Saskatchewan Insulin Pump Program Application (SAIL)

Saskatchewan Aids to Independent Living (SAIL) uses this two-page application to register adults with type 1 diabetes in its Insulin Pump Program, which funds one insulin pump every five years and gives access to covered pump supplies. A Saskatchewan Health Authority diabetes education program or authorized specialist submits it on the client's behalf after screening and a pump trial of up to three months.

Who completes it

An endocrinologist or other specialist physician associated with an SHA Diabetes Education Program and experienced in pump management signs the physician's certification; an SHA diabetes educator or SAIL-registered CDE signs the educator and completed-trial certifications. The client signs the consent and responsibility section.

Submitting and payment

How to submit it
The diabetes education program or specialist registers the client with SAIL's Drug Plan and Extended Benefits Branch by email, using the address on the form, and should allow at least 72 hours for confirmation.
Who pays
SAIL funds one insulin pump every five years through a program grant, while pump supplies are paid through the client's Drug Plan coverage, deductible or co-payment; the form lists no fee for clinicians.

Good to know

  • Applicants must show at least 6 months of glucose checks four or more times daily (or CGM or flash use), carbohydrate counting, hypoglycemia management and A1C checks every 3 to 6 months.
  • Applications are incomplete unless every criterion is confirmed, including a commitment to follow-up at least every 12 months and no unacceptable burden of diabetic ketoacidosis.
  • The trial of up to three months may be waived for replacement pumps only, and a certified pump trainer must confirm the client can operate the pump safely.
  • CGM and flash glucose monitor supplies are not Insulin Pump Program benefits, even when integrated with the pump; their eligibility is handled through the Drug Plan formulary.

Get the official form

Download the current version from the source each time; forms change without notice.

Saskatchewan Insulin Pump Program Application Form

Fill it with Vero

If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.

How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms change without notice, so download the current version from the official page before you fill it in.

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Frequently asked questions

Who can sign the Saskatchewan insulin pump application?

The physician's certification must come from an endocrinologist or other specialist physician associated with an SHA Diabetes Education Program who has experience with insulin pump management. An SHA diabetes educator or SAIL-registered Certified Diabetes Educator signs the educator and completed-trial certifications, and the client signs the consent.

How often does SAIL fund a new insulin pump?

Once every five years. The client consent states there is no additional grant funding for a new pump before five years, and SAIL's Q&A says the purchase date of a privately bought pump is taken into account. Privately purchased pumps and supplies are not reimbursed.

Can pump supply coverage stop?

Yes. The consent section says supply coverage may be discontinued at any time, for at least six months, if a specialist physician recommends it because the pump is no longer appropriate for the client's care. Clients also commit to diabetes follow-up assessments at least every 12 months.