Health Card In Ontario – کارت سلامت در انتاریو

Health care in Ontario

OHIP is Ontario’s health care plan. Through OHIP, the province pays for many of the health services you may need. You need to apply and, once you’re approved, you’ll get an Ontario health card. Your health card proves you’re covered by OHIP – that’s why you’ll need to show it every time you see your doctor, visit an emergency room, have a medical test or go for surgery.

What’s covered

OHIP covers many health services you may need, such as:

  • Appointments with your family doctor
  • Visits to walk-in clinics and some other health care providers
  • Visits to an emergency room
  • Medical tests and surgeries

To be covered by OHIP, you must have a medical reason to receive a service or treatment. Cosmetic surgery, for example, is not covered.

Who qualifies

To qualify for OHIP, you must meet all of the minimum qualifications listed below plus at least one of the additional requirements.

To meet the minimum qualifications you must:

  • Be physically in Ontario for 153 days in any 12‑month period
  • Be physically in Ontario for at least 153 days of the first 183 days immediately after you began living in the province
  • Make Ontario your primary home

You must also meet at least one of the following additional requirements. You:

  • Are a Canadian citizen
  • Are an Indigenous person (registered under the federal Indian Act)
  • Are a permanent resident (formerly called a “landed immigrant”)
  • Have applied for permanent residence, and Immigration, Refugees and Citizenship Canada has confirmed that:
    • You meet the eligibility requirements to apply
    • You have not yet been denied
  • Are in Ontario on a valid work permit and are working full-time in Ontario, for an Ontario employer, for at least six months
    • Your spouse and any dependents also qualify if you do
  • Are in Ontario on a valid work permit under the federal Live-in Caregiver Program
  • Are a convention refugee or other protected person (as defined by Immigration and Refugee Board of Canada)
  • Have a Temporary Resident Permit (only certain case types, e.g. 86 through 95)
  • Are a clergy member who can legally stay in Canada and is ministering full time in Ontario for at least six months
    • Your spouse and any dependents also qualify if you do

When your coverage starts

It can take up to three months for your OHIP coverage to begin after you’ve been approved unless you qualify for immediate coverage.

During this time, you may want to consider buying private health insurance.

Who gets immediate coverage

OHIP coverage starts immediately for:

  • Babies born in Ontario who are Canadian citizens
  • Some internationally adopted children under 16 who are adopted by Ontario residents
  • Convention refugees and other protected persons as defined by the Immigration and Refugee Board of Canada
  • People who move from another Canadian province or territory into a long‑term care home in Ontario within the first three months of their arrival
  • Military family members with accepted documentation

How to apply

You must apply for OHIP in person at a ServiceOntario centre.

You will need to bring these documents with you:

  • A completed Registration for Ontario Health Insurance Coverage form
  • Three separate, original (not photocopies or printouts of electronic documents) identification documents:
    • One that proves your Canadian citizenship or OHIP-eligible immigration status (e.g. Canadian birth certificate, Permanent Resident Card )
    • One that proves you live in Ontario (e.g. Ontario Driver’s Licence, income tax assessment)
    • One that supports your identity (e.g. credit card, passport from any country)

Children who are:

  • Under 16 years old do not need a photo or signature on their card so a parent/guardian can register for them
    • If you need another record of your child’s health card information (e.g. when parents/guardians do not live in the same home), please ask for a transaction record in person at a ServiceOntario centre
  • Older than 16 years need a photo and signature on their card so must apply in person at a ServiceOntario centre

Reapplying for OHIP

If you’ve been out of Ontario for more than 212 days in any 12‑month period, you may have to reapply for OHIP at a specialized ServiceOntario Centre that provides the full-suite of health card services. You can call ServiceOntario to be sure.

Requesting a review

If you are told that you do not – or no longer – qualify for OHIP, you can request a review of the decision.

To request a review, send OHIP a letter, fax or email with:

  • The reason why you believe you qualify for OHIP
  • Additional information or documents to show you qualify
  • Up-to-date contact information

You can send the letter and copies of documents by:

OHIP Eligibility Review Committee
Ministry of Health and Long-Term Care
49 Place d’Armes, 2nd floor
Kingston, ON K7L 5J3

We will review your submission and reply with a written response. We may also follow up by phone.

Further appeals

If you want to appeal the OHIP Eligibility Review Committee’s decision, you can write to the Health Services Appeal and Review Board.

You must do this within 15 days of receiving the written decision from the committee.

Send the letter and any supporting information or documents to:

Health Services Appeal and Review Board
151 Bloor Street West, 9th Floor
Toronto, ON M5S 2T5
Fax: 416-327-8524

Find out more about the Health Services Appeal and Review Board.

OHIP for babies

If your baby is born in Ontario, the steps to apply for OHIP are different depending on whether or not the baby was born:

  • In a hospital that has birthing (labour and delivery) facilities
  • With help from a registered midwife

Born in birthing hospital or with registered midwife

If your baby was born in an Ontario hospital with birthing facilities or with a registered midwife, follow these steps to apply:

  1. Complete the Ontario Health Coverage Infant Registration form. It is not available online. Hospital staff or the registered midwife will give you the form. On the form you must:
    • Give your baby’s name, birthdate and mailing address
    • Confirm your baby’s main residence is in Ontario
    • Confirm your baby will be in Ontario for at least 153 days in any 12‑month period
  2. The hospital or midwife will submit the top part of the form to us on your behalf.
  3. Keep the bottom section of the form until you get your baby’s Ontario health card. It shows the health number assigned to your baby.

Your baby’s new health card will be mailed within 8 weeks of the date it’s submitted.

Born elsewhere in Ontario or without a registered midwife

If your baby was born in an Ontario hospital without birthing facilities or without a registered midwife, you must apply in person at the nearest ServiceOntario centre:

  • If you go within 90 days of the birthdate, bring proof of where your baby was born (e.g. letter from hospital or attending doctor)
  • If you go more than 90 days after the birthdate, bring proof of your child’s Canadian citizenship (e.g. birth certificate)

You must also bring:

OHIP for adopted children

If you’ve adopted a child from another country, you can apply for OHIP coverage as soon as your child arrives in Ontario.

You must apply in person at the nearest ServiceOntario centre and bring:

  • Proof of Canadian citizenship or OHIP-eligible immigration status for your adopted child
  • Proof of director approval from the Ministry of Children and Youth Services
  • Adoption/guardianship documentation for your adopted child

You must also bring:

If you’ve adopted a child from within Ontario or from another Canadian province or territory, please contact ServiceOntario to confirm which documents you need. Documentation requirements will vary based on the stage of the adoption process.

OHIP for military family members

If you are a spouse or dependant of a Canadian Forces member, or Reservist currently deployed by the Canadian Forces into active service, you may be eligible for immediate OHIP coverage.

To apply, you must attend in person at a ServiceOntario centre and bring:

  • A completed Registration for Ontario Health Insurance Coverage form
  • Three separate, original (not photocopies or printouts of electronic documents) documents:
    • One that proves your Canadian citizenship or OHIP-eligible immigration status (e.g. Canadian birth certificate, Permanent Resident Card)
    • One that proves you live in Ontario (e.g. Ontario Driver’s Licence, income tax assessment)
    • One that supports your identity (e.g. credit card, passport from any country)

Spouses or dependants

In order to receive immediate OHIP coverage, you will also have to present accepted military affiliation documentation for any spouse or dependant applying for OHIP.

If you are applying without the military member present

You will need to bring one of the following:

  • Special Passport (green-coloured passport for military family members returning from an out-of-country posting)
  • Canadian Forces Member’s Personnel Record Résumé (MPRR) — can be obtained online by military personnel
  • Letter from local Ontario Military Family Resource Centre on letterhead, confirming military family status of applicants (issued at the discretion of your local Military Family Resource Centre)

If you are applying with the military member present

You will need to bring one of the following:

  • Canadian Forces member’s Military Identification Card (e.g., NDI 20)
  • Canadian Forces member’s Posting Message (with accompanying photo identification)
  • Special Passport (green-coloured passport for military family members returning from an out-of-country posting)
  • Canadian Forces Member’s Personnel Record Résumé  (MPRR) — can be obtained online by military personnel
  • Letter from local Ontario Military Family Resource Centre on letterhead, confirming military family status of applicants (issued at the discretion of your local Military Family Resource Centre)

Original documents must be presented in person at a ServiceOntario centre. Photocopies are not accepted. The Ministry of Health and Long-Term Care reserves the right to request additional documents.

Visitors to Ontario

Visitors to Ontario from other Canadian provinces and territories, or from outside Canada, do not qualify for OHIP. If you’re Canadian, find out what your provincial/territorial plan or private health insurance plan will cover before you take your trip to Ontario.

We also recommend that you buy private medical insurance for your trip.

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اگر شما ساکن انتاریو هستید، دارا بودن کارت بهداشت بدین معنی است که شما واجد شرایط برای خدمات بهداشت و درمانی هستید که هزینه آن توسط طرح بیمه درمانی انتاریو پرداخت میشود.

اگر شما کارت بهداشت انتاریو در اختیار ندارید، باید از طریق مرکز سرویس انتاریوتقاضا کنید.

اما قبل از مراجعه به یک مرکز برای درخواست این کارت لطفا  مراحل زیر را دنبال کنید:

  1. از وب سایت زیر دیدن کنید

www.ServiceOntario.ca/ HealthCard

  1. فرم( 82-0265 )مربوط به ثبت پوشش درمانی انتاریو (Coverage Health Ontario )را چاپ و تکمیل کنید
  2. با مرور فهرست مدارک پوشش درمانی انتاریوفرم  (998E-82 )مدارک لازم و مورد نیاز را بررسی کنید (فهرست کامل آنها در پشت فرم موجود میباشد( .
  3. با مراجعه به سایتServiceOntario.ca/FindServices نزدیکترین مرکز ServiceOntario به منزل خود را پیدا کنید
  4. فرم ثبت تکمیل شده و تمام مدارک الزم را به مرکز ServiceOntario ببرید.

مدارک لازم

  • فهرست -1 اثبات شهروندی کانادا یا وضعیت مهاجرت واجد شرایط برای OHIP مدارک موجود در این فهرست ثابت میکنند که شما یک شهروند کانادایی یا دارای وضعیت مهاجرت دیگری هستید و شما را برای پوشش بیمه درمانی انتاریو واجد شرایط میسازند
  • فهرست -2 اثبات سکونت در انتاریو مدارک موجود در این فهرست نام و آدرس فعلی شما را نشان میدهند و تایید میکنند که مکان اولیه سکونت شما در انتاریو است
  • فهرست -3 مدارک پشتیبانی از هویت مدارک موجود در این فهرست هم نام و هم امضای شما را نشان میدهند. شما باید همیشه یک مدرک از هر فهرست را با خود بیاورید.