How Much is an IUD in Ontario? Complete Cost Guide for 2025

IUDs (Intrauterine Devices) have become increasingly popular in Ontario as an effective, long-term birth control option. With 99% effectiveness rates and lasting 5-10 years depending on the type, understanding the costs and coverage options is crucial for making informed reproductive health decisions.

IUD Cost Breakdown in Ontario

Copper (Non-Hormonal) IUD Costs

Copper IUDs represent the most affordable long-term contraceptive option in Ontario:

• Price Range: $50-$100 out-of-pocket

• Popular Brands: Mona Lisa 5, Mona Lisa Mini, Liberte, FlexiT

• Duration: 5-10 years depending on specific model

• Annual Cost: As low as $10-20 per year when calculated over lifespan

Copper IUDs work by creating an environment toxic to sperm and preventing fertilization without hormones, making them ideal for women who prefer non-hormonal contraception.

Hormonal IUD Costs

Hormonal IUDs have higher upfront costs but offer additional benefits beyond contraception:

Mirena IUD: $350-$425 out-of-pocket

• Duration: Up to 8 years (recently extended from 5 years)

• Higher hormone release (20 micrograms levonorgestrel daily)

• Often reduces menstrual flow significantly

Kyleena IUD: $375-$410 out-of-pocket

• Duration: 5 years

• Lower hormone release (9 micrograms levonorgestrel daily)

• Smaller size, easier insertion for some women

OHIP Coverage and Age-Related Benefits

Under 25 Years Old: OHIP+ Coverage

Ontario residents under 25 with valid health cards can access significant savings through OHIP+:

• Covered: Mirena and Kyleena hormonal IUDs are fully covered

• Not Covered: Copper IUDs are not covered by OHIP+ as they’re classified as devices, not medications

• Requirements: Must not have private insurance coverage

• Insertion Procedure: Covered by OHIP regardless of age

25 Years and Older: Out-of-Pocket or Private Insurance

Adults over 25 face different cost structures:

• OHIP Coverage: Only covers the insertion/removal procedure ($93-$117)

• Device Cost: Must be paid out-of-pocket or through private insurance

• Low-Income Options: Special drug programs may provide coverage for qualifying individuals

Private Insurance Coverage Options

Comprehensive Plans That Cover Birth Control

Several major insurers provide contraceptive coverage:

Manulife FlexCare Enhanced Plans:

• DrugPlus Enhanced

• ComboPlus Enhanced

Blue Cross: All prescription coverage plans include birth control

Sun Life Personal Health Insurance Plan: Enhanced plans cover contraceptives

Private insurance typically covers 80% of device costs, reducing patient responsibility to approximately $70-$100 for hormonal IUDs.

NuvaRing Cost in Ontario

The NuvaRing contraceptive ring offers a monthly hormonal option:

• Monthly Cost: $20-$50 per ring in Ontario

• Annual Cost: Approximately $240-$600 without insurance

• OHIP+ Coverage: Covered for eligible individuals under 25

• Private Insurance: Generally covered by plans that include prescription benefits

Total Cost Comparison: IUD vs. Other Methods

When evaluating contraceptive costs over time, IUDs demonstrate significant value:

5-Year Cost Comparison:

• Copper IUD: $80 total ($16/year)

• Birth Control Pills: $840-$2,340 depending on brand

• NuvaRing: $1,200-$1,740

• Hormonal IUD: $375-$425 total ($75-$85/year)

The IUD Insertion Process and Associated Costs

Medical Appointments and Procedures

Initial Consultation: Covered by OHIP for assessment and counseling

Insertion Procedure: $93-$117 when covered by OHIP

• Includes sterile technique and proper placement

• Follow-up assessment typically included

• Additional $24 if combined with Pap smear

Removal Procedure: $69-$93 when covered by OHIP

Where to Get IUDs in Ontario

Sexual Health Clinics: Often offer discounted pricing

• Planned Parenthood Toronto: Various IUD options available

• Community health centers: Subsidized programs available

Private Clinics: Full-service options with potential wait time advantages

Family Doctors: OHIP-covered consultations and procedures

Virtual Healthcare for Birth Control Consultations

Modern healthcare platforms make accessing birth control information more convenient than ever. Ogaei Care offers OHIP-covered virtual consultations for birth control discussions, including IUD counseling and referrals. This eliminates travel time and provides discreet access to reproductive health services.

Benefits of Virtual Birth Control Consultations:

• Same-day OHIP-covered appointments

• Discussion of all contraceptive options including IUDs

• Prescription services for hormonal methods

• Referrals to insertion providers when needed

• Follow-up care coordination

For comprehensive information about birth control options in Ontario, including detailed cost breakdowns and coverage options.

➲ Know more about birth control costs in Ontario

Cost-Saving Strategies

Pharmacy Shopping

IUD prices vary significantly between pharmacies:

• Costco: Often offers lowest prices for devices ($360-$380 for Mirena)

• Traditional Pharmacies: May charge $400+ for same devices

• Sexual Health Clinics: Often provide discounted rates for uninsured patients

Timing Considerations

For Those Turning 25: Plan IUD insertion before 25th birthday to maximize OHIP+ coverage

Insurance Coordination: Verify coverage details with private insurers before procedure

Special Circumstances and Considerations

Students and Young Adults

University Health Insurance (UHIP): May provide coverage similar to OHIP for international students

Transition Planning: Important to understand coverage changes at age 25

Rural and Northern Ontario Access

Geographic barriers may affect access to IUD services:

• Virtual consultations help connect rural patients with providers

• Referral systems facilitate access to insertion specialists

• Travel costs should be factored into total expense calculations

Long-Term Value Analysis

Cost Per Year of Protection

Mirena IUD (8-year lifespan): $44-$53 annually
Kyleena IUD (5-year lifespan): $75-$82 annually
Copper IUD (10-year lifespan): $5-$10 annually

Additional Benefits Beyond Contraception

Hormonal IUDs offer health benefits that add value:

• Reduced menstrual bleeding and cramping

• Decreased anemia risk from heavy periods

• Potential reduction in endometrial cancer risk

• Treatment for certain gynecological conditions

Future Changes in Birth Control Access

The federal government has committed to universal contraceptive coverage, which may significantly change cost structures for all Canadians. This initiative could eliminate out-of-pocket costs for prescription contraceptives, including IUDs, across all provinces.

Making the Best Decision for Your Situation

Factors to Consider

Budget Constraints: Copper IUDs offer maximum value for cost-conscious individuals

Menstrual Preferences: Hormonal IUDs may appeal to those seeking lighter periods

Age and Coverage: Under-25 individuals should prioritize OHIP+ covered options

Long-term Plans: Consider relationship status and family planning timeline

Getting Started

1. Virtual Consultation: Book OHIP-covered appointment to discuss options

2. Coverage Verification: Confirm insurance benefits and requirements

3. Provider Selection: Choose insertion provider based on convenience and cost

4. Device Procurement: Shop for best pricing on prescribed device

5. Procedure Scheduling: Coordinate insertion appointment

For personalized guidance on birth control options and costs, consider scheduling a virtual consultation through platforms like Ogaei Care, where Ontario-licensed physicians provide comprehensive reproductive health consultations covered by OHIP.

Final Thoughts About Copper IUD Cost

IUD costs in Ontario vary significantly based on type, age, and insurance coverage. While copper IUDs offer the most economical long-term solution at $50-$100, hormonal options like Mirena ($350-$425) and Kyleena ($375-$410) provide additional benefits justifying higher costs. Individuals under 25 benefit from OHIP+ coverage for hormonal IUDs, while older adults must rely on private insurance or out-of-pocket payment.

The key to managing IUD costs lies in understanding your coverage options, shopping strategically for devices, and considering long-term value rather than just upfront expenses. With proper planning and the right healthcare guidance, IUDs represent one of the most cost-effective contraceptive options available to Ontario residents.

Most Asked Questions about the Cost of Copper IUD

• How much does a copper IUD cost in Ontario in 2025?

The copper IUD cost in Ontario in 2025 ranges from $50 to $100 out-of-pocket.

• Is the copper IUD covered by OHIP or insurance?

Copper IUDs are not covered by OHIP+ but insertion procedures are covered; private insurance may cover part of the device cost.

• What is included in the copper IUD procedure cost?

Copper IUD procedure costs typically include insertion, removal, and sometimes consultation fees, with insertion fees covered by OHIP.

• Are there cost differences between copper and hormonal IUDs?

Yes, copper IUDs are generally less expensive ($50-$100) compared to hormonal IUDs, which can cost $350-$425 out-of-pocket.

• Where can I get the most affordable copper IUD?

Sexual health clinics and discount pharmacies often offer the most affordable copper IUD options in Ontario.

• Does a copper IUD impact menstrual cycles or cause side effects?

Copper IUDs can increase menstrual flow and cramping but have no hormones, making them a preferred option for those avoiding hormonal side effects.