1. What are the upcoming changes to OHIP+?
Starting April 1, 2019, the government is focusing OHIP+ benefits on children and youth who do not have a private plan. Children and youth 24 years of age and under who are OHIP-insured, but who do not have a private plan, will continue to receive coverage for eligible prescription medications through OHIP+.
Children and youth 24 years of age and under who have a private plan will access prescription medications through their private plan*, like they did prior to the launch of OHIP+ on January 1, 2018.
Households with high out-of-pocket prescription drug expenses, that include children and youth who are covered under a private plan, can apply to the Trillium Drug Program. The Trillium Drug Program is available to all OHIP-insured Ontarians who have high prescription drug costs compared to their household income. To find out more about the Trillium Drug Program and eligible prescription costs please visit: www.ontario.ca/trilliumdrugprogram or call the Trillium Drug Program at 416-642-3038 (Toronto area) or toll free at 1-800-575-5386.
*Children and youth 24 years of age and under who are eligible for the Ontario Drug Benefit program (ODB) through other eligibility criteria, such as social assistance or home care, will continue to receive prescription drug benefits through the Ontario Drug Benefit program, regardless of whether they have a private plan.