How much does OHIP cover for physiotherapy in Ontario?
OHIP, or the Ontario Health Insurance Plan, provides coverage for physiotherapy services, but the extent of coverage is specific to certain eligibility criteria and types of providers. For instance, OHIP covers physiotherapy for individuals who are 65 years and older, 19 years and younger, those who have been discharged from a hospital after an overnight stay for a condition requiring physiotherapy, and individuals receiving benefits from Ontario Disability Support Program or Ontario Works. These services are only covered when provided at OHIP-authorized physiotherapy clinics, which means not all clinics may offer services covered by OHIP.
The coverage includes assessment and treatment, but the number of sessions may be limited, and patients may not have the full range of therapy options available in private clinics. It’s important for patients to verify with the clinic whether it is OHIP-authorized and to understand what their coverage includes. For treatments not covered by OHIP, or for individuals not eligible for OHIP-funded physiotherapy, many turn to private health insurance plans or pay out-of-pocket. The specific amount OHIP covers for each session is determined by the plan’s regulations and can vary, so patients should consult directly with their service provider and OHIP for the most accurate and personalized information.
Eligibility Criteria | Services Covered | Limitations |
---|---|---|
65 years and older | Assessment and treatment | Number of sessions may be limited |
19 years and younger | Assessment and treatment | Must be at OHIP-authorized clinics |
Recently discharged hospital patients | Condition-specific physiotherapy | Referral required from hospital |
Recipients of ODSP or Ontario Works | Assessment and treatment | Coverage may vary based on the program |
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