Private coverage
Private coverage
Private insurance coverage varies by individual plan design. Coverage is determined by the plan chosen by your employer, which could include co-pays, limits, and annual or lifetime maximums.
You can confirm your coverage with your insurer directly through their contact centre or member portal either on desktop or mobile app. You can also talk to your HR department to supply you with a benefits booklet.
For more information, click your insurer’s name below:
Check your private insurance coverage for an insulin pump
Every private insurance plan is different, but checking whether your plan covers an Omnipod system usually follows similar, simple steps. Use the guide below to understand your benefits and learn what to do next.
1. Log in to your online insurance member portal where you can view your benefits.
2. Go to the “coverage” or “benefits” section and look for any of the following sections:
- Coverage
- Benefits
- Coverage & Balances
- Plan Details
- Insurance Booklet
This is where insurers list what’s included in your plan.
3. Search for insulin pump coverage using the search bar or browse under categories like:
- Medical Equipment / Durable Medical Equipment
- Medical Devices or Medical Appliances
- Extended Health Care
- Diabetic Supplies
- Other Medical Items
Look specifically for:
- Insulin Pump
- Insulin Pump Supplies
4. Review your coverage details where your plan may outline:
- Whether insulin pumps are covered
- Coverage amount or yearly maximum
- Replacement cycle (e.g., every few years)
- Requirements such as a medical note or pre‑approval
- Whether you need to submit an estimate first
Insurers should include these details in their online coverage pages or benefits booklet.
5. If needed, submit an estimate (or pre‑determination). Some plans require prior approval before purchasing an insulin pump.
Common steps include:
- Go to Submit a Claim, Submit an Estimate, or Pre‑authorization.
Choose the claim type:
- Medical Equipment, Medical Supplies, or Other Medical Expenses
Upload the required documents:
- Your Omnipod cost estimate
- A Statement of Medical Necessity, if needed
6. Can’t find your coverage?
If you don’t see insulin pump details online:
- Check your Benefits Booklet in the portal’s “Documents” or “Resources” area
- Ask your employer for the booklet, as some insurers send it to plan administrators
- Call your insurer using the phone number on your card
Many insurers rely on employer‑provided booklets for full coverage details.
Need Help?
If you’re having trouble locating your coverage or submitting an estimate, we’re here to help. Contact Omnipod Canada and our team can walk you through the process and provide any documents your insurer may request.
Take the next step toward getting started with Omnipod.
Complete the Patient Information Form
Step 1. Complete the short Patient Information Form below and hit the SUBMIT button.
Step 2. After submitting the Patient Information Form, you will receive an email with an important link to provide additional information and electronically sign the document. Please remember to complete the form or your request will not move forward.
TIP: If you haven’t received a link within an hour, try checking your junk or spam folder.
Step 3. After you’ve completed and submitted the online form, you’ll be connected with one of our Customer Care Specialists.