Changes to the Ontario Health Insurance Plan Out-of-Country Emergency Medical Services
January 30, 2020
Effective December 31, 2019, the Ontario Health Insurance Plan's (OHIP) out-of-country Travellers’ Program was discontinued. As a result, the province no longer covers expenses incurred by residents of Ontario for out-of-country emergency care. Any costs incurred for emergency medical services after that date are the responsibility of the resident or their travel health insurance. Coverage is maintained for Ontario residents visiting or moving to another Canadian province or territory.
This excludes expenses incurred for dialysis as the province has simultaneously launched a new program to fund out-of-country dialysis services, ensuring that Ontarians living with kidney failure can continue to receive support for their dialysis care when they are travelling outside of Canada.
What you need to know
As a PSHCP member with Supplementary Coverage, you and your eligible dependants are each covered by the Emergency Travel Benefit. This benefit provides reimbursement for up to $500,000 per trip (limited at 40 consecutive days) in eligible medical expenses incurred for emergency medical treatment while travelling.
Make sure you have your PSHCP Benefit Card when you leave Canada
To obtain the PSHCP Benefit Card, you must complete positive enrolment. Once completed, you can print your PSHCP Benefit Card or request that Sun Life send it to you by mail. The card lists your member ID, contract number, and 24/7 emergency phone numbers.
If you have any questions regarding the changes to OHIP’s out-of-country emergency medical services, please contact the ServiceOntario INFOline at 1-888-376-5197 (toll-free) or visit your local ServiceOntario centre.