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Chiropractic Coverage

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Chiropractic and the Ontario Health Insurance Plan (OHIP)

After 30 years of funding chiropractic coverage, the provincial government of Ontario delisted chiropractic services from OHIP in 2004.

In advance of this decision, the OCA commissioned Deloitte & Touche Inc. to produce a high-level analysis of the impact delisting would have on the Ontario health care system.

The Deloitte Inc. report, released in September 2004, focused on delisting’s impact on:

  • Access — additional use and cost of physicians and emergency services
  • Quality of Care
  • Cost-effectiveness/Savings
  • Ministry of Health and Long-Term Care Transformation Agenda


Chiropractic after delisting

Most Extended Health Care plans cover chiropractic services and, since the Ontario government delisted chiropractic services from OHIP, EHC plans have become the primary source of third-party coverage for most patients.

As many as 7 out of every 10 Ontario residents have some form of Extended Health Care coverage,1 and EHC plans pay more than $26 billion in costs annually, making them the largest non-governmental payer in Canada’s health care industry.2

For those without extended health care coverage, however, chiropractic care can be more difficult to access. As an unintended consequence of the delisting of chiropractic in 2004, vulnerable populations, including seniors, the working poor and those receiving social assistance, have become least able to access chiropractic care. Ironically, these populations suffer the highest incidence of musculoskeletal problems, including back pain.

In an effort to improve access to chiropractic care for these vulnerable populations, the OCA has been consulting with government decision makers and has commissioned a report that outlines a range of funding options. To read more about the proposed funding options, please click the link at right.