

Patients and their providers may choose what works best given individual patient needs and local resources.
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The MOHLTC requires the Prior Approval form to be completed by “a provider trained in the assessment, diagnosis and treatment of gender dysphoria in accordance with the World Professional Association for Transgender Health (WPATH) Standards of Care…”, and it is expected that the Qualified Provider who signs the Prior Approval form has conducted a complete TRS planning visit. Overview of the TRS planning and referral processĭecide which Qualified Provider(s)will conduct the TRS planning visit(s) and hence complete the MOHLTC Prior Approval from.
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Surgeons’ fees for masculinizing chest contouring may vary.įor more detailed information on individual transition-related surgeries, please download the RHO TRS Summary Sheets Patients may choose to pay for this privately.

It is not exhaustive nor intended as training for conducting TRS planning visits.

This section provides a brief overview of the Ontario system for TRS planning visit(s) and referral. Overview of Ontario Process for Transition-related surgery (TRS) (See Appendices N and O in the Guidelines for samples). We suggest that providers submit EAP requests for both testosterone cypionate and testosterone enanthate, so that delays in access do not result when one formulation is on back order or not locally available. Recommendation: Injectable testosterone is funded by the Ontario Drug Benefit (ODB) program for gender affirmation with an Exceptional Access Program (EAP) request. For patients on ODB, injectable testosterone is covered with the submission of an Exceptional Access Form (EAP), while anti-androgens and estradiol are covered without the need for EAP approval. Patients covered by the Ontario Drug Benefit (ODB) program include those on Ontario Works (OW), the Ontario Disability Support Program (ODSP), seniors ≥65 years of age, youth ≤24 years of age without private insurance (via OHIP+) and those on the Trillium Drug Program. Sample Support Letter for Trans Patients Applying for EI through the Just Cause Mechanism Submit Exceptional Access Program (EAP) form for patients on Ontario Drug Benefit (ODB)
