Does OHIP cover me when I am outside Ontario? (2024)

FAQs

Does OHIP cover me when I am outside Ontario? ›

You can be outside of Canada for 212 days in a 12-month period and still be covered by your OHIP. If you will be away for more than 212 days, you can apply for continuous OHIP eligibility. This means that you want to keep your OHIP benefits, even though you will be out of the country for more than 212 days.

You will need written approval for some services to be covered by OHIP before they are provided outside of Ontario (such as a breast reduction or panniculectomy). The Schedule of Benefits for Physician Services outlines which services require prior approval. Speak with your health care provider for more information.

Do you need travel insurance while travelling to the USA from Canada? Although we share a border with the States, your provincial or territorial health plan may not cover your medical fees or may only cover a small portion when travelling outside of Canada.

To meet the minimum qualifications you must: be physically in Ontario for 153 days in any 12‑month period. be physically in Ontario for at least 153 days of the first 183 days immediately after you began living in the province. make Ontario your primary residence.

OHIP does not cover: prescription drugs provided in non-hospital settings (such as antibiotics prescribed by your family doctor) dental services provided in a dentist's office. eyeglasses, contact lenses.

If you do not qualify for receiving Old Age Security outside Canada, your payments will stop if you are out of the country for more than 6 months after the month you left. You cannot collect the Guaranteed Income Supplement if you are outside of Canada for more than 6 months.

How long are you welcome to visit another country? A Canadian can stay for up to 182 days per calendar year (without paying U.S. income tax). Visitors can stay for maximum of six months in each 12 months (not a calendar year, but counting backwards 12 months from your date of entry).

Foreigners will receive emergency care, but non-urgent medical treatment won't be covered. To make sure you won't have to pay for all of your medical expenses, you should sign up for an international health insurance plan.

Do visitors to Canada need health insurance? Visitors traveling to Canada and to any country outside of their home country should have visitors health insurance. Most domestic policies will only cover you in your home country and have little to no coverage once you are traveling abroad.

If you get medical or hospital care when outside of Canada, you will be responsible for paying the difference between the amount charged and the amount the AHCIP reimburses you. If you claim coverage under the AHCIP, you still have to pay the health service provider.

What qualifies you as an Ontario resident? ›

Residency Requirements

You are considered an Ontario resident if as of the first day of their study period, Ontario is the most recent province in which you have resided for 12 consecutive months, not including any time as a full-time postsecondary student.

In order to apply for an OHIP card, you will need the following: Proof of Canadian citizenship or immigration status (e.g. Permanent Resident card, work permit) Proof of residency in Ontario (e.g. Ontario driver's license, utility bill, rental agreement, or pay stub)

How long do you have to live in a province to be considered a resident? Technically, you need to live in a province or territory for only one day to be considered a resident.

If you plan to be outside Canada for more than 7 months in any 12-month period you can keep your OHIP coverage for up to 2 years if you: have a valid health card. make Ontario your primary home.

Lastly, some tests are part of private healthcare services, such as those offered by executive health programs or for specific occupational requirements. These specialized tests are usually not covered by OHIP as they are considered beyond the scope of general public health care.

You have to pay the Ontario health premium if both of the following conditions apply: You were a resident of Ontario at the end of the year. Your taxable income on line 26000 of your return is more than $20,000.

The full cost of seeing or visiting a doctor is covered by OHIP, considering that the visit is medically necessary. OHIP covers the majority of your hospital stay costs including doctor and staff services, tests, medications, accommodation and meals.

Patients that are not covered by Canadian provincial health plans are expected to pay their hospital bills directly since the Hospital does not have the resources to provide care free of charge. The care that is being provided to you is costly and requires payment at the time the care is provided.

If you move to another region or are unable to travel to your current clinic, you can contact your territory waiting list (GACO) This link will open in a new window. to request another doctor. You will keep your current family doctor until you have access to a new one.

GSHIP is the equivalent to the Ontario Provincial Government's Ontario Health Insurance Plan (OHIP) coverage. It provides the registered International Students with the medically necessary coverage for services and treatments normally covered by the OHIP for an Ontario resident in all of Canada.