Understanding Extended Health Benefits Under ODSP: Who Is Eligible and What Is Covered
- Hibaq A
- Dec 11, 2025
- 2 min read
Navigating the world of health benefits can be daunting, especially for those facing financial challenges. Extended Health Benefits (EHB) under the Ontario Disability Support Program (ODSP) aim to cushion the blow of health expenses. If you’re wondering who qualifies for these benefits and what they specifically cover, you've come to the right place. This post breaks down eligibility criteria and available services to help you better understand your options.
Who Is Eligible for Extended Health Benefits?
EHB is available to four key groups of individuals:
ODSP Recipients with Higher Health Costs: If you're receiving ODSP and your health-related expenses are higher than your income over budgetary limits, you may qualify for EHB.
Former EHB Recipients: If you were receiving EHB under section 15(4) of the Family Benefits General Regulation as of May 31, 1998, you might still qualify. This applies if you now receive income from a disability benefit under the Canada Pension Plan (CPP) or the Quebec Pension Plan (QPP) but still exceed the budget limits. These benefits can provide essential coverage to manage ongoing healthcare needs.
Individuals Affected by Hepatitis C Settlement: If your income exceeds budgetary limits due to support payments from the Hepatitis C Settlement Agreement (1986-1990), you could be eligible for EHB.
Participants in the Better Jobs Ontario Program: If you participated in MLITSD's Better Jobs Ontario program and have transitioned out of ODSP due to earned income from this program, you can regain access to EHB. This program aims to help individuals improve their employment status while providing necessary health coverage.
What Does Extended Health Benefits Cover?
EHB includes a range of crucial health services and products designed to support individuals in managing their health. Specifically, benefits entail:
Prescribed Drugs: Coverage extends to prescribed medications listed under the Ontario Drug Benefit (ODB) Plan.
Dental, Vision, and Hearing Benefits: Comprehensive coverage for dental services, vision care, and hearing aids. Children aged 17 and under receive dental care through the Healthy Smiles Ontario program.
Mandatory Special Necessities (MSN): This includes vital supplies such as diabetic testing strips, surgical dressings, incontinence supplies, and medical transportation costs.
Assistive Devices Program (ADP): This covers consumer co-payments for assistive devices along with assessments required to determine eligibility.
Periodic Eye Exams: Coverage allows for regular eye check-ups, which are crucial for early detection of eye diseases.
Mobility Device Support: Financial assistance is available for batteries and repairs for mobility devices. This support helps maintain independence for many users.
The Importance of Understanding EHB
Grasping the intricacies of Extended Health Benefits under ODSP is essential for those who may qualify. These benefits not only alleviate financial stress but also guarantee access to vital health services. If you or someone you know might be eligible for EHB, it is critical to investigate these options thoroughly. Taking full advantage of available support can lead to better health management and overall improvement in quality of life. Stay informed, and do not hesitate to reach out for help.
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