OHIP/provincial health qualifying rules

[squishypenguin]

For the OHIP rules where it says staying in Ontario for the first 30 days of 6 months, does anyone know what qualifies as a day?

For example, my husband has to go on a business trip and is leaving Sunday afternoon and returning Friday night. So could that count as 4 days only? (Mon, Tues, Wed, Thurs and not count Fri/Sun since he was in Ontario at some point that day) Just want to make sure we are keeping track properly.

Thanks!

 

[Alurra71]

For the OHIP rules where it says staying in Ontario for the first 30 days of 6 months, does anyone know what qualifies as a day?

For example, my husband has to go on a business trip and is leaving Sunday afternoon and returning Friday night. So could that count as 4 days only? (Mon, Tues, Wed, Thurs and not count Fri/Sun since he was in Ontario at some point that day) Just want to make sure we are keeping track properly.

Thanks!

That is how it would work for PR RO so should be the same for OHIP? LOL I don't think him going on a business trip counts against what you are asking about though either. I think that is strictly in reference to moving to a different province.

 

[keesio]

For the OHIP rules where it says staying in Ontario for the first 30 days of 6 months, does anyone know what qualifies as a day?

For example, my husband has to go on a business trip and is leaving Sunday afternoon and returning Friday night. So could that count as 4 days only? (Mon, Tues, Wed, Thurs and not count Fri/Sun since he was in Ontario at some point that day) Just want to make sure we are keeping track properly.

Thanks!

The requirement is actually you must stay in Ontario for your first 153 days of 6 months. You can stay up to a maximum of 30 days outside Ontario and still qualify for OHIP.

And yes, any day spent in Ontario counts towards the qualification days. So in your case, it would indeed be 4 days outside.

 

[squishypenguin]

Sorry yes I meant leaving Ont for 30 days. Does anyone know about this mobile worker qualification where you are exempt from the 30 day rule?

 

[truesmile]

If your job or studies require you to leave Ontario frequently and you are unable to be present for 153 days in any 12-month period, you may still be eligible for OHIP coverage as a mobile worker or mobile student. To maintain your OHIP coverage, you should:
•be able to provide acceptable documents that show that your work requires frequent travel in and out of Ontario or that your full-time academic program in Ontario requires travel outside of Ontario; and
•be able to provide acceptable documents to show how you make your primary place of residence in Ontario (refer to Ontario Health Coverage Document List).

New or returning residents to Ontario who qualify as a mobile worker or mobile student are exempt from having to meet the 153-day in the first 183-day physical presence requirement immediately after establishing residency in Ontario.

 

[squishypenguin]

If your job or studies require you to leave Ontario frequently and you are unable to be present for 153 days in any 12-month period, you may still be eligible for OHIP coverage as a mobile worker or mobile student. To maintain your OHIP coverage, you should:
•be able to provide acceptable documents that show that your work requires frequent travel in and out of Ontario or that your full-time academic program in Ontario requires travel outside of Ontario; and
•be able to provide acceptable documents to show how you make your primary place of residence in Ontario (refer to Ontario Health Coverage Document List).

New or returning residents to Ontario who qualify as a mobile worker or mobile student are exempt from having to meet the 153-day in the first 183-day physical presence requirement immediately after establishing residency in Ontario.

Yes thank you, I read that but there doesn't seem to be more information on it. Like who do we give this documentation to? Only if it's requested? Are there application forms?

We can get a letter from his work and prove hotel and flights and show our lease but how will we know if the qualification is met until after the fact? Knowing ahead of time would be great as otherwise he will have to request through work to minimize travel. On the other hand if they approve it then he can travel for work as much as they want him to.

 

[truesmile]

Yes, only if requested. Put key emphasis on the phrase "be able to provide" . . . implies "IF ASKED". Simply be in a position to provide it, and say nothing. Bear in mind, Canada (nor Ontario for that matter) keep track of when people "leave".

 

[screech339]

Yes, only if requested. Put key emphasis on the phrase "be able to provide" . . . implies "IF ASKED". Simply be in a position to provide it, and say nothing. Bear in mind, Canada (nor Ontario for that matter) keep track of when people "leave".

Actually Canada can now track people leaving to US. So unless the OP's husband is working in US or has to fly through US to the intended country, Canada can find out.

Next stage of the game that Canada need to do like US does, is demand passenger manifest of every outland international flights. This way, Canada has exit control like US does. Right now other than US, Canada doesn't have any exit controls.

Screech339

 

[truesmile]

For sure they "can". But that's a LOT of work for somebody with a government job. And the "they" used here, are not the OHIP people.

Next stage indeed, and ONLY coz the U.S. is pressuring Canada to do so.

 

[screech339]

For sure they "can". But that's a LOT of work for somebody with a government job. And the "they" used here, are not the OHIP people.

Next stage indeed, and ONLY coz the U.S. is pressuring Canada to do so.

US shouldn't have to pressure us to have exit controls. We should have exit controls regardless.

 

[Cvstos]

I've heard nothing but horror stories regarding signing up for Ontario's coverage. Alberta was so much easier. I haven't even landed yet but I was able to sign up with a visitor record.

 

[screech339]

I've heard nothing but horror stories regarding signing up for Ontario's coverage. Alberta was so much easier. I haven't even landed yet but I was able to sign up with a visitor record.

While Alberta's health qualification rule is rather generous compared to other provinces like Ontario, it does have a limitation. I believe if I'm not mistaken, the coverage would only cover the initial 6 month visitor status. It won't be renewed until you get 1st stage AIP. So with the 1st stage being 10-11 months, you could be without coverage for 4-5 months after your 6 month coverage expires.

Please I let the senior advisor correct me if I'm wrong especially those with experience in dealing with alberta's health coverage.

 

[keesio]

It is really just the proof of address that is an issue. All you need is a bank statement mailed to you.

But yeah Ontario is most strict. The reason is that many new immigrants come to Ontario, including ones that want to "milk the system". It is those few that make it a pain for everyone.

 

[canvis2006]

Alberta offers coverage Day 1 for new permanent residents. Ontario has a 90-day waiting period.

I dunno why can't the Ohip start covering people from Day 1, even if they can charge a little, govt will have revenue and people would be covered in case they need to see a doctor to get some medicine in case they are sick.......people are obtaining private/emergency coverage which is absolutely useless if one just needs anto-biotics for flu/cold, etc.......

 

[keesio]

I dunno why can't the Ohip start covering people from Day 1,

For the same reason I mentioned above. Ontario had the highest instances of health insurance fraud for people who did not actually live in Ontario claiming health benefits. Hence the 3 months thing.