For residents of Ontario, understanding the scope of the Ontario Health Insurance Plan (OHIP) is crucial, especially when it comes to dental services. With oral health being an important aspect of overall well-being, let’s explore the details of what exactly is covered by OHIP and what is not when it comes to dental care.
What is OHIP?
The Ontario Health Insurance Plan, or OHIP, is the government-run health plan for the province of Ontario, Canada. It provides coverage for a wide range of health services to residents; however, the plan’s coverage for dental services is quite limited. Understanding these limitations will help you plan for additional dental coverage if necessary.
Dental Services Covered by OHIP
OHIP covers a select number of dental services and only under specific circumstances. These services are generally associated with medical conditions that require hospital care. Here’s a list of situations where dental care may be covered:
- Dental surgery that needs to be performed in a hospital setting.
- Treatment for jawbone-related diseases or trauma.
- Examination and/or treatment that is necessary due to an underlying medical condition.
Dental Services Not Covered by OHIP
It’s important to note that most routine dental services are not covered by OHIP. These include:
- Regular dental check-ups
- Teeth cleanings
- Fillings for cavities
- Tooth extractions
- Dentures
- Orthodontic work such as braces
Alternatives for Dental Coverage in Ontario
Since OHIP provides limited dental coverage, Ontarians often turn to other forms of dental insurance for comprehensive care. These alternatives include:
| Alternative Coverage Options | Description |
|---|---|
| Private Dental Insurance | Purchased individually or provided as a benefit from employers. This option could cover a range of dental services depending on the chosen plan. |
| Public Programs | For eligible children, youth, and seniors, there are specific government-funded programs that provide some level of dental coverage. |
| Dental Schools | Dental schools occasionally offer services provided by students under supervision, often at a lower cost than private care. |
Frequently Asked Questions Of Is Dental Covered By Ohip?
Does Ohip Cover Dental Services?
OHIP generally does not cover dental services. It is mainly focused on medical and hospital care, not routine dental procedures.
Can Children Access Dental Benefits With Ohip?
Children under 17 may qualify for the Healthy Smiles program, providing free dental care for eligible families.
What Dental Emergencies Are Covered By Ohip?
OHIP covers dental surgery performed in a hospital, but routine dental emergencies are typically not covered.
Is Wisdom Tooth Removal Covered By Ohip?
Wisdom tooth removal is not covered by OHIP unless it is done in a hospital due to a medical necessity.
Conclusion
In summary, while OHIP does cover certain dental services, it is largely inadequate for most dental care needs. Ontarians should consider alternative insurance options to ensure comprehensive dental health coverage. It’s always recommended to discuss with your healthcare provider or a dental professional to better understand your coverage and the various alternatives available to you.
