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Home safe

A group home worker raised health and safety concerns with us after he and a few colleagues contracted COVID-19. He believed they were exposed to a resident who tested positive, and said they had not been provided with personal protective equipment (PPE). We made inquiries with Ministry of …
A group home worker raised health and safety concerns with us after he and a few colleagues contracted COVID-19.

Exclusion explanation

A personal support worker contacted us in frustration when he and his colleagues were denied “pandemic pay,” despite being in close contact with patients. We provided him with information about the criteria for this pay program, including that it only pertained to employers who received direct …
A personal support worker contacted us in frustration when he and his colleagues were denied “pandemic pay,” despite being in close contact with patients.

Open and shut case

A woman who was waiting for the Fair Practices Commissioner (FPC – the WSIB’s internal ombudsman) to assist her with a loss-of-earnings assessment and prescription cost refund sought our help early in the pandemic. The FPC’s office was shut down and she was unable to reach them. We contacted staff …
A woman who was waiting for the Fair Practices Commissioner (FPC – the WSIB’s internal ombudsman) to assist her with a loss-of-earnings assessment and prescription cost refund sought our help early in the pandemic.

Checked and re-chequed

A woman contacted us after she missed several cheques from the province’s Assistive Devices Program (ADP), which she required to cover the cost of ostomy supplies. She explained that she had changed addresses several times. Our staff contacted ADP officials, who determined that two of the woman’s …
A woman contacted us after she missed several cheques from the province’s Assistive Devices Program (ADP), which she required to cover the cost of ostomy supplies.

Information, please

A woman who has several health issues and relies on Ontario Disability Support Program benefits complained to us that her request for coverage of her medications had been denied by the Ontario Drug Benefit program. She relied on food banks to eat so that she could purchase her medications as …
A woman who has several health issues and relies on Ontario Disability Support Program benefits complained to us that her request for coverage of her medications had been denied by the Ontario Drug Benefit program.

Healthy extension

A woman who had lived in Canada for 76 years sought our help when she attempted to renew her health card and discovered she did not have Canadian citizenship. She feared this would affect her health coverage, as she was told she would have to apply for a passport in her birth country and then apply …
A woman who had lived in Canada for 76 years sought our help when she attempted to renew her health card and discovered she did not have Canadian citizenship.

Keep on truckin’

A truck driver who crosses the Canada-U.S. border weekly as an essential worker complained to us that a ServiceOntario location would not let him in and demanded he self-isolate for 14 days because he had recently crossed the border. Our staff discovered that ServiceOntario had a COVID-19 screening …
A truck driver who crosses the Canada-U.S. border weekly as an essential worker complained to us that a ServiceOntario location would not let him in and demanded he self-isolate for 14 days because he had recently crossed the border.

Debt free

A man sought our help when he was contacted by a collections agency many years after receiving funding from Second Career – a program now operated by the Ministry of Labour, Training and Skills Development. He was told he had to repay the $28,000 he had received through the program – plus interest …
A man sought our help when he was contacted by a collections agency many years after receiving funding from Second Career – a program now operated by the Ministry of Labour, Training and Skills Development.

Sorry process

We have resolved several complaints over the past three years about the Ontario Immigrant Nominee Program (OINP), which nominates skilled immigrant workers for permanent residency. The Ministry took steps to address issues of poor customer service and delay in this program. It also worked with our …
We have resolved several complaints over the past three years about the Ontario Immigrant Nominee Program (OINP), which nominates skilled immigrant workers for permanent residency.

Wrongly charged

A patient contacted us after being told by their physician that a non-cosmetic dermatological treatment was not covered by OHIP, and could only be provided if the patient paid. We made inquiries with the Ministry, and confirmed that the treatment was in fact covered. The Ministry asked that the …
A patient contacted us after being told by their physician that a non-cosmetic dermatological treatment was not covered by OHIP, and could only be provided if the patient paid.

Insured in time

A cancer patient who had appealed OHIP’s decision to deny him coverage complained to us when he did not receive a response within the Ministry of Health’s posted deadline. He had been living overseas for several years and OHIP had denied him coverage because he lacked proof of residency in Ontario. …
A cancer patient who had appealed OHIP’s decision to deny him coverage complained to us when he did not receive a response within the Ministry of Health’s posted deadline.

Worth the trip

A woman sought our help after her application for an overnight accommodation allowance was denied by the Northern Health Travel Grant because she did not meet the minimum distance requirement. She said her health needs required an overnight stay, and she had been granted many other travel …
A woman sought our help after her application for an overnight accommodation allowance was denied by the Northern Health Travel Grant because she did not meet the minimum distance requirement.

Harsh choice

A provincial government employee complained to us that the practices of the Workplace Discrimination and Harassment Prevention Office (WDHP) were onerous and unfair. This office, part of the Ministry of Government and Consumer Services, investigates complaints of discrimination and harassment in …
A provincial government employee complained to us that the practices of the Workplace Discrimination and Harassment Prevention Office (WDHP) were onerous and unfair.

Uncovered

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, …
A concerned social worker at a psychiatric hospital asked us if we could help a patient whose OHIP coverage had been suddenly cancelled.

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 …
A transgender woman complained that the Ontario Health Insurance Plan (OHIP) had improperly refused her application for prior approval for breast reconstruction surgery.

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 …
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, …
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 …
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.

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. …
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 …
The Ministry of Health and Long-Term care restored funding for testicular prosthesis surgery for boys under 18.