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OHIP Refund 

barkallos
barkallos
Posts: 1


Posted On: 28 days ago
barkallos
barkallos
Posts: 1
Hi, my partner is a Canadian citizen, and we've just moved to Toronto. (he is originally from Vancouver, but spent the last 7 years abroad) He got his OHIP number about 2 weeks ago and they told him it is already active, but nor the OHIP Card, nor the Ontario Card did not arrived yet, he just got a paper. I'm wondering if he is eligible for refund, because he had to see a doctor before he got the card, and we had to pay for the doctors visit and his meds too.
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Moderator
Moderator
Moderator
Posts: 4141


Posted On: 22 days ago
Moderator
Moderator
Moderator
Posts: 4141
Hi there,

Thank you for sharing your question with us. We appreciate your interest in this kind of information.

It sounds like you are eligible for OHIP+, and have been paying for a medication covered by them.

You may want to contact the Ontario Drug Benefit at 1(866)811-9893, and send an e-mail to [email protected] for a reimbursement request.

In this e-mail, it is suggested that you explain your situation, provide your health card number, home address, and an attached receipt of your prescription for reimbursement.

For your doctors appointment fee, please call the clinic to ask them about recording his OHIP card and charging that appointment to OHIP. If they can do that, they will refund you the amount you paid. It may also be helpful to contact Service Ontario’s INFOline at 1-866-532-3161 for more information.

We hope this information is helpful. If you have any additional questions, please feel free to post them here.

Your Settlement.Org Team
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Lahbib70
Lahbib70
Posts: 62


Posted On: 20 days ago
Lahbib70
Lahbib70
Posts: 62
barkallos wrote:
Hi, my partner is a Canadian citizen, and we've just moved to Toronto. (he is originally from Vancouver, but spent the last 7 years abroad) He got his OHIP number about 2 weeks ago and they told him it is already active, but nor the OHIP Card, nor the Ontario Card did not arrived yet, he just got a paper. I'm wondering if he is eligible for refund, because he had to see a doctor before he got the card, and we had to pay for the doctors visit and his meds too.



Hello,

I believe the OHIP+ eligibility is based on the age. Therefore, if the patient is over 24 and under 65, he is probably not entitled to get prescribed medication for free. (OHIP does not refund those fees)

Thanks.
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Moderator
Moderator
Moderator
Posts: 4141


Posted On: 20 days ago
Moderator
Moderator
Moderator
Posts: 4141
Thank you! That is correct, OHIP+ eligibility is as follows:

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 25th birthday, or if you become covered by a private plan, but you may qualify for other financial help with prescription drug costs.


So if you are eligible for this program, you can make that claim.

Sincerely,

Your Settlement.Org Team
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