Navigating OHIP coverage for hearing aids and understanding what the policy encompasses, particularly for important auditory devices, is pivotal.

Explaining the Ontario Health Insurance Plan (OHIP) in Relation to Your Hearing Care

by | Oct 17, 2023 | Insurance, Patient Resources

At York Hearing Clinic, nestled in the heart of Newmarket and Aurora, it’s our mission not just to assist you in experiencing better hearing, but also to guide you in deciphering the often intricate world of hearing care insurance – namely the Ontario Health Insurance Plan (OHIP) and its coverage for hearing care devices.

Utilizing OHIP in Your Hearing Health Journey

Navigating OHIP coverage for hearing aids and understanding what the policy encompasses, particularly for important auditory devices, is pivotal. So, who exactly qualifies, and what is the role of OHIP’s Assistive Devices Program (ADP) on the pathway to hearing clarity?

To glean the benefits of OHIP’s ADP, you must:


Reside in Ontario


Possess a valid Ontario health card


Have been diagnosed with a disability necessitating a hearing device for a duration of six months or longer

It’s vital to underscore that one’s income does not factor into the qualification criteria. However, certain conditions render an individual ineligible, such as if financial support for the same auditory device is already being received from the Workplace Safety and Insurance Board or from Veterans Affairs Canada for Group “A” veterans.

The Support of ADP in Auditory Wellness

The ADP assists in mitigating the financial investment of various hearing devices for those who meet the eligibility criteria. Amongst the devices that find themselves enveloped within the coverage are:


Hearing aids and FM systems


Replacement speech processors for cochlear implants


BAHA (Bone-anchored hearing aid) replacement sound processors


Teletypewriters (TTY) for the deaf or speech-impaired

In the realm of hearing aids and FM systems, a noteworthy point is that ADP assists in covering the costs of diverse types of aids, including those residing completely in the ear canal, partially in the ear canal, in the ear, and behind the ear, with an additional coverage extension to FM systems.

The Finance: Understanding Amounts Covered

For qualifying individuals, and upon the approval of the application, OHIP’s ADP graciously covers 75 percent of the costs, offering a significant financial cushion in acquiring the device you need. A breakdown of this coverage translates to:


Up to a maximum of $500 for each type of hearing aid


Up to a maximum of $1,350 for FM systems

This leaves the remaining 25 percent to be shouldered by the individual.

Navigating Through the Application Process With York Hearing Clinic

With the backdrop of OHIP’s coverage and the multitude of devices available, the journey may still present nuances that can be difficult to navigate. Whether it’s answering questions like “Is a hearing test covered by OHIP?” or understanding the specific functionalities of different hearing aids, the path might initially appear overwhelming.

To answer that last question – hearing tests unfortunately aren’t covered by OHIP, with the exception of those conducted at ENT (ear, nose, and throat) clinics.

Those with questions need a guide, and that’s where York Hearing Clinic steps in as your maestro, navigating through the sometimes complex world of auditory care.

Conducting a Journey in Hearing Care

As a pioneering force in auditory care, York Hearing Clinic not only furnishes you with state-of-the-art technology and personalized care but also cultivates a sanctuary where each individual is met with empathetic understanding.

After all, when it comes to deciphering intricate topics like OHIP hearing aid coverage or understanding the nuances between different types of hearing aids and their technological capabilities, you want a seasoned guide who speaks in a language that resonates with clarity and ease.

Senior Citizens and OHIP

A focal point in our auditory journey often rests on our esteemed senior citizens. Questions often arise such as “Does OHIP pay for hearing tests for seniors?”

The ADP does provide a beacon of financial ease for senior citizens and others who qualify, assisting in cushioning the investment required for such crucial auditory devices, and thereby enriching their quality of life. However, it is paramount to explore and understand the application process, eligibility, and strategic planning in device acquisition and care.

Your Auditory Journey, Our Expertise

At York Hearing Clinic, your questions, whether centred around OHIP hearing test coverage or specific aid functionalities, are met with nuanced, detailed, and transparent answers, ensuring that the auditory path you tread is clear, confident, and enriched with informed choices.

From the first contact to ongoing care, we aim to become a trusted companion in your auditory journey. With clinics in Newmarket and Aurora, the idea of better hearing and a better life is not just a slogan but a reality we strive to co-create with you.

Hear, There and Everywhere

We extend an invitation to dive deeper, explore, and unravel the world of auditory wellness with us. Navigating through the intricacies of OHIP, understanding your specific coverage, and ensuring that every bit of financial assistance is utilized are just a few of the things we at York Hearing Clinic are here to help with.

From navigating through your questions to understanding the depths of hearing aid technologies available, York Hearing Clinic is your compass, ensuring that every step taken is a step towards better hearing and a vibrant life.

Connect with us at our Newmarket office at (905) 953-9991 or at our Aurora office at (905) 841-2850, and let’s tackle the next chapter of your auditory journey together!

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Mike Foulis, HIS

Born and raised in Newmarket, Mike opened York Hearing Clinic in 2011. His passion is helping people achieve better hearing through a personal approach to hearing care and finding the best technology for their needs. Mike is a Registered member of the Association of Hearing Instrument Practitioners of Ontario (AHIP) and a registered Hearing Aid Authorizer & Dispenser with the Ministry of Health and Long-Term Care Assistive Devices Program (ADP).