Ontario Health Insurance Plan

E915354

The Ontario Health Insurance Plan (OHIP) is the publicly funded health insurance program that covers medically necessary hospital and physician services for eligible residents of Ontario, Canada.

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Statements (48)

Predicate Object
instanceOf public health insurance program
single-payer health care program
abbreviation OHIP NERFINISHED
administeredBy Ministry of Health (Ontario) NERFINISHED
beneficiary Ontario resident
country Canada
coverageType health insurance
covers emergency hospital services
inpatient hospital care
insured physician visits
medically necessary diagnostic services
medically necessary hospital services
medically necessary physician services
outpatient hospital care
some imaging services
some laboratory tests
some surgical procedures
eligibilityRequirement Canadian citizen or eligible immigration status
physically present in Ontario for required number of days per year
primary place of residence in Ontario
resident of Ontario
excludes cosmetic surgery not medically necessary
most dental care
most prescription drugs outside hospital
routine eye exams for many adults
fundingModel publicly funded
hasProgram out-of-country coverage (limited)
prior authorization for some services
implements Canada Health Act principles in Ontario
jurisdiction Province of Ontario NERFINISHED
languageOfOperation English
French
legalBasis Ontario health insurance legislation
operatedBy Government of Ontario NERFINISHED
partOf Canadian medicare system NERFINISHED
paymentMethod fee-for-service for many physician services
paymentTo hospitals
physicians
some other health care providers
principle accessibility to insured services
comprehensiveness of insured services
portability within Canada
public administration
universal coverage for eligible residents
regionServed Ontario
sector health care
shortName OHIP NERFINISHED
typeOfCoverage core medical services

Referenced by (2)

Full triples — surface form annotated when it differs from this entity's canonical label.

St. Joseph's Healthcare Hamilton healthSystem Ontario Health Insurance Plan
Mount Sinai Hospital fundedBy Ontario Health Insurance Plan