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May 08, 2015

Annual Cost of Basic Ostomy Supplies in Canada

This topic is about understanding the annual costs that people in Canada incur for basic ostomy supplies, like pouches and wafers. The goal is to gather this information to help advocate for better financial support from provincial governments. Here are some insights and advice based on shared experiences:

- In Quebec, there is a provincial grant of CAD 700, but users typically spend around CAD 1200 annually. Private insurance often covers 80% of the remaining costs, and some low-income patients may receive full coverage.

- In Alberta, the reported annual cost for ostomy supplies is approximately CAD 1200.

- Generally, if you change your appliance every three days, the cost for just pouches and wafers is about CAD 1800 per year. Adding items like barrier rings, deodorant, and gelling products can increase the total to over CAD 3000. If you need daily changes or have severe stoma issues, costs can exceed CAD 5000 annually.

- In Ontario, those who receive a government grant get CAD 975 per year, paid in two installments. To claim the Disability Tax Credit, receipts must be provided. The actual out-of-pocket expense is around CAD 1800 for items like pouches, flanges, tapes, and skin-barrier sprays.

- In New Brunswick, there is no provincial assistance, and the typical yearly spend is between CAD 1200 and 1500. Severe skin issues can drive costs up to about CAD 5000. Private insurance, with a premium of CAD 350 per month, caps total drug and ostomy reimbursement at CAD 2500.

- Observations and suggestions include:
- Provincial funding and eligibility vary greatly, with some provinces offering no support.
- Private insurance often covers a percentage of costs or has annual caps.
- The frequency of appliance changes and the use of accessories are major cost factors.
- Ostomy product manufacturers and MedTech companies might have comparable data on consumption and reimbursement patterns.
- Advocacy groups, like those in Ontario, are working to increase grant amounts and secure coverage for temporary ostomies. Persistent and coordinated efforts to demand government support are encouraged.
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