OHIP Ontario Health Insurance Plan

Find resources on how to use your OHIP card for coverage during medical services, emergency visits and identification purposes. If you have additional health insurance through your home nation, refer to the SAWP or TFWP Guidebook.

Services covered by OHIP

OHIP covers part or all of the following services:

Services not covered by OHIP

OHIP does not cover:

  • prescription drugs provided in non-hospital settings (e.g. antibiotics prescribed by your family doctor)
  • dental services provided in a dentist’s office
  • eyeglasses, contact lenses
  • laser eye surgery
  • cosmetic surgery

Doctors

Whether you visit your doctor, or if you see one in a walk-in clinic, OHIP covers the full cost of your services – as long as they are medically necessary.

Hospital visits and stays

If you need to go to the hospital, OHIP covers:

  • doctor and nursing services
  • services to diagnose what’s wrong (such as blood tests and x-rays)
  • medications for in patients (once a patient is discharged, prescribed medications are not covered)
  • some medications for out patients (certain limited medications are provided to out-patients for home use)
  • accommodation and meals if you have to stay
    • if you want a private or semi-private room, you or your private insurance will have to pay some or all of those hospital fees

 

Ambulance services

If you need an ambulance for a medical emergency, OHIP covers part or all the costs depending on the circumstances.

 

Dental surgery in hospital

Some dental surgeries need to be performed in a hospital because they are complex and/or you have another medical condition that needs monitoring during the procedure.

OHIP covers in-hospital dental surgeries such as:

  • fracture repair
  • tumor removal
  • reconstructive surgeries
  • medically necessary tooth removal (prior approval by OHIP is required)

Optometry (eye-health services)

OHIP covers the cost of one major eye exam (for vision and general eye health) every 12 months, plus any minor assessments you need, but only if you are:

  • 19 years and younger
  • 65 years and older

If you are 20 to 64 years old, and you have a specific medical condition affecting your eyes that requires regular monitoring, OHIP will cover a major eye exam for you once every 12 months and any follow-up appointments related to the condition. Covered conditions are:

  • diabetes mellitus, glaucoma, cataract, retinal disease, amblyopia, visual field defects. corneal disease, strabismus, recurrent uveitis, or optic pathway disease

OHIP may also cover a major eye exam if it has been requested for a specific reason by your doctor (they will need to give you a referral form).

Abortion services

OHIP covers the cost of:

  • surgical abortions that take place in a hospital or clinic
  • Mifegymiso (a pill that induces an abortion in early pregnancy), if you have a prescription from your doctor
Find more information here on the ontario.ca website

You can also use your green OHIP card as photo identification to purchase some products and services (at the discretion of the merchant or establishment) such as tobacco, alcohol & cannibis products, lottery and gaming. For preferred identification methods, click here.

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