Any licensed Ontario physician can complete and submit a prior approval application to the ministry on your behalf. This includes physicians who work in walk-in clinics and hospital emergency departments.
If you are looking to find a physician who may be accepting new patients in your area, it may be helpful to visit the College of Physicians and Surgeons of Ontario website.
Yes, your Ontario valid health card entitles you to receive insured health services anywhere throughout Ontario.
Physicians are not required to complete an Out of Country prior approval application for patients who require insured health services in Ontario.
PSA testing is a lab service and is therefore the responsibility of the ministry’s Laboratories Branch. Information regarding this service is, however, available on the ministry’s website
Information provided on this site advises :
* Men must attend a hospital to have the specimen drawn to avoid a charge.
The wait times for certain procedures in Ontario can be found on the ministry website.
You may also call the ministry INFOline at 1-888-779-7767 or send an e-mail inquiry to email@example.com.
The diagnosis/medical problem and the treatment being requested are considered within the context of each individual patient’s circumstances. Ministry staff carefully review the submitted documentation and if indicated, contact the referring Ontario physician and other Ontario physicians who have been involved in the patient’s care. The ministry’s decision, however, must meet the criteria established by Ontario law.
The ministry is not in a position to recommend one private insurance plan over another.
If you would like information about obtaining private travel insurance you may contact the Canadian Life and Health Insurance Association who can provide a list of available travel and private insurance plans. Contact information for this organization is provided below :
|Address :||1 Queen Street East, Suite 1700
Toronto, ON M5C 2X9
|Telephone :||(416) 777-2221|
|Fax :||(416) 7771895|
|Consumer Assistance :||1-800-268-8099 or www.clhio.ca|
The Drug Program Branch has a clear policy regarding this. Prescriptions must be written by an Ontario prescriber, dispensed by an Ontario pharmacy and provided to an Ontario resident. If you would like further information or clarification, please write to the Drug Program Branch at :
Ontario Public Drug Programs Branch
Toronto, Ontario M7A 1R3
Each application for out of country prior approval is adjudicated independently and is based on each patient’s individual circumstances and the information provided by the referring Ontario physician. The severity of the patient’s condition, the presence of additional medical problems, and the opinions of Ontario experts are all considered when reviewing an application. The ministry’s decision, however, must meet the criteria established by Ontario law.
With ongoing advancements in health technology and treatment it is expected that Ontario will continue to see changes in the services that are generally accepted in province. The amount of time it takes before a treatment or service is accepted in Ontario varies considerably. Unfortunately, it is not possible to predict with certainty what treatment(s) will be introduced in the province or when.
Yes, pulse dye laser treatment for port wine stain on the face or neck is an insured service in Ontario. Removal of port wine stains from other parts of the body may be an insured service, but requires prior ministry approval first. Your physician should be able to provide information regarding where this service is performed in
Ontario and can apply to the ministry for prior approval of removal of port wine stain from areas of the body other than the face or neck.
The OOC Unit has a process in place to expedite “urgent” requests for medical services out-of-country – these applications can be processed in less than one hour if all the medical documentation is submitted with the application. The 1-30 day turnaround time relates only to prior approval applications and was provided as an estimate only. In the majority of cases, the ministry processes these applications in an average of 8 days or less.
Patients in need of emergency treatment are transferred immediately to an OOC facility if necessary, without delay through Criticall (from the referring Ontario hospital).
Please note, Ministry staff in the OOC Unit is available to assist patients and physicians with this application process. If you would like to speak to staff in the Unit, please call the 1-888-359-8807.
Call ServiceOntario, Infoline at 1-866-532-3161
In Toronto, 416-314-5518
In Toronto, TTY 416-327-4282
Hours of operation : 8:30am - 5:00pm