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smallnew.gif (926 bytes)For answers to your question about the Ontario Health Insurance Plan such as who is eligible for it or how to replace a lost or stolen Health Card, please click here.


 

The following is intended to inform you of some of the realities we face as the government  attempts to control health care costs:

In order to reduce health care spending, the Ontario government has "delisted" or restricted an number of services over the past several years.  Some of these make sense, but some not.  This process has increased with the current Harris government.

Some Services Delisted Previously:

  • Removal of benign skin lesions
  • Reversal of tubal ligations and vasectomies
  • New-born circumcisions
  • Varicose vein injection therapy
  • Sterilisation reversal surgery
  • Sex-change surgery

    Some Services Delisted or Restricted Recently:

  • Chiropractic Treatments cut  Many of you know that the government limit for chiropractic treatments was 22 visits per year.  In December 1998, this was cut by one third to only 15 visits per year.  Unlike medical doctors, chiropractors are allowed to charge above or beyond OHIP fees.
  • Miscellaneous Physical Therapies (reduced to 20 visits per year).  OHIP physiotherapy accounts for a significant proportion of the physiotherapy provided in the province.  This reduction in service will primarily affect the people of lower income status.  In addition, according to the Ontario Medical Association, this service was to be removed form OHIP entirely on April 1, 1999.  It had been postponed for several months.  It was abruptly cut on July 1, 2001, but was reinstated for 5 weeks.  This would force Ontarians and private industry to pay the cost.  Thousands would no longer be able to access or afford the service.
  • Hearing Aid Testing is also on the chopping block with miscellaneous physical therapies.
  • Treatment of common warts This service has been delisted.  You now pay your doctor for this service or you can purchase treatments at your pharmacy.  Plantar and other types of wart therapy is still covered.
  • Pre-travel health advice and immunisation (treatment of illnesses acquired by travel has not been cut)  We are concerned that more travel illnesses will be acquired.
  • Treatment of Obesity of patients weighing less than a body mass index of 27 (This was designed to end OHIP-run obesity treatment clinics)
  • Eye examinations to only every 2 years and not a day less
  • Bone density testing for osteoporosis limited to not more than once per year
  • Normal Pap Testing limited to one per year (not one day less); however, the Ministry of Health correctly points out that your doctor often provides this service for free when included in a general check-up or consultation.  Current recommendations for healthy sexually active women are three consecutive annual paps followed by biannual paps until age 70.  We do not feel that this will save money.
  • Routine normal pregnancy ultrasound limited to two.  One of these ultrasounds has been limited to a lower cost one to help determine the fetus' gestational age.  The other one is a standard full assessment for fetal well-being.   This has actually increased the number of ultrasound testing by some doctors who previously only screened with one near the critical 16 week gestation point, but can no longer get a detailed assessment done.
  • Special visit ("house call") premiums for second or more patients in homes, nursing homes and similar non-hospital locations.  Current special visit fees are nominal at best.  This cut is aimed at reducing current convenient home visit services; unfortunately, this hurts physicians who currently care for nursing homes

     

     

     

     

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    Last modified: April 07, 2002