OHIP+ Is Changing April 1st, 2019
The changes affect OHIP-insured children and youth aged 24 and under, including those:
OHIP+ makes more than 4,400 drug products free for anyone age 24 years or younger. You don’t need to enroll – all you need is a health card number and an eligible prescription.
Who is covered
All babies, children and youth age 24 years and under who have OHIP coverage are automatically covered by OHIP+: Children and Youth Pharmacare. You do not have to enroll or register to access OHIP+ – coverage is automatic. OHIP+ coverage will stop on your 25th birthday, but you may qualify for other financial help with prescription drug costs.
What is covered
OHIP+ completely covers the cost of more than 4,400 drug products that are currently available through the Ontario Drug Benefit program, including:
Medications available through the Exceptional Access Program may also be covered if an individual qualifies.
How to get your medication
If you’re a parent
If your child is 24 years old or under and needs a covered medication:
If you’re 24 years old or under
If you need a covered medication:
How OHIP+ affects other coverage
If you have a child eligible for OHIP+, as of January 1, 2018, OHIP+ is the first payer for eligible drug products.
Trillium Drug Program members
If your child is age 24 or under and a member of a Trillium Drug Program household, as of January 1, 2018 they are covered through OHIP+. This means, because you don’t pay out-of-pocket for their medications, no money from those medications counts toward your deductible.
Students going to university/college in another province
If you’re going to university or college in another province, your prescriptions may still be covered by OHIP+ if you:
You may be able to get a larger “travel supply” of your medication before leaving Ontario.
For more information visit: https://www.ontario.ca/page/learn-about-ohip-plus
Want to learn more? Let’s Talk!
To receive additional information on OHIP+ and how it may impact your business, please contact your benefits consultant at at 1-800-661-1518 or fill out the contact form below.