Benefits Connection- OHIP is Changing October 1st, 2019

Benefits Connection- OHIP is Changing October 1st, 2019

Changes to OHIP Effective October 1st, 2019

Changes to the Ontario Health Insurance Plan (OHIP) are now in effect, as a result of the Appropriateness Working Group’s (AWG) review:

Some of the changes include:

  • De-listing imaging for most sinus problems
  • Loop recorders used for the monitoring of heart disorders will no longer be covered as the physician-led group claims the devices are an outdated form of technology
  • OHIP will continue to fund more effective testing to diagnose infertility, but post coital testing of cervical mucous will no longer be covered
  • Patients who ask their doctor to remove ear wax when it’s not medically necessary may be required to pay
  • Dipstick urine pregnancy tests performed in a physician’s office will only be covered by OHIP when it’s imperative to determine pregnancy to prevent patient harm
  • Physician premiums for house calls will be only covered for frail and housebound individuals

As of January 1st, 2020 Ontario residents will no longer be eligible for up to $400 per day for out-of-country hospital care, this decision was made independently by the government and was not part of the recommended changes by the physician-led group.

Who is covered:

In Ontario, the government administers the Ontario Health Insurance Plan, which generally pays for health care services received by Ontario residents with a valid health card.

What is covered:

OHIP covers part or all of the following services:

  • Visits to doctors
  • Hospital visits and stays
  • Medical or surgical abortions
  • Eligible dental surgery in hospital
  • Eligible optometry (eye-health services)
  • Podiatry (foot-health services)
  • Ambulance Services
  • Travel for health services if you live in northern Ontario

For more information visit: https://www.ontario.ca/page/what-ohip-covers


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.

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