OHIP Coverage in the US of A


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BlueLobster   
Member since: Oct 02
Posts: 3409
Location: Mississauga

Post ID: #PID Posted on: 03-07-06 12:04:42

I have a question regarding OHIP coverage when a PR is travelling to the states.

I understand that only emergency services are covered as mentioned at the link here
http://www.health.gov.on.ca/english/public/pub/ohip/travel.html

It also says on the website....

Quote:

If you receive emergency care from a physician or other eligible health care provider, OHIP will pay only as much as that service would have cost in Ontario.
Emergency inpatient hospital services eligible for OHIP coverage will be paid up to a maximum of $400 (Canadian) per day or the amount billed whichever is less :

The amount actually billed to a maximum of $400 per day for complex hospital care, that is rendered in a coronary care unit, an intensive care unit, a neonatal or paediatric special care unit or an operating room of an eligible hospital or health facility

Up to $200 for less intensive medical care




So the hospital coverage is at $400 a day. I'm not clear however on how it works if you have an accident or something OR need to undergo some complex surgical procedure that will run into thousands of dollars.

Does someone have experience on how this is covered by OHIP?


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Thunder Desi   
Member since: Jun 06
Posts: 129
Location:

Post ID: #PID Posted on: 03-07-06 12:15:37

I heard most snowbirds who spend winters in southern US have a pre approval to get covered for 6 months by OHIP. You have to check with OHIP folks for details.


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