HBOT Coverage in Canada - Provincial Health Insurance Guide | Canada Hyperbarics

Coverage Guide

Is HBOT Covered in Canada?

Provincial health coverage, private insurance, and out-of-pocket costs for hyperbaric oxygen therapy — everything you need to know, organized by province.

Quick Answer

HBOT coverage varies by province. Some provinces cover approved medical indications through public health insurance at hospitals and regulated facilities. Private insurance may cover additional indications. Many wellness uses are out of pocket. Find your province below for specific details, or find the nearest hyperbaric facility.

Province by Province

Find Your Province

Click your province to see coverage details, which conditions qualify, and how to access treatment.

Covered
Disrupted
Via Referral
No Facility

Note: Coverage information compiled from publicly available sources, March 2026. Confirm directly with your provincial health authority before beginning treatment.

Cost Information

What Does HBOT Cost?

Emergency

CO Poisoning

1–3 sessions typical

$150–$1,200

at private clinics (may be covered)

Time-Sensitive

Hearing Loss

10–20 sessions typical

$1,500–$8,000

at private clinics (may be covered)

Approved

Diabetic Wound

20–40 sessions typical

$3,000–$16,000

at private clinics (may be covered)

Approved

Radiation Injury

30–60 sessions typical

$4,500–$24,000

at private clinics (may be covered)

Costs are estimates for private facility treatment. Publicly covered treatment at hospitals and regulated facilities has no out-of-pocket cost. Many facilities offer package discounts. Find a facility near you.

Detailed Coverage

Provincial Coverage Deep Dives

Detailed coverage information for each province with public HBOT coverage. Click a province to expand.

14 OHIP-Covered Indications

1 Air or Gas Embolism
2 Carbon Monoxide Poisoning
3 Gas Gangrene
4 Crush Injury, Compartment Syndrome & Acute Traumatic Ischaemia
5 Decompression Sickness
6 Enhancement of Healing in Selected Problem Wounds
7 Exceptional Blood Loss (Anemia)
8 Necrotizing Soft Tissue Infections
9 Chronic Osteomyelitis
10 Soft Tissue Radiation Necrosis
11 Radiation Damage Affecting Bone
12 Compromised Skin Grafts & Flaps
13 Thermal Burns
14 Sudden Sensorineural Hearing Loss

Billing Codes

G800Initial assessment
G805Per session
A008Consultation

Facilities

Hospital: Toronto General (24/7), Hamilton General (24/7), The Ottawa Hospital (24/7), Rouge Valley, Halton

OHIP-Approved Private: Multiple independent health facilities across the province (Barrie, Brampton, Mississauga, Sudbury, Oakville, and others) bill OHIP directly for covered indications.

View all Ontario facilities on the map

How to Access

Physician referral required. Valid OHIP card needed. Contact an approved hospital or regulated facility directly - their intake team will confirm eligibility and coordinate paperwork. No out-of-pocket cost for covered conditions at approved facilities. Find the closest facility to you.

Covered Indications

1 Air or Gas Embolism
2 Decompression Sickness
3 Gas Gangrene
4 Carbon Monoxide Poisoning
5 Crush Injury & Acute Ischemia
6 Diabetic Foot Ulcers & Wounds
7 Exceptional Blood Loss Anemia
8 Intracranial Abscess
9 Necrotizing Soft Tissue Infections
10 Bone Infection (Osteomyelitis)
11 Delayed Radiation Injury
12 Thermal Burns
13 Compromised Grafts & Flaps

Billing Code

13.99IHBOT detention time (per 15 min)

Facilities

Hospital: Misericordia Community Hospital, Edmonton (monoplace, 24/7 emergency, Dr. Felix Siobelman) and Arthur J.E. Child Comprehensive Cancer Centre / Foothills Medical Centre, Calgary (monoplace, no 24/7, Dr. Caroline Bain).

CPSA-Accredited Private: The College of Physicians & Surgeons of Alberta accredits private clinics, setting standards and conducting on-site assessments. Accredited private facilities can bill Alberta Health for approved indications — both hospital and accredited private are covered.

View all Alberta facilities on the map

How to Access

Doctor's referral required - can be faxed for primary care referrals. Emergency referrals through ER. Contact: Misericordia Hyperbaric Unit 780-735-2627 | Calgary clinic 587-231-5475. Find the closest facility to you.

Covered Indications

RAMQ covers recognised conditions at hospital-based facilities. Hyperbaric medicine has been available in Quebec since 1982. Coverage is not available at private clinics — only hospital-delivered treatments are insured.

1 Carbon Monoxide Poisoning
2 Decompression Sickness
3 Air or Gas Embolism
4 Gas Gangrene
5 Crush Injury & Acute Ischemia
6 Delayed Radiation Injury
7 Diabetic & Problem Wounds
8 Necrotizing Soft Tissue Infections
9 Compromised Grafts & Flaps
10 Refractory Osteomyelitis
11 Intracranial Abscess
12 Thermal Burns
13 Sudden Sensorineural Hearing Loss

Billing

RAMQ specialist billing manual includes hyperbaric medicine codes. Billing is handled by the treating hospital — patients do not receive a bill for covered indications. Specific fee codes are in the RAMQ Manuel de rémunération à l'acte for specialists.

Facilities

Hospital (RAMQ-covered): Hôtel-Dieu de Lévis (multiplace + monoplace, 24/7 emergency, Dr. Dominique Buteau, 418-835-7121 ext 11505) and Hôpital du Sacré-Coeur de Montréal (multiplace + monoplace, 24/7 emergency, Dr. Samer George).

Private (NOT RAMQ-covered): Several private clinics operate in Montreal (Les Cours Hyperbaric, Island Hyperbaric, Atmo Hyperbaric) — treatment is entirely out of pocket or through private insurance.

View all Quebec facilities on the map

How to Access

Physician referral required. Emergency cases: contact ER directly. Elective referrals: contact Hôtel-Dieu de Lévis at 418-835-7121 ext 11505. Wait times may apply for non-emergency indications. Valid RAMQ card required. Find the closest facility to you.

Covered Indications

MSP covers 14 recognised conditions at VGH. The MSC Payment Schedule includes hyperbaric chamber billing codes. Only hospital-delivered treatment is MSP-covered.

1 Decompression Sickness
2 Arterial Gas Embolism
3 Carbon Monoxide Poisoning
4 Gas Gangrene
5 Compromised Flaps & Grafts
6 Sudden Hearing Loss (within 2 weeks)
7 Necrotizing Fasciitis
8 Central Retinal Artery Occlusion
9 Exceptional Blood Loss Anemia
10 Crush Injury & Compartment Syndrome
11 Delayed Radiation Injury
12 Diabetic & Problem Wounds
13 Refractory Osteomyelitis
14 Intracranial Abscess
15 Thermal Burns

Billing

MSP billing codes for hyperbaric chamber services are included in the BC Medical Services Commission Payment Schedule. Hospital handles billing — no out-of-pocket cost for patients with valid BC Services Card at VGH for approved indications.

Facilities

Hospital (MSP-covered): Vancouver General Hospital Hyperbaric Unit (multiplace, 24/7 emergency, Dr. Afshin Khazi). This is the only hospital-based chamber in the entire province and the only BC facility compliant with Health Canada licensing and College of Physicians accreditation.

Private (NOT MSP-covered): BaroMedical (Metro Vancouver, since 1999), International Hyperbaric (Richmond), Oceanside Hyperbaric (Parksville, Vancouver Island), and others. All private clinic treatment is out of pocket or through private insurance.

Access note: VGH is the sole MSP-covered provider for 5+ million BC residents. Wait times for non-emergency indications may be significant. Emergency cases are prioritized.

View all British Columbia facilities on the map

How to Access

Physician referral required. Emergency referrals through ER. Valid BC Services Card needed. Contact the VGH Hyperbaric Unit directly for referral coordination. Find the closest facility to you.

Covered Indications

recognised conditions covered through MSI (Medical Services Insurance) at the QEII. This facility serves as the only hospital-based chamber for all three Maritime provinces (NS, NB, PEI). No private clinics operate in Nova Scotia.

1 Carbon Monoxide Poisoning
2 Decompression Sickness
3 Air or Gas Embolism
4 Gas Gangrene
5 Delayed Radiation Injury
6 Diabetic & Problem Wounds
7 Necrotizing Soft Tissue Infections
8 Crush Injury
9 Compromised Grafts & Flaps
10 Refractory Osteomyelitis
11 Thermal Burns
12 Sudden Hearing Loss

Billing

Hospital-based service covered through MSI. No out-of-pocket cost for approved indications. Hospital handles all billing directly. Valid NS Health Card required.

Facility

QEII Health Sciences Centre, Halifax (multiplace, 24/7 emergency, Dr. David Manning). The chamber is over 40 years old. This is the only hospital-based chamber in the Maritimes — no private hyperbaric clinics exist in Nova Scotia.

Critical access issue: Wait times are 12 to 18 months for chronic conditions. Only approximately 40 chronic-condition patients treated annually due to staff shortages, COVID-related capacity reductions, and increased Maritime population. The aging 40-year-old chamber also requires increasing maintenance. Emergency cases (DCS, CO poisoning) are prioritized.

View Atlantic facilities on the map

How to Access

Physician referral required. Given the long wait times, submit referrals early. Maritime patients from NB and PEI are also referred here via interprovincial referral, adding to demand. Emergency cases should contact the QEII ER directly. Find the closest facility to you.

Covered Indications

MCP covers HBOT as a hospital-based insured service. The program provides both emergency and elective outpatient treatment. Hospital-only — no private clinic coverage.

1 Carbon Monoxide Poisoning
2 Decompression Sickness
3 Air or Gas Embolism
4 Problem Wound Healing
5 Delayed Radiation Injury
6 Gas Gangrene
7 Necrotizing Soft Tissue Infections
8 Crush Injury
9 Compromised Grafts & Flaps
10 Thermal Burns

Billing

Covered under MCP (Medical Care Plan) as a hospital-based insured physician service. Hospital handles billing. No out-of-pocket cost for approved indications. Valid MCP card required.

Facility

Health Sciences Centre, St. John's (monoplace, 24/7 emergency coverage, Dr. Ken LeDez). Operated by Eastern Health since 2008 (transferred from Memorial University's MEDICOR).

Seaforce Hyperbaric also operates in St. John's but is a private research/training facility, not a public treatment centre.

View Atlantic facilities on the map

How to Access

Physician referral required. Emergency cases (CO poisoning, DCS) have 24/7 access - contact the Health Sciences Centre ER. For outpatient wound/radiation treatment, contact the Hyperbaric Medical Services unit directly. MCP enquiries: 709-758-1600 (St. John's/Avalon). Find the closest facility to you.

Private Coverage

Private Insurance, Extended Benefits & Other Coverage

Beyond provincial health plans, there are several other ways Canadians access HBOT coverage.

Extended Health Benefits

Many employer-sponsored and individual extended health plans from Canadian insurers include coverage for HBOT, though the extent varies significantly by plan level and insurer.

Major Canadian insurers to ask:

Sun Life Manulife Canada Life (Great-West) Blue Cross Desjardins GreenShield Industrial Alliance Equitable Life

Coverage typically falls under "paramedical services" or "medical equipment/treatment" categories. Some plans cover HBOT explicitly; others require it to be prescribed by a physician for a recognized medical indication. Always check your specific plan booklet or call the number on your benefits card.

Auto Insurance (MVA)

If your condition resulted from a motor vehicle accident, HBOT may be covered through your auto insurance benefits. In Ontario, this is submitted through the OCF-18 Treatment Plan via the HCAI (Health Claims for Auto Insurance) system.

Acceptance of OCF-18 treatment plans involving HBOT is increasing as the therapy gains wider recognition. Your HBOT clinic can help prepare and submit the treatment plan to your auto insurer.

Note: Auto insurance coverage for HBOT varies by province and by insurer. No guarantee of approval. Your clinic and treating physician can provide supporting documentation.

Workers' Compensation (WSIB/WCB)

If your condition is work-related, provincial workers' compensation boards may cover HBOT. This includes workplace injuries requiring wound healing, crush injuries, CO exposure at work, or decompression sickness for commercial divers.

Coverage is assessed on a case-by-case basis. Your treating physician must submit a treatment plan demonstrating medical necessity. Contact your provincial WCB: WSIB (Ontario), WorkSafeBC (BC), WCB Alberta, or your province's equivalent.

Veterans Affairs Canada

Canadian veterans with service-related injuries may be eligible for HBOT coverage through Veterans Affairs Canada (VAC). This is particularly relevant for TBI, blast injuries, and PTSD — conditions where HBOT research is growing.

Coverage is assessed individually. Contact VAC directly at 1-866-522-2122 or through your VAC case manager to inquire about HBOT eligibility for your service-related condition.

How to Get Private Insurance Approval

1

Check Your Plan

Call the number on your benefits card. Ask specifically: "Is hyperbaric oxygen therapy covered for [your diagnosis]?" Get the answer in writing.

2

Get Pre-Authorization

Most insurers require pre-authorization. Submit your physician's referral, diagnosis, proposed treatment plan, and supporting clinical documentation before starting treatment.

3

Gather Documentation

Your insurer will want: physician's letter of medical necessity, diagnosis code, wound measurements or imaging, list of failed treatments, and the proposed number of sessions.

4

Your Clinic Can Help

Most HBOT clinics have experience with insurance submissions and will help you prepare documentation, write supporting letters, and submit claims on your behalf.

What to Ask Your Insurer

  • • Is HBOT covered for my specific diagnosis?
  • • Do I need pre-authorization?
  • • Is there a session or dollar limit per year?
  • • Does the provider need to be accredited?
  • • What documentation is required?
  • • Is there a co-pay or deductible?

If Your Claim Is Denied

  • • Request the denial in writing with the specific reason
  • • Ask your doctor to write a letter of medical necessity
  • • Have your HBOT physician provide supporting research and clinical guidelines
  • Appeal the decision — most insurers have a formal appeals process
  • • Contact your provincial insurance ombudsman if the appeal fails

Tax Deduction

HBOT prescribed by a licensed physician for a diagnosed medical condition may qualify as an eligible medical expense under the Medical Expense Tax Credit (METC) on your Canadian tax return.

  • • Keep all receipts and your physician's prescription
  • • Claim on Line 33099 (for yourself) or Line 33199 (for a dependant)
  • • You can claim out-of-pocket amounts not reimbursed by insurance
  • • Consult a tax professional for advice specific to your situation

Step by Step

How to Get Covered

01

Talk to Your Doctor

Discuss HBOT and get a referral with your diagnosis and clinical rationale.

02

Get Documentation

Diagnosis, imaging, treatments tried, and why HBOT is medically necessary.

03

Check Provincial

Contact your provincial health authority to confirm coverage and approved facilities.

04

Check Private

Call your insurer about HBOT coverage for your diagnosis. Get pre-authorization.

05

Find a Facility

Search our facilities directory to find a hospital or regulated facility near you. Their intake team confirms coverage and coordinates your referral.

Common Questions

Coverage FAQ

Coverage varies by province. Some cover HBOT for recognised conditions at hospitals and regulated facilities. Ontario covers 14 indications through OHIP at both hospital and approved private facilities. Contact your provincial health authority to confirm, or use our facilities directory to find a provider near you.

Yes. OHIP covers 14 recognised conditions at approved facilities. Physician referral required. Covered conditions include diabetic foot ulcers, radiation injury, CO poisoning, decompression sickness, and others.

Some extended health plans cover HBOT. Coverage depends on your plan and diagnosis. Contact your insurer directly and ask about pre-authorization requirements.

$150–$400 per session at Canadian private clinics. Full courses of 20–40 sessions range from $3,000 to $16,000. Package discounts and payment plans may be available.

Generally the 14 recognised conditions: gas embolism, CO poisoning, gas gangrene, crush injuries, decompression sickness, radiation injury, diabetic foot ulcers, problem wounds, hearing loss, intracranial abscess, necrotizing infections, osteomyelitis, compromised grafts, and burns.

Yes. You need a referral from a physician with your diagnosis, medical history, and supporting documentation.

HBOT prescribed by a physician may qualify under the Medical Expense Tax Credit (METC). Keep all receipts and your prescription. Consult a tax professional.

Options include: treatment at a regulated private facility, private insurance, interprovincial referral to a province with coverage, or claiming costs as a medical tax expense. Search our facilities directory to find the nearest hospital or regulated facility.

Not currently a recognised condition. Generally not covered by provincial plans. Clinical trials are ongoing. Private clinics offer treatment out of pocket.

Contact your provincial health authority directly, or call the nearest hospital or regulated hyperbaric facility - their intake team knows current policies. Use our facilities directory to find the closest one to you by postal code.

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Disclaimer: Coverage information is compiled from publicly available sources and may not reflect the most current provincial policies. Always confirm with your provincial health authority, insurance provider, or HBOT facility before beginning treatment. This page does not constitute financial or medical advice.