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OHIP Bulletin - Fact Sheet - February 2003
Botulinum Toxin Injections (Botox ® ) for Treatment of Focal Spasticity
Ontario Health Insurance Plan
What does OHIP cover ?
Starting February 1, 2003, OHIP will cover intramuscular botulinum toxin (Botox ® ) injections to treat focal spasticity secondary to an upper motor neuron disorder such as cerebral palsy, multiple sclerosis, stroke, spinal cord or traumatic brain injury.
OHIP currently insures botulinum toxin injections for treatment of oculomotor and laryngeal disorders.
Is Botox ® insured for cosmetic procedures ?
No. The ministry does not pay for services that are not medically necessary. The Ministry of Health and Long-Term Care and the Ontario Medical Association have agreed that cosmetic procedures do not improve or restore the health of Ontarians and they should not be financed by the public purse. Patients are free to seek and pay for cosmetic services.
If I began treatment before February 1, 2003, am I still eligible for a refund ?
Treatment received before February 1, 2003 is not insured and is not eligible for a refund.