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I need information on OHIP coverage 

ForumUser
ForumUser
Posts: 525


Posted On: 12/9/2020
ForumUser
ForumUser
Posts: 525
At 67 years old, I have OHIP and I’m on work coverage. I also have status as a First Nations person. Can you tell me between all the
above why don’t they cover a specific medical procedure? And do any of theses cover new dentures? They are not the ones I asked for.
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Moderator
Moderator
Moderator
Posts: 3787


Posted On: 12/31/2020
Moderator
Moderator
Moderator
Posts: 3787
ForumUser wrote:
At 67 years old, I have OHIP and I’m on work coverage. I also have status as a First Nations person. Can you tell me between all the
above why don’t they cover a specific medical procedure? And do any of theses cover new dentures? They are not the ones I asked for.




Hi there,

Thank you for sharing your question and situation with us.

For information and questions about OHIP coverage, you may want to call the Service Ontario INFOline:
1-866-532-3161 (Toll-free)
In Toronto, (416) 314-5518
TTY 1-800-387-5559.
In Toronto, TTY 416-327-4282
Hours of operation: Monday to Friday, 8:30am - 5:00pm


You may also wish to speak to your insurance provider directly using their contact information to see if they have suggestions regarding your coverage. For more information on payment plans in lieu of dental insurance, please read the Settlement.Org article, Where can I get dental care if I don't have insurance?

You may also be interested in the new Ontario Seniors Dental Care Program (OSDCP, which is a government-funded dental care program. It provides free, routine dental services for low-income seniors who are 65 years of age or older. You also must have no other form of dental benefits, including private insurance or dental coverage under another government program such as Ontario Works, Ontario Disability Support Program or Non-Insured Health Benefits.

You can read more about the OSDCP here. The new dental care program will be available through public health units, including some mobile dental clinics, as well as participating Community Health Centres (CHCs) and Aboriginal Health Access Centres (AHACs).

Dental prosthetics (prosthodontic services), including dentures, will be partially covered. Please speak to your local public health unit for more information.

You may also want to dial 211 on a phone for free and speak to an information and referral specialist. They can help you navigate what social and community benefits and programs you may be eligible for. 211 is a free, confidential service that is available 24 hours a day, 7 days a week.

If you have any additional questions that you would like to have a response to based on your own situation, please feel free to share.

We hope this information is helpful.

Sincerely,

Your Settlement.Org Team
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marianliu07
marianliu07
Posts: 1


Posted On: 14 days ago
marianliu07
marianliu07
Posts: 1
ForumUser wrote:
At 67 years old, I have OHIP and I’m on work coverage. I also have status as a First Nations person. Can you tell me between all the
above why don’t they cover a specific medical procedure? And do any of theses cover new dentures? They are not the ones I asked for.


You can read the article of this page to get the full details, but at least in Alberta, they cover for your dentures. As to why they don't do specific procedures, I'm guessing it's because said procedures are not commonly done. It's not as if it's the most essential procedure for older adults. They only cover the basics needed in a dental care plan, while the rest are only for certain situations.
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