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Does OHIP cover dental services?
Generally no, the Ontario Health Insurance Plan (OHIP) does not cover dental services.
OHIP may cover some dental surgery if it is at a hospital. Some dental surgeries need to be performed in a hospital because they are complex or you have a medical condition that needs monitoring during the procedure.
Dental care under OHIP is limited to oral surgery performed in a hospital and limited situations such as:
- fracture repair after an accident
- tumour or cyst removal
- surgeries correcting congenital issues
- medically necessary tooth removal (prior approval by OHIP is required)
Many employers and unions offer dental plans as part of a benefits package, but you can also buy an individual or family plan on your own. Dental plans help to pay for dental procedures such as cleaning teeth and gums, x-rays, filling cavities and removing wisdom teeth.
You or your family may be eligible for dental coverage through a government program:
Some community health organizations have basic dental services. Colleges and universities that teach dentistry often have dental clinic programs. In these programs, dental students provide the service for a fee that is less expensive than a licensed dentist.
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June 23, 2023