Does OHIP cover me when I am outside Ontario? (2024)

FAQs

Does OHIP cover me when I am outside Ontario? ›

You can be outside of Canada for 212 days in a 12-month period and still be covered by your OHIP. If you will be away for more than 212 days, you can apply for continuous OHIP eligibility. This means that you want to keep your OHIP benefits, even though you will be out of the country for more than 212 days.

If you're moving permanently to another province or territory in Canada, OHIP will cover you for the same services as when you are going away temporarily until the last day of the second full month after you leave Ontario. Remember to apply for coverage in your new province or territory.

OHIP does not cover:

Prescription drugs for 25 years and older. Dental care. Eye care or eye glasses. Services that are not medically necessary (e.g. cosmetic surgery)

To be eligible for OHIP, you must meet the following minimum qualifications: Be physically in Ontario for 153 days in any 12-month period. Be physically in Ontario for at least 153 days of the first 183 days immediately after you began living in the province. Make Ontario your primary residence.

Patients that are not covered by Canadian provincial health plans are expected to pay their hospital bills directly since the Hospital does not have the resources to provide care free of charge. The care that is being provided to you is costly and requires payment at the time the care is provided.

Your provincial or territorial health plan will cover only part, if any, of medical expenses outside Canada and will not pay up front. Furthermore, it will become invalid if you live elsewhere beyond a certain length of time—generally six to eight months, depending on your province or territory.

How long are you welcome to visit another country? A Canadian can stay for up to 182 days per calendar year (without paying U.S. income tax). Visitors can stay for maximum of six months in each 12 months (not a calendar year, but counting backwards 12 months from your date of entry).

In Ontario, OHIP will cover your CT scan appointment if: It's medically necessary. Your accredited physician has provided a requisition.

By law, no one can be required to produce the Ontario Health Card, nor can the health number be collected. You should not ask for the Ontario Health Card as identification, but if offered voluntarily you may accept it at your discretion.

You have to pay the Ontario health premium if both of the following conditions apply: You were a resident of Ontario at the end of the year. Your taxable income on line 26000 of your return is more than $20,000.

What qualifies you as an Ontario resident? ›

Residency Requirements

You are considered an Ontario resident if as of the first day of their study period, Ontario is the most recent province in which you have resided for 12 consecutive months, not including any time as a full-time postsecondary student.

A person who can establish bona fide residency in Ontario as a Canadian citizen or permanent resident as defined by the Immigration and Refugee Protection Act (Canada) for a period of 12 consecutive months (excluding periods spent in a post-secondary institution) prior to registration in the year for which application ...

In order to apply for an OHIP card, you will need the following: Proof of Canadian citizenship or immigration status (e.g. Permanent Resident card, work permit) Proof of residency in Ontario (e.g. Ontario driver's license, utility bill, rental agreement, or pay stub)

If you plan to be outside Canada for more than 7 months in any 12-month period you can keep your OHIP coverage for up to 2 years if you: have a valid health card. make Ontario your primary home.

The Ontario Health Insurance Plan (OHIP) is a government-funded health insurance program that provides coverage for essential medical services to eligible residents of Ontario, Canada. However, as of January 1, 2020, OHIP has made a significant change by eliminating coverage for out-of-country emergency care.

GSHIP is the equivalent to the Ontario Provincial Government's Ontario Health Insurance Plan (OHIP) coverage. It provides the registered International Students with the medically necessary coverage for services and treatments normally covered by the OHIP for an Ontario resident in all of Canada.

The Government of B.C. health plan is called the Medical Services Plan (MSP). It pays for basic, medically required health services.

Canadian residents without valid provincial or federal health insurance plan, considered uninsured residents of Canada, and non-residents of Canada are responsible for all Hospital fees. Hospital fees are in addition to attending physician fees as billed by the physician.