Services Not Covered By OHIP - Rideau Family Health Team (2024)

FAQs

Services Not Covered By OHIP - Rideau Family Health Team? ›

Expenses not covered by OHIP include non-medical services such as travel, accommodations and meals unless they are part of insured hospital services.

Expenses not covered by OHIP include non-medical services such as travel, accommodations and meals unless they are part of insured hospital services.

OHIP does not cover:

Prescription drugs for 25 years and older. Dental care. Eye care or eye glasses. Services that are not medically necessary (e.g. cosmetic surgery)

Talk to a health care professional to find out if a procedure or treatment is covered by OHIP. You can also contact the Ministry of Health INFOline: In Ontario: 1-866-532-3161. In Toronto: 416-314-5518.

Key Takeaways. Health insurance typically covers most doctor and hospital visits, prescription drugs, wellness care, and medical devices. Most health insurance will not cover elective or cosmetic procedures, beauty treatments, off-label drug use, or brand-new technologies.

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.

What's not covered with your health card? Most notably, the public health system does not cover prescriptions, dental care and vision care.

According to The Commonwealth Fund(link is external and opens in a new window), about 67% of Canadians have some sort of private, supplementary coverage for prescription drugs, dental and eye care, rehabilitation services, and private hospital rooms which Medicare does not cover.

Chiropractic care isn't covered by OHIP, but a lot of extended health insurance plans cover chiropractic care. Some clinics directly bill many major insurance companies. Contact your insurance company directly if you don't know if your plan covers chiropractic care.

Is dental included in Ontario Health Card? ›

OHIP is Ontario's health care plan but it does not cover dental care, with the notable exception of some in-hospital dental surgeries (e.g. fracture repairs, tumor removal, reconstructive surgery). Medically necessary tooth removal is also sometimes covered, provided it has prior approval by OHIP.

In order for your OHIP coverage to remain valid, you'll also need to make Ontario your primary place of residence and be physically present in the province for at least 153 days in any 12-month period.

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 includes coverage for hospital stays, visits to the doctor appointments with most specialists and some medical items for most Ontarians OHIP doesn't cover many different services you may pay out of pocket for vision care, including prescription glasses and visits to the optometrist, most dental care and ...

GYN surgery is covered by OHIP and therefore is not available in a private manner to Ontario residents. In the public system, the wait time to see a GYN in Toronto area for a priority 4 patient varies from 39 days to 99 days, and the wait time to get surgery varies from 50 to 318 days according to ontariohealth.ca.

Is an MRI scan covered by OHIP? OHIP covers the full cost of an MRI scan if: The MRI is deemed medically necessary. Your doctor, who is accredited by the College of Physicians and Surgeons of Ontario, has provided a signed requisition.

Ontario's Health Insurance Plan (OHIP) currently covers contraception for individuals under the age of 25, as long as they aren't also covered by a private plan. Recipients of Ontario Works and Ontario Disability Support Programs may also qualify for free contraception.