Disclaimer: This article serves as an informational resource only and does not provide medical advice. Please consult a medical professional for more information on the abortion treatment options specific to your community.
Navigating access to healthcare services and insurance coverage is challenging, especially when getting an abortion. For McGill students seeking this form of reproductive healthcare, The Tribune untangles how to engage with abortion services, both at McGill and in Quebec more broadly.
Who qualifies for abortion in Quebec?
There are two methods of abortion: Taking the pills mifepristone and misoprostol, or undergoing a surgical procedure where suction empties a pregnant person’s uterus of its fertilized egg. In Canada, abortion is a legal medical procedure.
In Quebec, abortion is available up to the 24-weeks gestation mark. Abortion providers in Quebec do not require a referral from a medical professional; only a positive result on a urine pregnancy test, which can be purchased at a pharmacy and some convenience stores and administered at home, is needed. Those over the age of 14 do not need parental permission to access abortion.
What does an abortion cost?
Abortion is free for Quebec residents, as it is covered under provincial health insurance. For international students, McGill’s International Health Insurance (IHI) plan covers abortion. Provided by Medavie Blue Cross and mandatory for all registered international students, the plan covers any intentional termination of pregnancy performed by a physician up to 24 weeks of gestation.
To avoid having to pay out of pocket and submit a reimbursement claim for a medically-necessary abortion, Medavie Blue Cross allows direct billing for students who show their Blue Cross IHI card at the Centre de santé des femmes de Montréal clinic. Students can obtain their IHI card on Minerva. From the Minerva “Main Menu,” students can navigate to “Student Menu,” then the “International Health Insurance Coverage Form (for students)” tab, and then the “Print IHI card” link. Otherwise, students must obtain a receipt from the provider to submit a claim to Medavie Blue Cross.
Nationwide, at least one form of abortion is free for those with provincial or territorial health insurance, non-insured health benefits, or the Interim Federal Health Program. However, there are different provincial and territorial guidelines around what is covered and at what week of gestation abortion is limited. The McGill Student Wellness Hub can help students navigate their insurance plans to avoid administrative fees from accessing out-of-province abortion. Their on-site doctors and nurses can also help visitors book abortion appointments.
Without health coverage, the abortion pill—called Mifegymiso in Canada—costs $300-$450 CAD. According to Centre de santé des femmes de Montréal, surgical abortion costs $780-$980 CAD.
What the process of abortion might look like
After finding an abortion provider, the medical professional will assess one’s medical history and the progression of their pregnancy via ultrasound or blood test to determine what kind of abortion is optimal.
If prescribed the abortion pill, which is offered until up to nine weeks of gestation, one can usually perform the abortion at home. In this case, users take a mifepristone tablet to block the uterus’ pregnancy hormones. After 36-48 hours, users take a dose of misoprostol to cause uterine contractions (heavy cramping) that expel the pregnancy sac through the vagina.
Surgical abortion typically takes 5-10 minutes, and can cause moderate to high-intensity cramping. During a surgical abortion, your practitioner can also insert a copper intrauterine device (IUD) free of charge.
Post-abortion care
For many, deciding to have an abortion is a difficult decision that comes with emotional and mental challenges. The Student Wellness Hub can offer students individual mental health support along with potentially relevant therapy groups. The Hub can also help prescribe and administer other methods of birth control post-abortion.
Beyond McGill, Les Centres de santé des femmes du Québec offer a guide to exploring post-abortion emotions, whose use they suggest be accompanied by therapeutic counselling. The organization also offers support groups in English and French for people who have undergone abortion.
Please visit the Student Wellness Hub website and McGill’s IHI resources for more information about healthcare coverage. For more information on abortion access and support, visit Les Centres de santé des femmes du Québec.
