Children's dental work covered by OHIP....?

My husband has dental coverage through his work benefits.. but someone at his work was telling him about some dental work for children under 6 years of age being covered by OHIP.





Is there anything to this or complete B.S.? And if it actually is legit then what sort of procedures are covered?

Children's dental work covered by OHIP....?
Most dental work is NOT covered by OHIP. There are some exceptions, eg cleft palate work. The age part does not come into account, you could be 6 or 50...it is dependant on the procedure.





Your best bet is to either call the Claims Dept at OHIP or your dentist should know if it is covered or not.





From the OHIP site:


Dental Services in Hospital :


The ministry pays for some dental surgery, when it is done in hospital. You must pay the cost of regular dental services in a dentist's office
Reply:Its not covered by OHIP, it is covered through public health in some jurisdictions -Toronto for example. I had to go through the approval process to get dental care for my toddler and trust me Toronto wouldn't pay for it if Ontario did.





However we have discovered they won't pay for cleanings (nice, really nice MORONS). And they have imposed an income requirement on it (whereas before it was honour system that the cost would cause you hardship. Obviously a $5,000 bill is going to be a hardship for more people than a $500 bill)





But recently my husband's coworker says someone contacts him through the school every time it is time for a routine cleaning and *that* is covered. So maybe cleanings with a hygenist are covered by someone. However as my son is under 3 he has to see a pediatric dentist. Actually because he is extremely phobic (the worst public health has seen -my son screams when I brush MY teeth). I have to see a sedative pediatric dentist *sigh*





Confused much?





I'll look for an actual OHIP source





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Aha here's the program CINOT which is provincial and yet you have to go through Toronto public health -oh how I love bureaucracy...





http://www.health.gov.on.ca/english/publ...


What is the CINOT Program?


CINOT was introduced to provide a public health "safety net" for elementary school children who have dental conditions needing urgent care. The CINOT program provides a basic level of dental care to eligible children. In 2006, over 30,800 children received help through the program.


Who is eligible?


To be eligible, children must meet three criteria :





1. Age and Grade - Children from birth to grade 8 or their 14th birthday, whichever is later;


2. Dental Conditions - Children who have identified dental conditions requring urgent care. While most children are identified through routine elementary school screening, parents may request that their child be screened by calling their local public health unit; and


3. Access - Children who have no access to dental insurance or any other government program (e.g. Federal Refugee Program, Ontario Works, Ontario Disability Support Program, or others) and the parent has signed a written declaration that the cost of the necessary dental treatment would result in financial hardship. Please note that parents may be asked to provide proof of financial hardship.





Is all dental treatment is covered by CINOT?


No, not all. CINOT covers a range of basic dental services. Sometimes, not all services recommended by a denist will be covered by CINOT (e.g, braces to straighten teeth.) Dentists will bill the parent for any services not covered by CINOT. Therefore, it is important that parents check with their dentist to determine if any services are NOT covered before their child starts treatment. All dentists receive a copy of the CINOT Schedule of Dental Services and Fees, so they can see what is covered. If they need clarification, they can call the local public health unit.











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Ok NOW I am getting pissed off. Apparently there are also "preventative clinics" which are separate from CINOT. I have found reference to TEN in toronto but can't seem to find you know like WHERE or PHONE numbers





http://www.york.ca/Services/Public+Healt...


Preventive Clinics





Preventive services are offered to children who through the Dental Screening program are identified as being likely to benefit from these services.





Preventive services that are provided to help improve oral health and prevent dental diseases include:





dental professionals with child


Preventive clinics are available on an appointment basis only.














* Cleaning (scaling %26amp; polishing) of teeth


* Oral hygiene instruction


* Topical fluoride applications


* Sealants (plastic coatings on the chewing surface of molars, which seal out decay)


* Services are available on an appointment basis only and are provided free of charge if families do not have insurance or dental coverage, and declare that the cost of treatment would create a financial hardship.


* Parental consent and a medical history are required.


* Preventive clinics are held in Health Services dental clinics in Newmarket, Richmond Hill and Markham, as well as some area schools.





http://www.toronto.ca/legdocs/1999/agend...


Former





Municipality


Clinical





Arrangements


East York





Etobicoke





North York





Scarborough





Toronto





York


One (1) community-based preventive clinic





One (1) community-based clinic





Approx. seventy (70) school-based clinics





One (1) community-based preventive clinic





Nine (9) community-based clinics





Two (2) school-based clinics








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Ok what I am reading now says CINOT does cover cleanings. *Sigh* I guess I have to call some people and yell.





Hope I've helped at all.