That Horrible Canadian Health Insurance System

by: Ian Welsh

Mon Oct 05, 2009 at 10:40


Went and renewed my Ontario Health Insurance Plan (OHIP) card today. Stepped into the OHIP office at 8:30, an office close enough to where I live that I could walk to it . A receptionist looked at my forms and documentation (a phone bill to show my address, my passport to show a signature with a picture, my old health card and a one page form.) She gave me a number, I sat down and was called less than 5 minutes later. The agent looked over my papers, chided me for not renewing it sooner, took a new picture of me, and gave me a letter to use along with my old health card so I can get care till I receive my new card in the mail.

Total elapsed time? Less than 15 minutes.

Now, to be fair, this is a lot better than experience with them in the early 2000's when I was upgraded from a non-picture card to a picture card. That experience was a nightmare-long lines, unclear instructions so that I had to come back a second time, and a hostile and overworked agent. But in general my experiences with the OHIP bureaucracy, including the time I moved provinces twice in less than six months, theoretically making me covered by neither province, have been nothing but positive. In the case where I was covered by no one, a manager quickly made the right decision: I had to be covered by someone, I was now living in Ontario, and therefore Ontario would cover me.

Simplicity is next to Godliness when it comes to bureaucracy, and from a patient's perspective, the Canadian health care system tends to be simplicity itself.

Ian Welsh :: That Horrible Canadian Health Insurance System

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It's even easier in Germany. (4.00 / 2)
When my old card is about to elapse, I get a new one by mail. If I lose it, I see my regional healthcare insurance office, and order a new one (I guess I could do this by phone or by mail, too, but I prefer personal contact to the nice ladies there). I don't need a picture for my card, there's only my name and birthdate on it, and code numbers identifing me and my insurer. Plus a chip so that the data is easily transferrable onto the digital forms.

Of course, the card is only "valid" in combination with my mandatory official ID card, which contains a picture. But since having at least a driver's license, or some other documentation with a personal picture, is increasingly becoming the standard in the US, too, I don't really see that as a serious infringement of my privacy or my rights as a citizen.


Our card (4.00 / 3)
is picture ID itself, so it works alone (for a long time, since I don't drive, I used my OHIP card as my primary picture ID, though you aren't supposed to).  We used to have non picture ID cards (which also worked alone) but concerns about fraud led to the new cards.  Old cards also never had to be replaced.  I miss the old cards...

[ Parent ]
Started on Medicare on Oct 1 (4.00 / 3)
Everything went very smoothly with the government run portion of Medicare. The customer service was extremely good and my request was processed quickly and I had my Medicare card weeks ago. The private insurance supplemental portion unfortunately did not go smoothly at all. Inefficient process, paperwork did not get to me in a timely manner and who knows when I will receive my card for the supplemental insurance. I have already rescheduled one doctor's appointment as a result.  

Ny brother is a naturalized Canadian. (4.00 / 3)
When he talks about Canadian healthcare, he gloats.The American discussion of healthcare questions is crippled by widespread gross ignorance and misinformation.

I think your systems have really improved. (4.00 / 1)
The above posters have done very well with their govt. systems.

Here were we don't have that system, I just stopped of at the clinic in Wal-Mart got a free flu shot and btw, picked up a 3 month supply of drugs for $11.00


Conservative......CNN news:Nopenhagen: US PRES 2 WKS LATE ATTEND 1 DAY, GORE JOURNEY BY TRAIN.


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