The Ontario Health Insurance Plan (OHIP) typically covers reconstructive and trauma. Surgeries for non-functional or cosmetic reasons are not covered. Once a referral has been sent to our office, and the plastic surgeon has had a chance to assess and discuss your situation, OHIP will then consider the coverage on a case by case basis following the submission of the surgical request form. Similarly, workplace injuries may be covered by WSIB, such as upper limb trauma.
Your health payments through OHIP do not cover legal notes or forms for your workplace and private insurance, some medications and procedures that OHIP does not yet cover, or administrative medical record duplication and transfer.