taken 4/25/05 from: http://www.health.gov.on.ca/english/public/pub/ohip/travel.html

Payment for out-of-country health services with prior approval

OHIP will pay in full for health services outside Canada if :

  • the patient gets written authorization from the Ministry of Health and Long-Term Care before the treatment is
    given, and
  • the treatment is generally accepted in Ontario, and
  • the treatment or an equivalent procedure is not performed in Ontario, or

In order to obtain consideration for full funding of treatment outside Canada your Ontario physician must apply to
the ministry for prior approva
l while you are in Ontario, before you receive out-of-country treatment.
Travelling inside Canada


The Ministry of Health and Long-Term Care has recently changed a regulation to establish a 12-month time limit for
people who are submitting claims to OHIP for health services received outside Ontario or out-of-country.

This 12-month time limit is currently in use. The government of Ontario has amended Ontario Regulation 552 of the
Health Insurance Act to reflect the current practice.

The ministry extended the deadline period, recognizing the additional time it can take for Ontario residents to obtain
the necessary documents from out-of-province or out-of-country providers.

This information may change, and is of a general nature only. It is subject to the provisions of the Health Insurance
Act.
Read more information about Shorter Absences from Ontario. Read more information about Longer Absences from
Ontario.

Cat. No. 2525345

For more information
Call the ministry INFOline at 1-800-268-1154
(Toll-free in Ontario only)
In Toronto, call 416-314-5518
TTY 1-800-387-5559
Hours of operation : 8:30am - 5:00pm         

Visit HealthyOntario.com for information