Ontario government spends billions of dollars on OHIP coverage. Although OHIP is not comprehensive, it covers a lot of medical services with seniors receiving more coverage than most other Ontarians. While you may still need private health insurance, public health insurance can cover a lot of services. Read on to learn more about these services.
Coverage For Ambulance Services
Ambulance services are one of the medically necessary services covered by the Ontario Health Insurance Plan. However, this service is not covered completely; you are required to make a contribution or a co-pay for the service.
For instance, if the hospital considers the ambulance service as medically-necessary, you will have to make a co-payment of $45, but if not, a co-pay of $240 will be required.
On the other hand, seniors can get ambulance services free of charge, provided they live in a long-term care home licensed by OHIP. Furthermore, people who live in psychiatric homes, special care homes, and those receiving provincial social assistance do not have to pay for ambulance services.
Coverage For Optometry Services
Only seniors 65 years and above and young people below 20 years can assess coverage for optometry services in OHIP. They can also assess coverage for a major eye exam every year. Optometry services under OHIP include the following conditions glaucoma, cataract, visual field defects, corneal disease, amblyopia, diabetes mellitus, optic pathway disease, recurrent uveitis, corneal disease, etc. Visit Insurdinary to find out more.
Coverage For Prescription Medications
OHIP coverage includes prescription drugs but this is accessible only to seniors 65 years and above and younger people below 25 years.
Seniors can assess prescription drug coverage through the Ontario Drug Benefit (ODB) program. You are required to apply to the program in order to assess the coverage, however, only 4,400 prescription drugs are covered under ODB. If you are an ODB enrollee but could not find your required drug under the list of prescription drugs covered by ODB, you can apply for the Exceptional Access Program.
Your application for the Exceptional Access Program will be approved depending on the severity or rarity of your medical situation and the type of drug you wish to get.
Prepare for Your Retirement
With OHIP coverage, you can confidently prepare for your retirement and be sure that you are covered. However, you might still need additional life and health insurance coverage. For instance, most seniors prefer to get life insurance coverage with long-term care riders. These policies will properly supplement your public insurance as the coverage starts where your provincial plan stops. Click here to learn more.