|What does OHIP cover?
for pregnancy is covered in two ways: a complete prenatal ultrasound and a limited
prenatal ultrasound. In a normal pregnancy OHIP pays the physician for a maximum of one
complete and one limited ultrasound. This limit does not apply to high risk pregnancies.
What is not covered?
Beginning July 1, 1998, OHIP will not pay for additional ultrasounds
for a normal pregnancy. After one complete and one limited ultrasound, any others
conducted for a normal pregnancy are not medically necessary. Patients may request extra
ultrasounds at their own expense.
Prenatal ultrasound is commonly used for routine screening
in prenatal care and in the management of complications of pregnancy.
The Canadian Task Force on Periodic Health Examination has concluded
that there is fair evidence to justify the inclusion of a single prenatal ultrasound in
routine prenatal care. In addition to the one complete ultrasound that is clinically
necessary in a normal pregnancy,
OHIP will cover the cost of a limited ultrasound in support of the
Maternal Serum Screening Program.
The new conditions on the use of ultrasound for pregnancy are
consistent with good clinical practice and current standards for quality of care.