A transgender woman complained that the Ontario Health Insurance Plan (OHIP) had improperly refused her application for prior approval for breast reconstruction surgery. The woman explained that due to medical treatment she had undergone as an adolescent, she required additional reconstructive …
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A transgender woman complained that the Ontario Health Insurance Plan (OHIP) had improperly refused her application for prior approval for breast reconstruction surgery.
Identity crisis
An elderly woman needed our help with obtaining new identification after she lost her OHIP card, her primary photo ID. She explained that because she was born at home and her birth was never registered, she did not have a birth certificate; nor did she have any immunization records, as her parents …
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An elderly woman needed our help with obtaining new identification after she lost her OHIP card, her primary photo ID.
Family re-covered
We helped a father renew his daughter’s OHIP card after she had gone three years without a valid one and her application had been rejected. He explained that the family had been homeless for a time during this period, so they were unable to receive renewal notices by mail. When they finally moved …
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We helped a father renew his daughter’s OHIP card after she had gone three years without a valid one and her application had been rejected.
It’s where you live
A woman who moved to Ontario from Alberta for work sought our help after her application for OHIP coverage was rejected due to inadequate proof that she resided in Ontario. Over the course of a year, all of the documents she provided to ServiceOntario to show she lived in the province were …
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A woman who moved to Ontario from Alberta for work sought our help after her application for OHIP coverage was rejected due to inadequate proof that she resided in Ontario.
The long and short of it
A mother of two boys complained to our Office when she had trouble changing her children’s names on their birth certificates, documents they needed soon to make a trip to Disneyland in the U.S. She said miscommunication by ServiceOntario staff about how she should go about amending the boys’ long …
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A mother of two boys complained to our Office when she had trouble changing her children’s names on their birth certificates, documents they needed soon to make a trip to Disneyland in the U.S.
Born free
An almost-retired man who wanted to get a passport to travel sought our help after three frustrating years of trying to obtain a birth certificate from the Office of the Registrar General. He complained he could not provide proof of his birth. He believed he had been born at home, as there were no …
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An almost-retired man who wanted to get a passport to travel sought our help after three frustrating years of trying to obtain a birth certificate from the Office of the Registrar General.
Cost of living
After waiting many months for a response from Ministry officials about his experience, a man who had to relocate from Northern Ontario to Toronto for a lung transplant finally had his voice heard through our Office. Although he qualified for the Ministry’s Transplant Patient Expense Reimbursement …
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After waiting many months for a response from Ministry officials about his experience, a man who had to relocate from Northern Ontario to Toronto for a lung transplant finally had his voice heard through our Office.
Split difference
A divorced recipient of Trillium Drug Plan coverage complained to us that his access to the benefit was affected because his ex-wife would not provide a letter stating that he was no longer covered by her private insurance. Although such a letter is normally required under the program’s policies, …
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A divorced recipient of Trillium Drug Plan coverage complained to us that his access to the benefit was affected because his ex-wife would not provide a letter stating that he was no longer covered by her private insurance.
It’s in the (e)mail
A woman contacted our Office after learning her OHIP coverage had been suspended while she was studying outside of Ontario, despite the fact that she had emailed her renewal documents to OHIP several times. We asked that her file be reviewed by OHIP’s eligibility committee, which determined that …
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A woman contacted our Office after learning her OHIP coverage had been suspended while she was studying outside of Ontario, despite the fact that she had emailed her renewal documents to OHIP several times.
Registrar General delays: Faster Service Guaranteed
The Special Ombudsman Response Team's probe of complaints of delays in processing of registrations of births, deaths marriages and name changes found improvements since the previous Ombudsman’s investigation in 2004. In 2007, the government announced guaranteed 15-day service for post-1991 events. …
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The Special Ombudsman Response Team's probe of complaints of delays in processing of registrations of births, deaths marriages and name changes found an improvements since the previous Ombudsman’s investigation in 2004.
The Right To Be Impatient
The to be OMBUDSMAN REPORT A N D R É M A R I N | O M B U D S M A N O F O N T A R I O | S E P T E M B E R 2 0 0 5 Whether the Ministry of Health and Long-Term Care has failed to properly administer Newborn Screening in Ontario. …
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Investigation into whether the Ministry of Health and Long-Term Care has failed to properly administer newborn screening in Ontario.
Testicular implants for boys: A Medical Necessity
The Ministry of Health and Long-Term care restored funding for testicular prosthesis surgery for boys under 18. Because the issue was resolved, no report was published. … Testicular implants for boys: A Medical …
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The Ministry of Health and Long-Term care restored funding for testicular prosthesis surgery for boys under 18.
Out-of-country cancer care: The Out-of-Country Conundrum
The Ministry of Health overhauled its out-of-country care program and paid $75,000 to a chemotherapy patient who was wrongly denied coverage. No report was issued. Case update - 2007-2008 Annual report When Suzanne Aucoin came to the Ombudsman’s Office in 2007, she was fighting two battles: She was …
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The Ministry of Health overhauled its out-of-country care program and paid $75,000 to a chemotherapy patient who was wrongly denied coverage.
OHIP: The Difference a Few Days Make
Coverage was granted to a 94-year-old man who moved back to Ontario from the U.S. and broke his hip 38 days before his Ontario health insurance eligibility was to take effect. No report issued. … OHIP: The Difference a Few Days …
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Coverage was granted to a 94-year-old man who moved back to Ontario from the U.S. and broke his hip 38 days before his Ontario health insurance eligibility was to take effect.
Assistive Devices: Life and Breath
The Ministry of Health and Long-Term Care agreed to fund the home use of oxygen saturation monitors for children with life-threatening respiratory conditions, and to review the entire Assistive Devices Program. No report was issued. Case update - Annual report 2007-2008 In February 2007, SORT was …
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The Ministry of Health and Long-Term Care agreed to fund the home use of oxygen saturation monitors for children with life-threatening respiratory conditions, and to review the entire Assistive Devices Program.
Positron Emission Tomography (PET) program
The Ministry of Health and Long-Term Care announced funding for Positron Emission Tomography scans for certain indications in the wake of this investigation of the Ministry's process for evaluating the technology, and practices in other provinces. Because the issue was resolved, no report was …
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Investigation into the Ministry of Health and Long-Term Care’s administration of the Positron Emission Tomography (PET) program.
A Vast Injustice
Investigation into the Ministry of Health and Long-Term Care’s decision-making concerning the funding of Avastin for colorectal cancer patients OMBUDSMAN REPORT • André Marin, Ombudsman Of Ontario • September 2009 https://www.ombudsman.on.ca/Resources/Reports/A-Vast-Injustice.aspx?lang=en-CA …
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Investigation into the Ministry of Health and Long-Term Care’s decision-making concerning the funding of Avastin for colorectal cancer patients.
Dental implants
The Ministry of Health and Long-Term Care agreed to fund dental implants for a 55-year-old cancer patient who required extensive reconstructive facial surgery. The Ministry also acknowledged that there may be others in such exceptional circumstances and undertook to address the gap in the system to …
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The Ministry of Health and Long-Term Care agreed to fund dental implants for a 55-year-old cancer patient who required extensive reconstructive facial surgery.
Long-term care
The Ministry of Health and Long-Term Care incorporated the Ombudsman’s suggestions in its ongoing upgrade of its monitoring of long-term care facilities after he identified serious systemic problems. Since the Ministry’s efforts are “a work in progress,” in lieu of a report, the Ombudsman released …
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The Ministry of Health and Long-Term Care incorporated the Ombudsman’s suggestions in its ongoing upgrade of its monitoring of long-term care facilities after he identified serious systemic problems.
Deadline Driven
A driver who suffered what he believed to be a seizure in April 2013 was diagnosed by a neurologist and, as required by the Ministry of Transportation, had his licence suspended pending a medical review. On October 28, 2013, his doctor faxed documentation to the Ministry to prove that he had been …
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A driver who suffered what he believed to be a seizure in April 2013 was diagnosed by a neurologist and, as required by the Ministry of Transportation, had his licence suspended pending a medical review. On October 28, 2013, his doctor faxed documentation to the Ministry to prove that he had been seizure-free for six months, and thus eligible to have his licence reinstated.