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Who is covered. You are covered by OHIP+ if you: are 24 years and under; have OHIP coverage; are not covered by a private plan; You do not have to enroll or register to access OHIP+ coverage. OHIP+ coverage will stop on your 25 th birthday, or if you become covered by a private plan, but you may qualify for other financial help with ...
Services covered by OHIP. OHIP covers part or all of the following services: visits to doctors. hospital visits and stays. laboratory testing in community labs or hospitals. medical or surgical abortions. eligible dental surgery in hospital. eligible optometry (eye-health services) podiatry (foot-health services) ambulance services.
Under Ontario’s OHIP+ plan, anyone who is 24 years old and younger who is covered by OHIP and is not covered by a private insurance plan does not have to pay for prescriptions for more than 5,000 drug products currently available through the Ontario Drug Benefit (ODB) plan.
How will my pharmacy know that the drug is covered under OHIP+? Our carrier’s drug claim systems are coded with information about you and/or your dependants to ensure ODB eligible drugs are submitted to OHIP+ as first payer. Your Ontario pharmacy uses these systems to make claims on your behalf.
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Apr 20, 2022 · Am I eligible for OHIP+? OHIP+ covers many prescription medicines for people under 25. If you or your children meet the eligibility criteria for OHIP and are 24 or under, you are automatically covered by OHIP+.
Oct 29, 2024 · OHIP+ provides drug products for patients 24 years and under who are not covered by a private plan, at no cost. Those who are eligible for OHIP Plus do not need to enroll. All they need is a health card number and a valid prescription for an eligible medication.
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Who is covered by OHIP+?
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What is covered? OHIP+ will pay for: All drugs currently available through the Ontario Drug Benefit program (ODB). Drugs that are approved by the Exceptional Access Program. How do I get my medication? Take your prescription and Health Card (or health card number) to any pharmacy in Ontario.