The Ontario Health Insurance Plan (OHIP) is the provincial planOpens in a new window for all Ontario residents. It provides coverage for most of your basic healthcare services.
To qualify, you must be a resident of Ontario for at least 5 months. Certain exceptions applyOpens a new website in a new window.
What’s covered with OHIP
| Benefit | Coverage details |
|---|---|
| Prescription drugs |
Generally, the province doesn't pay for prescription medicine if you’re between the ages of 25 and 65. The Ontario Drug Benefit programOpens a new website in a new window covers seniors 65 years and older, recipients of social assistance and adults 24 years or youth younger who aren’t covered by a private insurance plan. The provincial plan only covers drugs listed on the Ontario drug formularyOpens a new website in a new window. The Ontario government has launched their Biosimilars InitiativeOpens a new website in a new window which means the Ontario Drug Benefit program will only cover the biosimilar versions of eligible drugs. |
| Ambulance |
You’re covered for in-province land and air ambulance when medically necessary and responsible for a copayment. Some exceptions apply. Learn more about ambulance service billing information.Opens a new website in a new window |
| Dental benefits |
You’re covered for some in-hospital dental surgeriesOpens a new website in a new window in Ontario. There is no coverage for routine or major services such as cleanings, fillings, extractions, crowns, dentures, etc. You also aren’t covered for treatment of accidental injury to teeth. |
| Vision care |
You’re covered for 1 major eye exam every 12 months if you are 19 years and younger, 65 years and older or 20-64 years old with medical conditions requiring regular eye exams. You aren’t covered for prescription glasses or contact lenses. |
| Hospital | You’re covered for standard ward rooms only. Learn more about hospital staysOpens a new website in a new window. |
| Paramedicals |
You’re covered for podiatrist services up to an annual maximum of $135, with additional fees for x-rays. You aren’t covered for chiropractor, psychologist, massage therapy or naturopath services. Find out what podiatry services are available.Opens a new website in a new window |
| Assistive Devices Program (ADP) including hearing aids |
The Assistive Devices Program (ADP)Opens a new website in a new window covers up to 75% of the cost for various customized equipment and supplies for people with long-term physical disabilities. You pay 25% of the cost when buying equipment and you are not covered for repairs or maintenance of equipment or supplies. You need to qualify to be covered. |
| Nursing benefits and home care | Home care coverage varies by need. If you qualify, the Ontario government provides coverage for a variety of services in your home and communityOpens a new website in a new window. |
| Accidental death and dismemberment | OHIP does not provide any coverage for accidental death and dismemberment. |
| Out of country |
Coverage for emergencies only through the Out-of-Country Travellers ProgramOpens a new website in a new window. The province also covers out-of-country dialysis servicesOpens a new website in a new window, for Ontarians living with kidney failure. |
Personal health insurance can help supplement your coverage where you need it most.
Though you’re covered, you still pay for some of your provincial health coverage. Personal health insurance can help make sure you aren't paying out of pocket for unexpected expenses.
Government health coverage varies from province-to-province. Let’s build a plan so you and your family are protected.
These highlights from the Ontario Health Insurance Plan are for general reference only and are subject to change, corrections and updates. Other government programs may also be available. For more information on the latest coverage details, contact the Ontario Health Insurance Plan:
Phone: 416-314-5518
Toll free in Ontario: 1-800-376-5197
TTY: 1-800-387-5559
OntarioOpens a new website in a new window
Last updated: May 2023