Everything to Know About OHIP+ Coming in January

Perhaps you’ve heard by now, that the Ontario Government is changing coverage for people under age 25. Starting January 1, 2018, people under the age of 25 will have coverage to over 4,400 drugs from OHIP. It’s called OHIP+ and it means that come January 1st, OHIP+ provides free coverage for the most common prescription drugs.

However, many people are wondering what this means in terms of coverage through their workplace. Here are some important things to remember.

Who is Eligible/How Does it Work?

Babies, Youth, Teens and Children under the age of 25 will automatically be covered in this new plan. There is no need to register or submit an application.

All you need to take part is a valid health card and a prescription from your family doctor. When you get the prescription filled at your pharmacy there will be no charge.

People who are taking advantage of the Trillium Drug Program will automatically be placed on the OHIP+ plan. That means you’ll no longer pay for drugs out of pocket and can no longer put money paid for drugs toward deductibles.

OHIP+ Won’t Cover All Prescriptions

Don’t cancel the prescriptions for your kids just yet. While 4,400 drugs are covered, many benefit plans cover 10,000 drugs or more. Ensure your child’s prescriptions will be covered before you decide to change your plan. Some of the drugs that WILL be covered are the following:

  • antibiotics to treat infections
  • inhalers for asthma
  • various insulins, oral diabetic medications and diabetes test strips
  • epinephrine auto-injectors (e.g. EPIPENs®)
  • drugs to treat arthritis, epilepsy and other chronic conditions
  • medications to treat mental health conditions (e.g. antidepressants)
  • attention deficit hyperactivity disorder (ADHD) drugs
  • drugs to treat some childhood cancers and other rare conditions

You can do a detailed search for the drugs covered here. So ensure the right prescriptions are covered!

OHIP+ Won’t Cover Other Health Care Plans

Dental, Optometry, and more health care still isn’t covered under OHIP+. People who quickly remove their coverage are likely making the wrong decision. It can be tough to sign up to a plan once it’s cancelled, so no need to jump the gun. Feel free to reach out to us if you’d like to know the next course of action.

This should help a lot of families help afford prescriptions, but a work benefits plan is still very valuable! Make sure you don’t change your coverage too much without consulting with us first. We are here to help guide you to ensure that you have the coverage you need!
BenefitsOHIP+Prescription Drugs