Public Information

Ministry Programs

Ontario Health Insurance Plan

Protecting Access to Public Health Care

The Commitment to the Future of Medicare Act, 2004 (CFMA) confirms the Ontario Government’s commitment to the fundamental principles of insured accessible health care services as set out in the Canada Health Act.

Patients with a valid OHIP card are entitled to access insured health care services at no charge.

Under the authority of Ontario’s CFMA, the Ministry of Health and Long-Term Care investigates cases of extra-billing and queue jumping. The ministry is working to ensure all patients have equitable access to insured health care services. This is important in helping to sustain our publicly funded health care system.

Under the Commitment to the Future of Medicare Act, 2004 (CFMA):

Examples of Insured and Uninsured Services

Insured Services - Examples

Uninsured Services - Examples

  • Medically necessary physician services
  • Hospital Services
  • Routine eye exams for specified patients in specified age groups
  • Medically necessary eye care services for patients of all ages
  • Dental services that require hospitalization
  • Limited physiotherapy services provided by designated clinics
  • Limited podiatry services
  • Insured services provided in other provinces of Canada
  • Services provided outside of Canada with prior ministry approval and limited emergency services

Uninsured services are listed in Section 24 of Regulation 552 under the HIA.

People pay directly for uninsured services, or they may be covered by private insurance.

  • Services that are not medically necessary or are experimental
  • Prescription drugs and those provided in non-hospital settings
  • Eyeglasses, contact lenses, refractive surgery
  • Routine dentistry
  • Cosmetic surgery that is not medically necessary


Patient Fact Sheet – Are You Paying For Insured Health Services? Know the Law

Patient Fact Sheet - Cataract and Lens Exchange Surgeries

Commitment to the Future of Medicare Act, 2004

If you have any questions or concerns about charges for insured services or charges for access to insured services, please contact the Ministry of Health and Long-Term Care:

CFMA toll free call-line : 1 888-662-6613
CFMA e-mail: CFMA.Program@ontario.ca or Protectpublichealthcare@ontario.ca

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