OHIP Coverage Across Canada Fact
Sheet
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An insured person leaving Ontario
temporarily to travel or work within Canada
can continue to receive Ontario health
insurance coverage for up to 12 months or
until establishing permanent residence in
another Canadian province or territory,
whichever is sooner.If you plan to work
or travel within Canada for more than 212
days in any 12-month period, you should
provide your local ServiceOntario - Health
Card Services - OHIP office with a written
confirmation of your extended absence. This
should include the timing and details of
your extended absence as soon as you know
that you will be away from Ontario.
You should also advise your local
ServiceOntario - Health Card Services - OHIP
office of your new residential and mailing
addresses if you establish temporary
residence in another province or territory.
Services Covered Within Canada
If you are an insured resident of Ontario
and you are outside the province temporarily
you can use your Ontario health card to
obtain insured physician and hospital
services. In most cases, the hospital or
physician that you visit while outside
Ontario will bill the Ministry of Health and
Long-Term Care directly.
If you are an insured resident and you
are hospitalized in another province or
territory while temporarily absent from
Ontario, you are eligible for Ontario health
insurance coverage for the duration of your
hospitalization up to a maximum of 12
months. If you require hospitalization
beyond the 12 month maximum, the province or
territory where you are hospitalized will
provide you with coverage from the 1st day
of the 13th month.
If you have to pay for insured services
that you receive in another part of Canada,
such as physician services, you may be
eligible for reimbursement from the
ministry.
Academic Studies Outside Ontario
On April 1, 2009 changes were made to the
OHIP eligibility rules under Regulation 552
of the Health Insurance Act that
may impact you. You may be affected if you
are an insured Ontario resident planning on
studying outside Ontario or Canada.
If you are an insured Ontario resident
who leaves Ontario to attend a university or
other educational institution full-time in
another province or territory within Canada,
you are eligible for Ontario health
insurance coverage for the duration of your
studies -provided that :
- You do not
establish permanent residence outside
Ontario, and;
- You meet specific
physical presence requirements prior to
your departure from Ontario.
If you plan to study in another province
or territory, you should provide your local
ServiceOntario - Health Card Services - OHIP
office with a letter from the educational
institution that you will be attending to
confirm that you are registered as a
full-time student. You should also notify
your local ServiceOntario - Health Card
Services - OHIP office as soon as possible
if you plan to complete an academic
internship in another province or territory
within Canada, such as a medical residency,
to ensure that you maintain your Ontario
health insurance coverage.
If you establish temporary residence in
another province or territory within Canada
while pursuing academic studies, you should
advise your local ServiceOntario - Health
Card Services - OHIP office of your new
residential and mailing addresses as soon as
possible.
Moving to Another Province or
Territory
If you are an insured resident moving
permanently to another part of Canada you
should apply for health insurance coverage
in your new province or territory as soon as
possible. Your Ontario health insurance
coverage will remain in effect until the
last day of the second full month after you
establish residence in your new location.
You can only obtain health insurance
coverage from one province or territory at
any time. Your new province or territory
will notify Ontario's Ministry of Health and
Long-Term Care when you apply for your new
health insurance coverage.
Working or Studying in Ontario
Temporarily
If you have left your permanent residence
in another province or territory temporarily
to seek or accept employment in Ontario, the
insurance plan from the province or
territory where you maintain your permanent
residence will remain in effect to a maximum
of 12 months. If you plan to remain in
Ontario beyond the 12-month maximum, you
should visit your local ServiceOntario -
Health Card Services - OHIP office to apply
for Ontario health insurance coverage. You
can reapply for health coverage in your home
province or territory upon returning to take
up permanent residence.
If you are a student from outside Ontario
who is in full-time attendance at a
university or other educational institution
in Ontario, you are eligible for health
insurance coverage for the duration of your
studies from the province or territory where
you maintain your permanent residence. You
should contact your home province or
territory's insurance plan to confirm your
intent to study in Ontario and to ensure
that you maintain continuous health
insurance coverage.
If you have any questions about
maintaining your health insurance coverage
while working or studying in Ontario, please
contact your provincial or territorial
health insurance plan.
If you have questions about your OHIP
coverage, please contact INFOline at 1 800
268-1154 or visit your local ServiceOntario
- Health Card Services - OHIP office.
The above is only a summary of the OHIP
eligibility provisions of Regulation 552 for
your reference. You should consult the
actual regulation for the specific
requirements applicable to you. The
provisions in Regulation 552 prevail over
this summary.
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