Understanding the Extended Health Benefit Under ODSP: What You Need to Know for Your Health Coverage
- Hibaq A
- Aug 18
- 3 min read
The Ontario Disability Support Program (ODSP) provides essential support for individuals with disabilities, ensuring they have access to necessary resources. A crucial part of this program is the Extended Health Benefit (EHB), which helps maintain health coverage for eligible individuals even when their income exceeds ODSP financial limits. In this post, we will explore EHB, its eligibility criteria, and the wide range of benefits it covers.
What is the Extended Health Benefit (EHB)?
The Extended Health Benefit (EHB) supports individuals with disabilities by providing health coverage when their income surpasses ODSP limits. For example, many people may find they earn extra income through part-time work or other sources. With EHB, they can still access essential health services such as prescription drugs, dental care, and vision services without worrying about losing financial assistance.
Who is Eligible for EHB?
Eligibility for the EHB is determined by specific criteria within four groups:
High Health Costs: If your chargeable income is higher than your budgetary requirements, but you face significant health costs, you may qualify for EHB.
Family Benefits Program Participants: Individuals who received EHB under the Family Benefits program in 1998 due to CPP-D or QPP-D income are eligible.
Hepatitis C Settlement Payments Recipients: If your income exceeds limits because of Hepatitis C Settlement payments and you were on social assistance as of April 1, 1999, you may qualify for EHB.
Better Jobs Ontario Participants: Beneficiaries who exit ODSP and are receiving the Basic Living Allowance from the Better Jobs Ontario training program can access EHB.
Identifying your eligibility group is essential for understanding your EHB options.
What Benefits Does EHB Provide?
The EHB covers various important health-related expenses, ensuring you can access necessary medical support. Here are some key benefits:
Prescription Drug Coverage: This includes vital medications that individuals with chronic conditions rely on.
Dental Coverage: Access to essential dental services helps prevent serious oral health issues, with routine cleanings and necessary surgeries covered.
Vision Care: Individuals can get eye exams and support for glasses or contact lenses. Research indicates that individuals with access to regular vision care have improved work and school performance.
Hearing Aids: This support is vital for individuals with hearing impairments to maintain communication and quality of life.
Mobility Device Repairs: Regular maintenance for wheelchairs or scooters ensures mobility and independence.
Incontinence Supplies: Coverage for necessary incontinence items enhances comfort and dignity.
Diabetic Supplies: This includes crucial supplies for managing blood sugar levels effectively.
Assistive Devices Program (ADP): The program provides co-payments and assessments for various assistive devices, which can significantly improve daily functioning.
Remember, those receiving EHB are not eligible for other ODSP benefits like the Employment and Training Start-Up Benefit or upfront childcare costs.
How is EHB Eligibility Assessed?
The assessment for EHB eligibility compares your health-related expenses against the amount by which your income exceeds ODSP limits. It is vital to report your income accurately. For instance, only your personal income counts, while private or other government-covered costs are excluded. If you do not qualify for EHB, you may still be eligible for the Transitional Health Benefit, offering temporary health coverage.
Final Thoughts
The Extended Health Benefit under the Ontario Disability Support Program is a vital resource for individuals with disabilities. It ensures you can maintain access to essential health services even when your income increases. Understanding the eligibility criteria and the comprehensive benefits available allows you to make informed decisions about your health coverage. If you are pursuing employment or training opportunities, keeping in mind the support of EHB will help you focus on your goals while keeping your health needs addressed.
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