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Medical Tourism Canada:

Payment for out-of-country health services with prior approval
- Ontario Ministry of Health and Long-Term Care

OHIP will pay in full for health services outside Canada if :
  • the patient gets written authorization from the Ministry of Health and Long-Term Care before the treatment is given, and

  • the treatment is generally accepted in Ontario, and

  • the treatment or an equivalent procedure is not performed in Ontario, or

  • the treatment is performed in Ontario but it is necessary that the person travel outside Canada to avoid a delay that would result in death or medically significant irreversible tissue damage.
In order to obtain consideration for full funding of treatment outside Canada your Ontario physician must apply to the ministry for prior approval while you are in Ontario, before you receive out-of-country treatment.
For more information visit:
Ontario Ministry of Health and Long-Term Care
Call the ministry INFOline at 1-800-268-1154
(Toll-free in Ontario only)
In Toronto, call 416-314-5518
TTY 1-800-387-5559
Hours of operation : 8:30am - 5:00pm
(Information courtesy: Ontario Ministry of Health and Long-Term Care)



Referring a Patient for Medical Services Outside of Canada:
- Ministry of Health Services, Government of British Columbia

Obtaining Pre-Approval

If you refer a patient for medical care outside Canada, prior authorization from MSP is required for payment of claims for services rendered outside the country.

To obtain pre-approval for payment of out of country services, the attending medical specialist must submit either a written request or an Application for Approval of Insured Out of Country Medical Services, providing detailed information about the medical necessity for the referral and what options available within B.C. and Canada have been investigated.
The decision to approve MSP payment for out of country medical services is based on the following criteria:
  • the service would be a benefit if performed in B.C.

  • the service is being provided by a licensed physician or oral surgeon

  • the service is medically required

  • the service needs to be performed outside Canada because appropriate, acceptable treatment of the patient's medical condition is not available in Canada, or a delay in accessing treatment would have medically significant consequences for the patient

  • the service is generally accepted by the medical profession in B.C. to be a non-controversial and worthwhile treatment for the patient's medical condition

  • the service is provided in an accredited acute care general hospital.
For more information visit:
Ministry of Health Services, Government of British Columbia
(Information courtesy: Ministry of Health Services, Government of British Columbia)
 
 

Medical Tourism