We are in Toronto.
Like the PP said, most tests, ultrasounds, appointments, etc are covered. But sperm, IUI procedure, clinic admin fees (if any), meds etc are not. If you have extended health through your employer some meds may be covered, but many fertility meds are not.
How we conceived our kids:
First we participated in a 6 week course through Sherbourne Health Clinic called "Dykes Planning Tykes". They now have courses for trans families and gay men families. This gave us a lot of info about legalities, logistics, practicalities, etc.
We purchased identity release sperm from Xytex. We paid the fee to be able to see extended profiles online. You go to the American site to see extended profiles and then you contact the canandian rep to see if the chosen donor is available. Many are.
However, the Canadian site has very limited info about donors on it.
The hardest part was picking the donor. We are white anglosaxon people and so had an abundance of choice. It is hard to pick from hundreds of possibilities. We found we had to really filter our "wants/wishes" just to get anywhere. It felt weird to make so many choices about the possible genetics of your child.
We started with IUI. You buy 2 vials of sperm and go for lots of appointments and have ultrasounds at almost every appointment. When the eggs are ready you go in for insemination for two days in a row.
We did 4 medicated IUI's. None of them gave us a positive result. (My partner also has PCOS). Each cycle cost $1150 for the sperm and another $800 (i think) for the IUI. We got identity release sperm. Non-identity release sperm is $100 cheaper.
After that we decided to try IVF. It basically costs the same as 4 IUI's but with higher percentage of success and would give us info on my partners egg quality. We got 10 blastocysts from the IVF.
We implanted 1 embryo and got a negative result. The we implanted 2 with FET and got a positive result which is our 3 yr old DD.
We had 7 blasts on ice. We have now gone through three more FET's. The first two we implanted 2 embryos and got early miscarriages with both.
The last one we defrosted 3 embryos and implanted the two that survived the thaw.
We are currently 31 weeks pregnant with twins.
As far as Ontario goes. If you use anon donors than the non birth parent can automatically be on the birth registry as the other parent. You do not have to go through any legal issues to be considered a parent of the child. There is nothing that you have to do other than fill out the birth registry forms and put the name of the other parent under "other parent". The form asks for "Mothers name" and "Other parent".
I am trans, but at the time of my DD birth I was still legally a woman. I did not have any issue with being on the birth registry at all. And I will be on the registry for these children too.