OHIP

The Ontario Hospital Insurance Plan (OHIP) covers the majority of medical services in Ontario if a specific medical service is generally accepted as medically necessary and listed in the Schedule.  When a treatment is  not generally accepted within Ontario, then the service is uninsured.

Developing Awareness

Services rendered by a physician for the purpose of developing awareness of patient problem(s) or situation and of modalities for prevention and/or treatment, and to provide advice and information in respect to diagnosis, treatment, health maintenance and prevention are insured services and are eligible for OHIP payment under various counselling and assessment fee codes, provided all other OHIP payment requirements are met.

Hormones

Counselling by a physician to assist a patient to decide on treatment for menopausal symptoms is insured.  However, human-identical hormone therapy using custom-mixed recipes for an individual patient is not considered generally accepted care in Ontario and is not an insured service.

 In addition, section 24(2)2 of Regulation 552 of the Hospital Insurance Act states that any service provided by a physician, laboratory or hospital that is not generally accepted is not an insured service payable by OHIP.

Examples of OHIP covered services:

  • Andropause
  • Anxiety
  • Depression
  • Diabetes
  • EMF pollution
  • Hypercholesterolemia
  • Hypertension
  • Menopause
  • Obesity
  • Stress

Examples of non-insured services:

  • Adrenal fatigue diagnosis and treatment
  • Advice and treatment of non-atopic food allergies and/or sensitivities
  • Homeopathic medicines
  • Human-identical (bio-identical) hormone treatment
  • Nutritional detoxification programs

Dr Steven Herr practices Medicine according to the rules and regulations of the College of Physicians and Surgeons of Ontario and adheres to all College guidelines and policies including those relating to the practice of Complementary/Alternative Medicine.