If you have to travel long distance for specialized medical care and live in one of the following areas, OHIP might help pay for your travel and accommodation through the Northern Health Travel Grant:įind out if you qualify and how to apply to the Northern Health Travel Grant. If you need an ambulance for a medical emergency, OHIP covers part or all the costs depending on the circumstances. Surgeries performed by podiatrists are not covered by OHIP.įind a registered podiatrist. You will need to pay for the remainder of the cost of each visit. OHIP covers between $7-16 of each visit to a registered podiatrist up to $135 per patient per year, plus $30 for x-rays. You may be eligible for additional eye care if you are on the Ontario Disability Support Program ( ODSP) or Ontario Works.įind an optometrist. 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). 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. 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: medically necessary tooth removal (prior approval by OHIP is required).OHIP covers in-hospital dental surgeries such as: 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. Mifegymiso (a pill that induces an abortion in early pregnancy), if you have a prescription from your doctorĬontact an abortion clinic near you for more information about ending a pregnancy.surgical abortions that take place in a hospital or clinic.Learn more about PSA testing and eligibility criteria.Īspartate aminotransferase test ( AST) is covered by OHIP if ordered by a physician who specializes in liver diseases.įor all other scenarios, you will need to pay for AST.Ģ5-hydroxy vitamin D test is covered by OHIP if you have any of the following conditions:įor all other scenarios, you will need to pay for a vitamin D test. a healthcare provider (for example, physician) suspects prostate cancer because of your history and/or the results of your physical examination (including digital rectal examination)įor all other scenarios, you will need to pay for PSA.you have been diagnosed with prostate cancer and are receiving treatment or following up after receiving treatment for the disease. Prostate-specific antigen ( PSA) is covered by OHIP if either of the following apply to you: A few examples of tests that are not covered by OHIP except under specific circumstances include: For other tests, OHIP will only cover them if you meet certain eligibility criteria and a particular health care provider (physician, midwife, nurse practitioner) ordered the test. OHIP does not cover some specialized, non-routine tests. See below for community lab providers that offer laboratory services in Ontario: where to get lab testing done if you are unsure.OHIP coverage to avoid unexpected costs.Non-hospital patients should have their test done in a community lab if they have a lab order from a clinical provider such as a licensed physician, midwife or nurse practitioner.īefore you have your laboratory testing done, speak to your health care provider about: Read the full list of covered tests in the community setting. OHIP also covers medically necessary lab tests taken in non-hospital settings, such as community labs. Hospital patients should have their tests taken at the hospital to avoid any possible out-of-pocket charges. OHIP covers lab tests taken in hospitals that are medically necessary.
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