 25 and don’t have private insurance, then you’re in luck as the OHIP+ program will cover you birth control.

Regardless, it’s always best to have some sort of private insurance because it protects you from the expenses associated with unforeseen medical emergencies. Use our instant quoting tool or contact our offices if you’re looking to talk to an expert!