An older man on home oxygen sitting on a patio with his family, a portable unit beside his chair.

For home oxygen vendors and clinic administrators

Home oxygen funding across Canada.

Q: Which provinces fund home oxygen, and what does each vendor have to record?

Home oxygen is funded programme by programme, not nationally: Ontario funds it through the Assistive Devices Program at 75% of the cost, with 100% for people 65 or older, residents of long-term care homes, recipients of Ontario Works, the Ontario Disability Support Program or Assistance for Children with Severe Disabilities, and people receiving professional services through Ontario Health atHome; British Columbia runs the Home Oxygen Program through its regional health authorities, whose eligibility criteria vary between them; Alberta Aids to Daily Living charges no cost-share on respiratory benefits; Manitoba's Home Oxygen Concentrator Program runs through the regional health authority on a referral form with the test results attached; Saskatchewan funds it as a universal benefit under Saskatchewan Aids to Independent Living; Nova Scotia's Home Oxygen Services provides the equipment at no cost to the client through an approved vendor the client keeps for at least a year; New Brunswick's Respiratory Program rents concentrators through an eligible Respiratory Services Vendor for clients 64 and under; and Québec lends the equipment through its Programme national d'oxygénothérapie à domicile with no fee and no deductible. Whichever one pays, the vendor has to be able to produce the same record afterwards: the authorization the programme gave, the serial number of the unit that was supplied, the rental and supply dates billed, the share each payer took and the share left with the patient.

Q: Does norvelle come with a provincial oxygen programme already set up?

No. The payer directory ships a coverage rule for the Assistive Devices Program, and you add the programme you bill with its own rule, its own approval-number requirement and its own visibility per clinic. That is a few minutes of setup per programme, done once.

Q: Does norvelle send the application or the claim to the programme?

No. Applications and claims go to the programme the way that programme accepts them, and that stays with your team. norvelle records the authorization, the split, the payer invoice and the money, and prints what a payer needs.

Q: Where does the serial number of a concentrator live?

On the invoice line that supplied it, which is also what puts the unit on the patient's equipment record, and it prints on the invoice. Stationary concentrators, portable units, cylinders, cannulas and tubing sit on the same record, each line naming the warehouse it shipped from.

Q: A patient has a programme, a private plan and a balance. Is that one invoice or three?

One. The invoice is raised at full price, each payer is added with its own coverage rule and rank, and the patient's portion is the remainder. Each payer share can be billed to that payer as its own numbered invoice, so payer debt ages separately from the patient's balance.

Q: Programme rules change. How current are the facts on this page?

Every programme on this page is described from that programme's own published page, read on 2026-10-18, and each source is listed below with its date. Check the source before you rely on it.

Home oxygen is funded province by province, each programme under its own name, with its own application, its own approved providers and its own view of what the vendor has to hold on file. This page is about billing those programmes, not about whether a patient qualifies for one.

Book a demo See the programmes

Eight programmes, each sourced What the vendor records One invoice, every payer

The programmes

Who funds home oxygen, province by province.

Each programme under its own published name, described from its own page. Every entry is sourced and dated at the foot of this page.

Ontario: home oxygen therapy under the Assistive Devices Program (ADP)

The programme covers 75% of the cost of home oxygen therapy and the client pays 25%, and it covers 100% for people 65 or older, residents of a long-term care home, recipients of Ontario Works, the Ontario Disability Support Program or Assistance for Children with Severe Disabilities, and people receiving professional services through Ontario Health atHome. The business registered with the programme submits the completed application, covers maintenance, repair and replacement, and the therapy is renewed every year. A Registered Respiratory Therapist who may administer oxygen independently can authorize the application, but not one employed by a Vendor of Record.

Assistive Devices Program (ADP) billing for CPAP clinics

British Columbia: the Home Oxygen Program

There is no single provincial desk: the Home Oxygen Program is run by the regional health authorities, and the published medical eligibility criteria vary between them, so the paperwork follows the authority the patient lives in. Vancouver Coastal Health, for one, takes the request from a physician, funds the assessment and the oxygen, has the equipment supplied by an approved oxygen supplier, and reassesses through a respiratory therapist.

Alberta: Alberta Aids to Daily Living (AADL) respiratory benefits

Respiratory benefits carry no cost-share, where most other AADL benefits have the client paying 25% to a maximum of $500 per family per benefit year, which runs July 1 to June 30. The client is assessed by an AADL authorizer, and an AADL approved vendor provides the equipment and collects any cost-share. AADL is described here as a programme: it is not one of the payers norvelle ships set up.

Manitoba: the Home Oxygen Concentrator Program

The programme runs through the regional health authority. A physician, physician assistant or nurse practitioner completes the medical assessment and referral form, which is not processed unless the blood gas, walk test, sleep study or palliative assessment results are attached, and a regional respiratory authorizer or home oxygen administrator approves it. Clients on resting hypoxemia and exertional oxygen are reassessed one to three months after they enter the programme.

Saskatchewan: the Home Oxygen Program under Saskatchewan Aids to Independent Living (SAIL)

Home oxygen is one of the universal benefit programmes the Ministry of Health offers through SAIL. The person has to live in Saskatchewan, hold a valid Saskatchewan Health Services Number, be referred by an authorized health care professional, use a service in the province unless it is preauthorized, and not be receiving the same benefit from another government agency such as Saskatchewan Government Insurance, the Workers' Compensation Board, Non-Insured Health Benefits or Veterans Affairs.

Nova Scotia: Home Oxygen Services

The Department of Seniors and Long-term Care funds the concentrator, regulator, cannula, tubing and backup cylinder, and a monthly portable system where the person is eligible, at no cost to the client. A designated physician refers, a care coordinator assesses, and eligibility is reassessed every year. The client picks a provider from the approved vendor list and stays with it for at least a year, and funding holds for 30 days of a hospital stay.

New Brunswick: the Respiratory Program

Social Development runs it for its clients and for people who qualify for assisted health care, against a Health Services Card. Concentrators, oxygen conserving devices, portability systems and cylinder refills are rented; CPAP machines are purchased up to $1,800 and BPAP machines up to $3,150. Oxygen services are for clients 64 and under and have to be supplied through an eligible Respiratory Services Vendor, and full benefits require that the person has no other coverage for the service.

Québec: the Programme national d'oxygénothérapie à domicile (PNOD)

The programme lends a set of equipment and accessories to adults and children on long-term oxygen at home, with no fee and no deductible, and the equipment goes back when it is no longer used. Admission runs through the person's territorial health and social services establishment after a specialised medical assessment, preferably by a respirologist, and needs are reviewed at least once a year. norvelle neither bills nor ships this programme set up.

What the vendor records

The same five things, whichever programme pays.

Programme rules differ by province. What a vendor has to be able to produce afterwards does not.

The authorization the programme gave you

The approval or claim reference is captured on that programme's share of the invoice, and a payer can be set to require one, so a share that needs a number does not go out without it.

The unit that left the warehouse

The serial or device number of the exact concentrator or portable unit is recorded on the invoice line that supplied it, prints on the invoice, and that line is what puts the unit on the patient's equipment record.

The rental and the supplies, on their own cycle

A monthly rental and a supplies plan every 3, 6 or 12 months each bill on schedule, at the price frozen onto the plan, with the co-pay applied.

The split between the programme, the insurer and the patient

The invoice stays at full price and each payer's share comes off it by its own rule. The patient's portion is the remainder, worked out rather than typed, and the shares together can never exceed the invoice total.

The money, and what happens when it does not come

The programme's share can be billed as its own numbered invoice so that debt ages apart from the patient's, one programme payment is applied across many invoices with its remittance number, and a refused share is appealed, written off, or moved to the patient.

norvelle

Settings / Payers

Payer directory

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Payers for this brand

Payer	Coverage rule	Approval number
Assistive Devices Program (ADP)	75% of approved price	Required
Provincial oxygen programme	Entered by you	Required
Private insurer	80% of invoice total	Not required

Each payer is visible only to the clinics you show it to, and the patient portion is whatever the ranked shares leave behind.

In norvelle

You add the programme you bill, once.

No provincial oxygen programme comes set up. The payer directory ships a coverage rule for the Assistive Devices Program, and every other programme and insurer is one you enter, with the rule it actually pays by.

A coverage rule is a percentage of a named approved price, a percentage of the invoice total, or a fixed amount, applied to the whole invoice or to single lines.
The directory belongs to the brand, and each payer can be shown or hidden per clinic, so a location only sees the programmes it bills.
A payer can be set to require an approval or claim reference before its share is billed.
Payers are ranked, so the programme comes off the invoice before the private plan and the patient.
Your team sends the application and the claim to the programme. norvelle holds the split, the number and the money.

What the vendor runs day to day: home oxygen software for Canadian vendors. How the split itself works: funding programmes and payer billing.

Questions oxygen vendors ask.

Which provinces fund home oxygen, and what does each vendor have to record?

Does norvelle come with a provincial oxygen programme already set up?

Does norvelle send the application or the claim to the programme?

Where does the serial number of a concentrator live?

A patient has a programme, a private plan and a balance. Is that one invoice or three?

Programme rules change. How current are the facts on this page?

Sources

Captured 2026-10-18. Every programme described on this page is described from its own published page, read on that date. Programme rules change: check the source before you rely on it.

Ontario, home oxygen therapy: 75% of the cost with the client paying 25%, 100% coverage for people 65 or older, long-term care home residents, recipients of Ontario Works, the Ontario Disability Support Program or Assistance for Children with Severe Disabilities and people receiving professional services through Ontario Health atHome, the business covering maintenance, repair and replacement, the registered business submitting the application, and yearly renewal: ontario.ca/page/home-oxygen-therapy (page updated 2025-07-10).
Ontario, who signs the application: a Registered Respiratory Therapist with the authority to administer oxygen independently may authorize the Application for Funding Home Oxygen without the prescriber's signature, and an RRT employed by a Vendor of Record may not: College of Respiratory Therapists of Ontario, crto.on.ca/members/professional-practice/adp-home-oxygen-program-2.
British Columbia, the Home Oxygen Program run by the health authorities with criteria that vary between them: BC Guidelines, Chronic Obstructive Pulmonary Disease, Appendix C, BC Home Oxygen Program Medical Eligibility, www2.gov.bc.ca/assets/gov/health/practitioner-pro/bc-guidelines/copd_appendix_c.pdf (2024). Assessment and funding by the health authority, supply through an approved oxygen supplier and periodic respiratory therapist assessment: HealthLink BC, Home Oxygen Program, Vancouver Coastal Health, healthlinkbc.ca/find-care/find-health-services/program/home-oxygen-program.
Alberta, no cost-share on respiratory benefits, 25% to a maximum of $500 per family per benefit year on other benefits, and the benefit year running July 1 to June 30: alberta.ca/aadl-cost-sharing-of-benefits (page published 2026-08-20). Assessment by an AADL authorizer and supply by an AADL approved vendor that collects any cost-share: alberta.ca/aadl-clients.
Manitoba, the Home Oxygen Concentrator Program through the regional health authority: referral completed by a physician, physician assistant or nurse practitioner, results attached, approval by a regional respiratory authorizer or home oxygen administrator, and reassessment one to three months after entry for resting hypoxemia and exertional oxygen: Medical Assessment and Referral Form, Home Oxygen Concentrator Program, gov.mb.ca/health/homecare/forms/hocp_fp.pdf (form dated January 2018).
Saskatchewan, the Home Oxygen Program as a universal benefit under Saskatchewan Aids to Independent Living, the referral by an authorized health care professional, and the rule excluding people receiving the same benefit from another government agency: saskatchewan.ca/residents/health/accessing-health-care-services/health-services-for-people-with-disabilities/sail.
Nova Scotia, Home Oxygen Services through the Department of Seniors and Long-term Care: the equipment supplied, no cost to the client, referral by a designated physician, yearly reassessment, the approved vendor list and the one year with the chosen provider, and funding held for 30 days of a hospital stay: novascotia.ca/dhw/ccs/home-oxygen.asp.
New Brunswick, the Social Development Respiratory Program: rented concentrators, conserving devices, portability systems and cylinder refills, CPAP purchased to $1,800 and BPAP to $3,150, oxygen services for clients 64 and under through an eligible Respiratory Services Vendor, and full benefits requiring no other coverage: gnb.ca/en/topic/family-home-community/persons-with-disabilities/respiratory.html.
Québec, the Programme national d'oxygénothérapie à domicile: the loan of equipment and accessories, no fee and no deductible, admission through the territorial establishment after a specialised medical assessment, and needs reviewed at least yearly: quebec.ca/sante/systeme-et-services-de-sante/aides-techniques-deficiences-et-handicaps/programme-national-oxygenotherapie-a-domicile-pnod (page updated 2023-05-09).

See an oxygen rental billed across three payers.

Watch a programme share, a private plan and the patient's remainder land on one monthly invoice.

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