A concerned social worker at a psychiatric hospital asked us if we could help a patient whose OHIP coverage had been suddenly cancelled. We discovered that the man had immigrated to Canada more than 50 years ago, and was under the guardianship of Ontario’s Office of the Public Guardian and Trustee, …
Body
A concerned social worker at a psychiatric hospital asked us if we could help a patient whose OHIP coverage had been suddenly cancelled.
/en/our-work/case-stories/uncovered
A second look
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 …
Body
A transgender woman complained that the Ontario Health Insurance Plan (OHIP) had improperly refused her application for prior approval for breast reconstruction surgery.
/en/our-work/case-stories/second-look
Changed course
A student who was close to completing her program at a college of applied arts and technology was unsure if she had all the credits she needed for her diploma, so she enrolled in an extra course just in case. She was told that if she discovered it wasn’t necessary, her enrolment would be …
Body
A student who was close to completing her program at a college of applied arts and technology was unsure if she had all the credits she needed for her diploma, so she enrolled in an extra course just in case.
/en/our-work/case-stories/changed-course
Oh brother
In a case that officials called “unprecedented,” a brother and sister complained to us about difficulties in applying to the Ontario Student Assistance Program (OSAP) – one to attend college, the other university. It turned out that the federal government had accidentally issued them identical …
Body
In a case that officials called “unprecedented,” a brother and sister complained to us about difficulties in applying to the Ontario Student Assistance Program (OSAP) – one to attend college, the other university.
/en/our-work/case-stories/oh-brother
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 …
Body
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.
/en/our-work/case-stories/cost-living
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, …
Body
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.
/en/our-work/case-stories/split-difference
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 …
Body
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.
/en/our-work/case-stories/its-email
Just missed the mark
A mother of three who was enrolled in a combined college and university nursing program was not allowed to progress to the university portion of the program because her grade in a college course was 1.5% below the required threshold. She appealed the mark, but complained to us that the college’s …
Body
A mother of three who was enrolled in a combined college and university nursing program was not allowed to progress to the university portion of the program because her grade in a college course was 1.5% below the required threshold.
/en/our-work/case-stories/just-missed-mark
Right to appeal
A university student contacted our Office with several concerns, including a stalled academic appeal, the conduct of one of his professors, administrative fees, and the university’s unwillingness to release his official transcript. Our Office made several inquiries and determined that he could …
Body
A university student contacted our Office with several concerns, including a stalled academic appeal, the conduct of one of his professors, administrative fees, and the university’s unwillingness to release his official transcript.
/en/our-work/case-stories/right-appeal
The Right To Be Impatient
The to be Whether the Ministry of Health and Long-Term Care has failed to properly administer Newborn Screening in Ontario. O M B U D S M A N R E P O RT ANDRÉ MARIN | OMBUDSMAN OF ONTARIO | SEPTEMBER 2005 INVESTIGATIVE TEAM Director Special Ombudsman Response Team (SORT) Gareth Jones Investigators …
Body
Investigation into whether the Ministry of Health and Long-Term Care has failed to properly administer newborn screening in Ontario.
/en/our-work/investigations/right-be-impatient
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 …
Body
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 …
Body
The Ministry of Health overhauled its out-of-country care program and paid $75,000 to a chemotherapy patient who was wrongly denied coverage.
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 …
Body
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.
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 …
Body
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.
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 …
Body
Investigation into the Ministry of Health and Long-Term Care’s administration of the Positron Emission Tomography (PET) program.
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 DIRECTOR, SPECIAL OMBUDSMAN RESPONSE TEAM (SORT) Gareth Jones LEAD INVESTIGATOR Mary …
Body
Investigation into the Ministry of Health and Long-Term Care’s decision-making concerning the funding of Avastin for colorectal cancer patients.
/en/our-work/investigations/vast-injustice
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 …
Body
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.
/en/our-work/investigations/dental-implants
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 …
Body
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.
/en/our-work/investigations/long-term-care
Going the distance
The owner of a home for adults with mental health issues contacted the Ombudsman, frustrated that he couldn’t get ODSP or Developmental Services Ontario (DSO) to provide funding to take one of his residents to her cancer treatments. The resident wasn’t capable of travelling to the treatments by …
Body
The owner of a home for adults with mental health issues contacted the Ombudsman, frustrated that he couldn’t get ODSP or Developmental Services Ontario (DSO) to provide funding to take one of his residents to her cancer treatments.
/en/our-work/case-stories/going-distance
Pearly rights
A woman whose teeth had been damaged as a result of physical abuse by her partner years earlier contacted the Ombudsman for help in obtaining funds to have them fixed. In 2009, she had been awarded $20,000 in compensation for pain and suffering by the Criminal Injuries Compensation Board, which …
Body
A woman whose teeth had been damaged as a result of physical abuse by her partner years earlier contacted the Ombudsman for help in obtaining funds to have them fixed.
