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Changes To Schedule of Benefits - Understanding Changes to Bone Mineral Density Testing

Osteoporosis leads to fragile bones and an increased risk of fractures. BMD testing helps you and your physician determine the risk of fractures and the need for medical treatment. It also lets your physician monitor how well any existing treatment is working. Your physician determines your risk for osteoporosis.

What is changing?

For patients at low risk for osteoporosis, OHIP currently covers a follow-up BMD test once every 36 months. Beginning on July 1st, 2010, low-risk patients are eligible for a follow-up BMD test 36 months after their baseline test and then one every 60 months from the previous test.

What is not changing?

For patients at high risk for osteoporosis, OHIP will continue to cover a BMD test once every 12 months.

Why the change?

Medical experts recommended this change to the Ministry of Health and Long-Term Care, based on the best available medical evidence. The ministry made this change after consulting with the Ontario Medical Association and other key partners.

What if the test is recommended and the limit is exceeded?

If you are a patient at high risk for osteoporosis and your physician recommends an additional test within 12 months, your physician can apply to the Ministry of Health and Long-Term Care for approval of an additional test before the test is done. If approved, the test is covered by OHIP.

As with all medical tests that may not be covered by OHIP, we encourage Ontarians to consult with their physician or the Ministry of Health and Long-Term Care before proceeding with the test.

Where can I get more information on these changes?

To obtain more information on these changes, you are encouraged to call ServiceOntario at 1-866-532-3161.

For More Information

Call ServiceOntario, Infoline at 1-866-532-3161
In Toronto, 416-314-5518
TTY 1-800-387-5559
In Toronto, TTY 416-327-4282
Hours of operation : 8:30am - 5:00pm