The Ontario Ministry of Health and Long-Term Care (MOHLTC) will be ending the Out-of-Country Travellers Program for emergency medical services (arising while outside the country) for Ontarians travelling outside of Canada as of January 1, 2020. Insured Ontario residents will continue to receive coverage for physician and hospital services when visiting or moving to another Canadian province or territory.
Submitting claims for emergency services to the Ontario Health Insurance Plan (OHIP) Out of Country Travellers Program:
- The ministry will reimburse eligible claims incurred up to and including December 31, 2019. Claims for emergency services incurred up to December 31, 2019 must be submitted no later than December 31, 2020.
- Any Out of Country (OOC) emergency services that are incurred on or after January 1, 2020 will not be eligible for reimbursement.
Impact to Group Benefits Extended Health Care plans with Out of Country coverage:
- All OOC claims for Ontario residents will now be submitted under your Group Benefits plan without first being sent to OHIP for reimbursement.
- There will be a negligible impact to the OOC rate that will be factored in at renewal for existing business.
Furthermore, on August 8th the MOHLTC announced the launch of a new program to fund out-of-country dialysis services January 1, 2020 which will coincide with the delisting of the OHIP Out-of-Country Travellers Program. This change does not impact your existing Group Benefits Extended Health Care plans with Out of Country coverage.
If you have any questions, please contact your Manulife Representative.