Canada Health Insurance

Ontario Insurance

Prescription Drugs

- Individuals with the Trillium Drug Program must pay a deductible based on their family's net income.
- Individuals receiving general welfare or family benefits will have to pay a $2.00 deductible per prescription.
- Individuals over 65 must pay the first $100 of prescription drug costs per year and
up to $6 per prescription thereafter.

Dental Care

- There is full coverage for some surgical dental procedures performed in a hospital.

Vision Care

- Optometry services are insured every 2 years for persons 20 to 64.
- For those under 20 and over 65 services are insured once a year.

Hospital Care

- Coverage for basic ward accommodations is available.

Health Specialists

- There is a maximum coverage of $150 per year for chiropractor visits.
- There is a maximum coverage of $155 per year for osteopath visits.
- There is a maximum coverage of $135 per year for podiatrist visits.
- Full coverage is provided for physiotherapy if services are performed in an approved physiotherapy clinic, hospital, or physician's office.
- Full coverage is provided for speech therapy if services are performed in a hospital.

Homecare and Nursing

- Limited coverage is available for nursing home basic accommodations (usually around $47 a day.)
- Limited coverage is also available for semi-private and private nursing home accommodations.

Ambulatory Services

- 100% coverage of land and air transport is available when medically necessary. The patient must pay a $45 deductible.
- 100% coverage for transfer to a hospital out-of-province if treatment not available in any Ontario hospital.

Hearing Aids

- A maximum coverage of $500 is available for one hearing aid, ear mold, and some accessories.

Medical Equipment and Supplies

- There is 100% coverage for oxygen for individuals 65+; 75% coverage is available for all other individuals.
- 75% coverage is available for custom orthotics.
- Coverage varies for prosthetics.

For more information, contact the Ontario Ministry of Health and Long-Term Care.

 

Other Provinces:

Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon

 

For flexible health insurance plans see Manulife Financial.
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