High Out of Pocket Cost

Currently, the price tag for Mifegymiso hovers between $300 and $450 so, for many individuals who must pay out of pocket, this continues to put medication abortion out of reach.

Action Canada for Sexual Health and Rights has therefore been calling on all provincial and territorial governments as well as all relevant ministries operating programs covering federal patients to promptly ensure that the cost of medication abortion is covered under public health care. On April 20th 2017, the CADTH Canadian Drug Expert Committee made its final recommendation on the newly approved abortion pill. The expert committee recommended provincial and territorial cost reimbursement of Mifegymiso.

Currently, only three provinces have pledged universal coverage for Mifegymiso: New Brunswick, Alberta and Ontario. The Non-Insured Health Benefits will also be covering the costs of the abortion pill for First Nations people living on reserves and Inuit people. It is not yet clear when the combination of pills will effectively be available for free to those with provincial health insurance in these provinces or to NIHB patients.

While we welcome the news from these three provinces and the NIHB, there is still no widespread cost coverage for Mifegymiso. People in British Columbia, Saskatchewan, Manitoba, Quebec, the Northwest Territories, Nunavut, the Yukon, Nova Scotia, Prince Edward Island and Newfoundland and Labrador are still expected to pay out of pocket. The same is true for Federal patients, including some categories of refugee claimants eligible for the Interim Federal Health program, people who are incarcerated with a sentence of more than two years, serving members of the Canadian Forces and eligible veterans, First Nations people living on reserves and Inuit individuals covered by the Non-Insured Health Benefits. Some private insurers may offer coverage for the medication through their policy, but for the remaining individuals with no private insurance or who are not on some form of social assistance, they are required to pay for the medication themselves.