You've confirmed your eligibility for OHIP (see Part 1 if you haven't). Now it's time to actually apply and get your health card. While the process is straightforward, knowing exactly what to expect can save you time, frustration, and potential rejection.
This comprehensive guide walks you through every step of the OHIP application process, from booking your appointment to receiving your health card in the mail.
Applying OHIP for Your Family
You can apply for multiple family members at once during the same ServiceOntario appointment.
For Your Spouse/Partner:
- Must meet the same eligibility requirements
- Needs their own set of three documents
- If a dependent on your work permit, bring both work permit and marriage certificate
For Children:
- Birth certificate (Canadian or foreign with translation)
- Immigration documents showing legal status
- Proof they reside with you at Ontario address
- Newborns: Complete Ontario Health Coverage Infant registration form
Each family member gets:
- Their own health card number
- Separate physical card
- Same coverage start date
What If Your Application Is Denied?
ServiceOntario can deny applications for several reasons:
Common Reasons for Denial:
- Insufficient documentation
- Not meeting residency requirements (haven't been in Ontario 153 of first 183 days)
- Ineligible immigration status
- Incomplete application form
- Discrepancies in provided information
What to Do:
- Ask for a written explanation of denial
- Address the specific issues raised
- Gather additional documentation
- Reapply once you meet requirements
- Consider requesting a review or appeal
Appeal Process:
- Request reconsideration within 30 days
- Provide additional supporting documentation
- May need to speak with a supervisor
- Legal aid clinics can help with complex cases
After You Get Your OHIP Card: Next Steps
Update Your Healthcare Providers:
- Give your OHIP number to your doctor's office
- Update pharmacy records
- Inform dentist (though dental isn't covered by OHIP)
Register for Online Services:
- Many hospitals offer patient portals
- View test results and appointment history
- Book virtual care appointments
Consider Supplementary Insurance:
- OHIP doesn't cover prescriptions, dental, vision
- Employer benefits plans (if available)
- Private insurance for coverage gaps
Get a Family Doctor:
- Register with Health Care Connect
- Ask friends and coworkers for referrals
- Contact local Community Health Centres
- Use walk-in clinics while waiting
Your Complete Application Checklist
Before Your Appointment:
- [ ] Confirm eligibility (see Part 1)
- [ ] Locate nearest ServiceOntario with health services
- [ ] Book appointment (if available)
- [ ] Gather three original documents
- [ ] Get translations if needed
- [ ] Download and complete application form
- [ ] Prepare documents for family members (if applicable)
At ServiceOntario:
- [ ] Bring all original documents
- [ ] Have completed application form
- [ ] Present documents to staff
- [ ] Have photo taken
- [ ] Receive temporary confirmation document
- [ ] Note your OHIP number and coverage start date
After Applying:
- [ ] Keep temporary document safe
- [ ] Wait 4-6 weeks for card
- [ ] Check mail regularly
- [ ] Activate card when received
- [ ] Register for family doctor
- [ ] Update healthcare providers
Need Health Coverage Right Away?
Remember, even with immediate OHIP coverage upon approval, there's still that 4-6 week processing period. During this time, you'll need alternative coverage.
Read Part 3 of this series to learn about the best private health insurance options for newcomers, including costs, coverage comparisons, and how to choose the right plan for your needs.
Find Your ServiceOntario | Download Application Form | Compare Temporary Insurance | Register for Health Care Connect
Key Takeaways
- OHIP applications must be done in person at ServiceOntario
- You need three separate original documents
- Your temporary confirmation document is valid proof of coverage
- Physical card arrives in 4-6 weeks
- Coverage begins immediately upon approval, not when card arrives
- There is no application fee
The application process is straightforward once you have the right documentation. Take your time gathering everything you need, and you'll walk out of ServiceOntario with coverage on the same day.
Read the Complete Series:
- Part 1: OHIP Wait Period : Does Ontario Still Have a 3-Month Wait?
- Part 2: How to Apply for OHIP: Complete Step-by-Step Guide (You Are Here)
- Part 3: Best Private Health Insurance While Waiting for OHIP Coverage


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