OHIP Oct 29, 2026 - Written by Krista DeKuyper
What’s Not Covered by OHIP?: A Complete 2026 Guide
OHIP doesn't cover most dental care, prescription drugs you take at home, glasses and contact lenses, routine eye exams for adults 20 to 64, chiropractic, massage, private therapy, private hospital rooms or cosmetic surgery. It only partly covers ambulance rides, physiotherapy, podiatry and emergency care outside Canada.
For anything OHIP doesn't cover, you pay out of pocket, qualify for a separate government program, or use private health insurance. This guide covers the full 2026 list, how MRI, CT and X-ray coverage works, and the programs that can fill the gaps.
Fill the gaps OHIP leaves
OHIP won't pay for your dentist, your prescriptions or your glasses. A private health plan can.
Compare plans from Manulife, Blue Cross, Sun Life and more in minutes. No broker call needed.
- Dental check-ups and cleanings
- Prescription drugs
- Eye exams, glasses and contacts
- Physio, chiro and massage
- Private and semi-private hospital rooms
- Plans with no medical questions
Prefer to talk? Call 1-800-474-4474
40+ years helping Canadians compare health insurance. Always free to use.
$45
Ambulance co-payment when the ride is medically necessary
24
Last age covered by OHIP+ for prescriptions, if you have no private plan
$50/day
Most OHIP pays for emergency outpatient care outside Canada
2004
Year chiropractic care was removed from OHIP
What Does OHIP NOT Cover? (Quick Answer)
OHIP does not cover the following services for most Ontario residents in 2026:
Dental care (routine cleanings, fillings, exams — except certain hospital-based dental surgeries)
Prescription drugs (unless you qualify for OHIP+, ODB, or the Trillium Drug Program)
Routine eye exams for adults aged 20–64 without a qualifying eye condition
Physiotherapy for adults aged 20–64 (except under specific referral conditions)
Ambulance transportation if not deemed medically necessary (a $45 co-pay applies even when it is)
Paramedical Services, including:
Mental health therapy from private psychologists or counsellors outside hospitals
Chiropractic care
Birth control if you are over 24.
Most out-of-country medical care. OHIP pays only a small, capped amount for emergencies abroad, so travel insurance is still essential.
OHIP Coverage at a Glance (2026)
| Service | Covered by OHIP? | What to know |
|---|---|---|
| Doctor visits (in person, video or phone) | Yes | Free when medically necessary |
| Hospital stays | Yes | Standard ward only. Private and semi-private rooms cost extra |
| MRI, CT scans, X-rays, ultrasound | Yes | Needs a requisition and a medical reason |
| Lab tests | Mostly | Some tests, like PSA screening and vitamin D, only in specific cases |
| Ambulance | Partly | $45 co-payment. $240 if not medically necessary |
| Eye exams | Partly | Ages 19 and under, 65 and over, or adults with an eligible eye condition |
| Physiotherapy | Partly | Ages 19 and under, 65 and over, after a hospital stay or day surgery, or on OW/ODSP |
| Podiatry | Partly | $7 to $16 per visit, up to $135 a year |
| Prescription drugs at home | Mostly no | Only through OHIP+, ODB or Trillium |
| Dental care at a dentist's office | No | HSO, OSDCP or CDCP may help |
| Glasses and contact lenses | No | Pay out of pocket or use private insurance |
| Chiropractic, massage, naturopathy, acupuncture | No | Chiropractic was removed from OHIP in 2004 |
| Private psychologist or therapist | No | Hospital psychiatry is covered |
| Hearing aids | No | ADP pays up to $500 per ear |
| Emergency care outside Canada | Barely | Capped at $50 a day outpatient, $200 to $400 a day inpatient |
| Cosmetic surgery | No | Some reconstructive surgery may be covered |
| Sick notes, forms, missed appointments | No | Your doctor sets the fee |
Is It Covered? Real-Life Examples (2026)
| Your situation | Covered by OHIP? | What to do |
|---|---|---|
| You need a cleaning at your dentist's office | No | Check Healthy Smiles Ontario (kids), OSDCP (seniors) or the CDCP. Otherwise, a private dental plan |
| You're 35 and hurt your back playing hockey | Physio, chiro and massage: no | A private plan with paramedical coverage, or pay out of pocket |
| You had day surgery last month and need physio | Yes, at a government-funded clinic | Book directly with a community physio clinic and bring your health card |
| You call an ambulance from home for chest pain | Partly | Expect a $45 bill from the hospital |
| Your doctor orders an MRI for knee pain | Yes | Get on the wait list with your requisition. Don't pay a clinic to skip the line |
| You get sick in Florida and go to the ER | Barely | OHIP pays up to $50 a day. Buy travel insurance before you leave |
| You turn 25 and fill a prescription | No (OHIP+ ends) | Join a workplace plan or get a private drug plan before your birthday |
| Your employer wants a sick note | No | Your doctor may charge a fee |
What Does OHIP Cover in Ontario? (2026)
Before diving into the gaps, it helps to understand what OHIP does cover. OHIP pays for medically necessary services provided by licensed physicians, hospitals, and certain other providers. Coverage is funded through Ontario's provincial budget and applies to Canadian citizens, permanent residents, and certain work permit holders who are residents of Ontario.
In most cases, OHIP does cover the following services:
Doctor visits: All medically necessary in-person and virtual visits to a family doctor, walk-in clinic, or specialist, at no cost to you
Hospital care: Medically necessary in-patient and out-patient services, including standard ward accommodations, nursing care, operating room fees, meals, and required medications during a hospital stay
Diagnostic imaging: X-rays, MRI scans, and CT scans, when medically necessary and ordered by a physician (see dedicated sections below)
Laboratory tests: Blood work and other lab tests ordered by a physician at community labs or hospitals
Mental health services: Psychiatric assessments and consultations through hospitals and referred specialists (note: private psychologists/therapists outside hospitals are generally not covered)
Emergency dental surgery: Only when performed in a hospital (e.g., fracture repair, tumour removal, medically necessary tooth removal with prior OHIP approval)
Ambulance transportation: When deemed medically necessary. There’s a $45 co-pay if transport did not originate at a medical facility
Eye exams: For children and youth under 20 (once per year); seniors 65+ (once every 18 months); and adults 20–64 with qualifying medical eye conditions
Podiatrist visits: Partially covered - $7–$16 per visit, up to $135/year plus $30 for x-rays (podiatric surgery is not covered)
Midwife services
Some prescription drugs: Through the Ontario Drug Benefit (ODB) program for seniors, low-income residents, and those under 25 (via OHIP+)
Physiotherapy: For residents under 20 or 65+ with a physician referral, through government-funded community clinics
Is It Covered by OHIP? MRI, CT Scans, X-Rays, Hospital Stays and Surgery
Is an MRI Covered by OHIP?
Yes, OHIP covers MRI scans in Ontario when they are medically necessary and ordered by a doctor or nurse practitioner. The scan must be done at a hospital or a licensed community diagnostic centre. If both apply, you pay nothing.
A few things to know:
You need a requisition. You can't book an OHIP-covered MRI on your own.
Clinics can't charge you for a covered scan. In Ontario, it's illegal to charge you for an OHIP-insured service or to sell you faster access to one.
Wait times vary. They depend on your hospital, region and how urgent your case is. Ontario has licensed dozens of new community MRI and CT centres since 2025 to shorten waits. You can check current times with Ontario's wait time tool.
Scans outside Ontario usually aren't covered. That includes paying for a private MRI in another province or the U.S. to skip the wait.
Third-party scans aren't covered. If an employer, insurer or lawyer asks for the scan, rather than your doctor for your care, expect to pay.
Is a CT Scan Covered by OHIP?
Yes, OHIP covers CT scans. CT (computed tomography) scans are covered by OHIP when they are medically necessary and ordered by your doctor or nurse practitioner. Like MRIs, they must be done at a hospital or licensed community clinic, and there's no cost to you.
Emergency CT scans in a hospital happen right away. Non-urgent scans go on a wait list, and times vary by region. CT scans you get outside Ontario, including in the U.S., generally aren't covered.
Are X-Rays Covered by OHIP?
Yes, OHIP covers X-rays. X-rays are covered when they are medically necessary and ordered by a doctor or nurse practitioner. This includes X-rays in a hospital, emergency department or community imaging clinic.
Some X-rays are not covered or only partly covered:
Dental X-rays at a dentist's office are not covered.
Chiropractor X-rays are not covered.
Podiatrist X-rays get $30 from OHIP. You pay the rest.
X-rays for a third party, like an employer or insurance company, are usually not covered.
Does OHIP Cover Hospital Stays?
Yes. If you are admitted to an Ontario hospital for a medical reason, OHIP covers your stay. That includes:
Doctor and nursing care
Tests to find out what's wrong, like blood work and X-rays
Medications you get while you are an in-patient
Meals and a bed in a standard ward
Here's what OHIP does not cover during a hospital stay:
A private or semi-private room. You or your private plan pay the difference.
Prescriptions after you go home. Once you are discharged, you pay for your own medications unless you qualify for OHIP+ or ODB.
Crutches, canes, splints, casts and braces you take home.
Extras like TV, phone and parking.
A chronic care co-payment if you stay in hospital while you wait for a long-term care bed.
A private health plan can cover the cost of a semi-private or private room. You can compare individual health plans here.
Does OHIP cover surgery?
Yes, for the most part at least. OHIP will cover surgeries that are medically necessary. OHIP however will not cover laser eye and cosmetic surgery. These you will have to pay for yourself or be covered by your insurance provider.
If you don’t have a private health insurance plan and are looking for one HealthQuotes can help.
Use our instant quoting tool to compare quotes from leading insurance providers.
13 Services Not Covered by OHIP in Ontario (2026)
Ambulance Transportation (2026 Update)
If the ambulance ride is medically necessary and you have a valid Ontario health card, you pay a $45 co-payment. The hospital sends the bill. If the doctor at the hospital decides the ride was not medically necessary, the charge is $240. People without a valid Ontario health card also pay $240.
The $45 fee is waived in some cases, like if you receive Ontario Works or ODSP, or if you are being moved from one health facility to another for insured treatment.
Routine Eye Examinations (Adults 20–64)
OHIP does not cover routine eye exams for adults between the ages of 20 and 64, unless you have a qualifying medical eye condition (ex. glaucoma, cataracts, or diabetes). Eye exams are covered for:
Children and youth under 20 (once per year).
Seniors 65 and older (once every 18 months).
Adults 20–64 with a diagnosed medical eye condition (once per year).
OHIP does not laser eye surgery for any age group.
Glasses and Contact Lenses
As of 2026, OHIP does not cover eyeglasses or contact lenses. These must be paid out of pocket or through a private insurance plan. Contact lenses may be covered in limited cases where a specific medical condition requires them.
Dental Care
OHIP does not cover dental care provided in a dentist's office. This includes routine dental check-ups, cleanings, fillings, X-rays, and other standard dental services. If you need any of these services, you will need to pay out of pocket or through a private health plan.
OHIP only covers certain dental surgeries performed inside a hospital (such as fracture repair, tumour removal, and medically necessary tooth extractions with prior OHIP approval).
Some people think that they are covered for dental care if they are pregnant or have a child under the age of 18. However, this is not the case. Prenatal and infant dental care is not covered by OHIP.
Federal funding options that may help:
The Canadian Dental Care Plan (CDCP) now provides partial or full coverage for Canadians without private insurance and with household income below $90,000. It covers dental exams, oral X-rays, cleanings, and dentures. The CDCP has replaced the Canada Dental Benefit for children.
Additionally, people with disabilities who are on the Ontario Disability Support Program (ODSP) may be eligible for dental coverage if their disability affects their ability to eat, drink, or swallow.
If you’re a senior (65+) read this blog to see what 4 services OHIP covers for you.
Prescription Drugs (2026 Update)
OHIP does not cover the cost of prescription drugs for most Canadian adults. The main exceptions are:
OHIP+: Covers more than 5,000 prescription drugs for Ontario residents 24 and under who are not covered by a private insurance plan. If you are on a parent's workplace plan, that plan pays first.
Ontario Drug Benefit (ODB) Program: Covers prescription drugs for: seniors 65+, residents on social assistance (ODSP/Ontario Works), long-term care home residents, home care recipients, and those registered with the Trillium Drug Program
Trillium Drug Program: Available to Ontario residents with high prescription drug costs relative to their income, regardless of age
If you don't qualify for any of the above programs and are 25 or older, you will pay out of pocket for prescription drugs unless you have private insurance.
Your OHIP Coverage Changes at 25 and 65
Two birthdays change what OHIP pays for.
25
You lose OHIP+
Your prescriptions are no longer free, and you stop qualifying for government-funded physio (that ends at 19). If you don't have workplace benefits, set up a private health plan before your birthday so there's no gap.
65
You gain coverage
You qualify for the Ontario Drug Benefit, an OHIP eye exam every 18 months, and government-funded physio. You may also qualify for the Ontario Seniors Dental Care Program. Dental, glasses, hearing aids and travel coverage are still on you. If you are retiring and losing group benefits, a conversion plan lets you keep coverage without a medical questionnaire if you apply in time.
Physiotherapy (2026 Update)
OHIP does not cover physiotherapy for most adults between the ages of 20 and 64. There are some exceptions. With a valid health card, you can get physiotherapy at a government-funded community clinic at no cost if you are:
65 or older
19 or younger
Any age, after an overnight hospital stay or day surgery in the last 12 months for a condition that needs physio
Receiving Ontario Works or ODSP (any age)
If you need physio at home, Ontario Health atHome can arrange it. Everyone else pays out of pocket or uses private insurance.
Paramedical Services
Paramedical services, including chiropractors, massage therapists, naturopaths, acupuncturists, psychologists and osteopaths, are not covered by OHIP.
We previously spoke about physiotherapy, which is also considered a paramedical service. Physiotherapy is one of the only paramedical services known to be covered by OHIP, even though eligibility for that is extremely limited.
Ask your physician about coverage for paramedical services, there may be other options available for covering these treatments, even if it covered by OHIP specifically.
Does OHIP Cover Chiropractic?
No, OHIP stopped covering chiropractic care on December 1, 2004. That applies to everyone, including seniors and kids, and even if your doctor recommends it.
You can still get chiropractic care covered in a few ways:
Workplace benefits. Most group plans include chiropractic as a paramedical benefit, usually with a yearly dollar limit.
Private health insurance. Many individual plans include paramedical coverage for chiropractors, massage therapists and physiotherapists. You can compare plans that include paramedical coverage here.
WSIB or auto insurance. If the injury happened at work or in a car accident, those claims may cover treatment.
Community programs. The Ontario Chiropractic Association runs a low back pain program at some community health centres for people without benefits.
Does OHIP Cover Private Therapy?
We are often asked about private therapy coverage for mental health, which is a little different:
OHIP does not cover therapy or counselling from private psychologists, social workers, or therapists outside hospitals.
OHIP does cover psychiatric consultations and some mental health services delivered by physicians in hospital settings
Gaps in community-based mental health coverage is significant. While you may be able to receive some short-term mental health care, most community programs can’t support long-term counselling or treatment.
Private health insurance plans often include a psychological services benefit, typically covering a set dollar amount per year (e.g., $500–$2,000 for visits to registered psychologists or social workers).
Semi-Private and Private Hospital Rooms
OHIP covers only standard ward accommodations in a hospital (A ward with 3-4 other beds/people). Most hospitals will place you in a standard ward automatically, unless you specifically ask for a private or semi-private room.
If you prefer a semi-private or private room, you or your private insurance will need to cover the additional cost. The out-of-pocket cost for a private room ranges from $300-500 per day.
OHIP doesn’t cover private rooms because of capacity issues in hospitals across Ontario, which makes it significantly more expensive to have a private room.
Treatment Outside Of Ontario & Canada (2026 Update)
OHIP covers medically necessary doctor and hospital care in other provinces and territories. It does not cover prescription drugs, home care or ambulance trips outside Ontario.
Outside Canada, OHIP still pays something for sudden, unexpected emergencies, but very little. For emergency outpatient care, OHIP pays up to $50 CAD a day. For emergency hospital stays, it pays up to $400 CAD a day for intensive or surgical care and up to $200 CAD a day for lower levels of care. Doctor fees are paid at Ontario rates, not what the foreign doctor charges.
A single night in a U.S. hospital can cost thousands of dollars, so the gap is huge. OHIP also does not pay to fly you home if you are hospitalized abroad.
OHIP may cover some care outside Canada if your Ontario doctor applies for, and gets, written prior approval before you go. This is for treatment you can't get in Ontario, or can't get in time.
The safest option is travel medical insurance. Compare travel insurance quotes for free here.
Birth Control (Adults 25 and Over)
OHIP does not cover the cost of birth control pills or other contraceptives for residents 25 years of age and older, unless you qualify for a specialty drug program for low-income individuals.
OHIP+ covers many hormonal contraceptives for Ontarians under 25. OHIP+ can cover hormonal IUDs but not copper IUDs, as they are classified as a medical device rather than a medication.
To learn more about birth control coverage through OHIP, read this blog:
Fertility Treatments and IVF (2026 Update)
OHIP does not cover fertility drugs or most private fertility clinic fees. But Ontario does fund some treatment through the Ontario Fertility Program.
If you live in Ontario and have a valid health card, the program helps pay for one IVF cycle per person if you are under 43. That cycle includes transferring all viable embryos one at a time. It also funds artificial insemination (IUI) and one round of fertility preservation if a medical treatment could affect your fertility. Sex, gender, sexual orientation and family status don't affect eligibility.
You still pay for fertility drugs, which can add thousands to the cost. Ontario also offers a fertility treatment tax credit for eligible out-of-pocket costs. Some employer group plans include a fertility benefit, but most individual plans do not.
Hearing Aids and Audiology Testing (2026 Update)
OHIP does not cover hearing aids. Hearing tests are usually covered when a doctor refers you or the test is done in a hospital. Private clinics may charge if you go without a referral.
The Assistive Devices Program (ADP) helps pay for hearing aids, up to $500 per ear for each type of aid. Hearing aids often cost far more than that, so most of the bill is yours unless you have private coverage or qualify for extra help through ODSP or Veterans Affairs.
Cosmetic Surgery (2026 Update)
OHIP does not cover any cosmetic procedures, including cosmetic surgery, Botox, and other elective aesthetic treatments. Coverage for reconstructive surgery (e.g., following an accident or mastectomy) may be available in some cases — consult your physician.
Read More: Can Private Health Insurance Cover Cosmetic Surgery In Ontario?
Other Costs OHIP Won't Pay For
Doctor's notes, forms and missed appointments
Your doctor can charge for things that aren't medical care. That includes sick notes for work or school, insurance and disability forms, letters, copies of medical records and missed appointment fees. Your doctor sets the price. Some offices offer a yearly "block fee" to cover these, but they can't make you pay it to see you.
Medical equipment and supplies
Casts, splints, crutches, canes, braces and wheelchairs are not covered by OHIP. The Assistive Devices Program helps pay for some devices if you have a long-term physical disability. Private plans often cover medical equipment with a prescription.
Some lab tests
OHIP covers most lab tests your doctor orders, but not all of them. A PSA test is only covered if you have prostate cancer or your doctor suspects it. A vitamin D test is only covered for certain conditions, like osteoporosis or kidney disease. Learn more in our guide to which blood tests are free in Ontario.
Travel vaccines and elective procedures
Travel vaccines, tattoo removal and removal of harmless skin spots for looks are not covered. Neither are premium lenses or laser add-ons during cataract surgery, even though the cataract surgery itself is covered.
Virtual care by message and experimental treatment
OHIP covers virtual visits by video or phone. It does not cover care given only through secure messaging or email. Experimental treatments are not covered either.
Lost income if you're too sick to work
OHIP pays for medical care, not your bills. If an illness or injury keeps you off work, OHIP pays nothing toward your income.
EI sickness benefits can help, but only partly. They pay 55% of your insurable earnings, up to $729 a week in 2026, for up to 26 weeks. WSIB only pays when the injury or illness is caused by your job. For anything else, like a cancer diagnosis or a weekend accident, you need your own disability or critical illness coverage, or savings.
How to Fill the Gaps in Your OHIP Coverage
Government Programs That Can Help
Before paying out of pocket, check if you qualify for one of these programs.
| Program | Who qualifies | What it helps with |
|---|---|---|
| OHIP+ | 24 and under, with no private drug plan | 5,000+ prescription drugs |
| Ontario Drug Benefit (ODB) | 65 and over, OW/ODSP, long-term care and home care clients | Prescription drugs |
| Trillium Drug Program | High drug costs compared to household income | Prescription drugs after a yearly deductible |
| Healthy Smiles Ontario | 17 and under in low-income households | Check-ups, cleanings, fillings, urgent dental care |
| Ontario Seniors Dental Care Program | 65 and over, low income, no other dental benefits | Free dental care |
| Canadian Dental Care Plan | No dental insurance, family income under $90,000 | Dental care, with co-pays based on income |
| Assistive Devices Program | Long-term physical disability | Part of the cost of hearing aids, mobility aids and other devices |
| Ontario Fertility Program | Under 43 for IVF | One IVF cycle, IUI, fertility preservation |
| Community physiotherapy | 19 and under, 65 and over, after a hospital stay, or OW/ODSP | Free physio |
| Northern Health Travel Grant | Northern Ontario residents travelling far for specialist care | Travel and hotel costs |
A private health plan can pay for the things OHIP leaves out, like dental, prescriptions, vision, paramedical care and private hospital rooms. It matters most if:
You don't have workplace benefits. This includes self-employed people, contractors and part-time workers. Compare individual health plans.
You are losing group benefits. If you are retiring, leaving a job or aging off a parent's plan, a conversion plan can keep you covered without a medical questionnaire, as long as you apply in time.
You have a pre-existing condition. Guaranteed acceptance plans don't ask health questions.
You are travelling. OHIP's out-of-country payments are tiny. Get a travel insurance quote.
You are new to Ontario. See how OHIP works for permanent resident applicants and what to do while you wait.
Our instant quoting tool lets you compare plans from Manulife, Blue Cross, Sun Life and other providers in a few minutes, without talking to a broker unless you want to.
How to Check if OHIP Covers a Service
Ask before your appointment. Your doctor, clinic or lab has to tell you if a service is uninsured and what it costs.
Check the source. Ontario's What OHIP covers page lists insured and uninsured services.
Call ServiceOntario. The INFOline at 1-866-532-3161 can answer OHIP coverage questions.
Report extra billing. If you were charged for a service OHIP covers, or asked to pay for faster access, call the Ministry of Health at 1-888-662-6613. If the charge was wrong, the ministry makes sure you get your money back.
Sources
Last reviewed October 2026 against Ontario Ministry of Health sources.
Government of Ontario, What OHIP covers
Government of Ontario, OHIP coverage while outside Canada
Government of Ontario, Physiotherapy clinics (government-funded)
Government of Ontario, Get fertility treatments
Government of Ontario, Hearing devices
Government of Ontario, Ontario Disability Support Program
OHIP Coverage FAQs
What is not covered by OHIP?
OHIP doesn't cover most dental care, prescription drugs you take at home, glasses and contact lenses, routine eye exams for adults 20 to 64, chiropractic, massage, private therapy, private hospital rooms, hearing aids or cosmetic surgery. It only partly covers ambulance rides, physiotherapy, podiatry and emergency care outside Canada.
Is an MRI covered by OHIP?
Yes. OHIP covers MRI scans when they are medically necessary, ordered by a doctor or nurse practitioner, and done at a hospital or licensed community clinic. You pay nothing. Clinics in Ontario can't charge you for a covered scan or sell you faster access to one.
Is a CT scan covered by OHIP?
Yes. CT scans are covered when they are medically necessary and ordered by your doctor or nurse practitioner, at a hospital or licensed clinic. Emergency CT scans happen right away. Non-urgent scans go on a wait list. CT scans outside Ontario generally aren't covered.
Are X-rays covered by OHIP?
Yes, when they are medically necessary and ordered by a doctor or nurse practitioner. Dental X-rays at a dentist's office and X-rays from a chiropractor are not covered. OHIP pays $30 toward X-rays taken by a podiatrist.
Does OHIP cover hospital stays?
Yes. OHIP covers medically necessary hospital stays, including doctor and nursing care, tests, in-patient medications, meals and a bed in a standard ward. It doesn't cover a private or semi-private room, prescriptions after you go home, or equipment like crutches you take home.
Does OHIP cover chiropractic?
No. Chiropractic care was removed from OHIP on December 1, 2004, for all ages. Most people pay through workplace benefits, a private health plan with paramedical coverage, WSIB for work injuries, or auto insurance after a car accident.
Does OHIP cover physiotherapy?
Only for some people. Government-funded physio clinics are free if you are 19 or under, 65 or over, on Ontario Works or ODSP, or had an overnight hospital stay or day surgery in the last 12 months for a condition that needs physio.
Does OHIP cover dental care?
No. OHIP only covers certain dental surgeries that must be done in a hospital. Routine care at a dentist's office isn't covered. Healthy Smiles Ontario, the Ontario Seniors Dental Care Program and the Canadian Dental Care Plan may help if you qualify.
Does OHIP cover eye exams?
OHIP covers a yearly eye exam for people 19 and under, one every 18 months for people 65 and over, and a yearly exam for adults with eligible conditions like diabetes or glaucoma. Routine exams for other adults, glasses and contacts are not covered.
Does OHIP cover mental health care?
OHIP covers psychiatrists and mental health care in hospitals. It does not cover private psychologists, social workers or counsellors outside a hospital. Many private health plans include a yearly amount for psychological services.
Does OHIP cover me outside Canada?
Only a little. OHIP pays up to $50 a day for emergency outpatient care and $200 to $400 a day for emergency hospital stays outside Canada. Medical bills abroad are often far higher, so travel insurance is strongly recommended.
Does OHIP cover sick notes and forms?
No. Doctors can charge for sick notes, insurance forms, letters, copies of medical records and missed appointments. Some offices offer a yearly block fee for these services, but they can't require it to see you.