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Canada's universal health plans do not cover certain services. Non-cosmetic dental care is covered for children up to age 14 in some provinces. Outpatient prescription drugs are not required to be covered, but some provinces have drug cost programs that cover most drug costs for certain populations.
the Trillium Drug Program covers households with high prescription drug costs. [4] as of 1 January 2018, prescription drugs for those under 25 years of age are covered by OHIP through OHIP+. [5] As of 1 April 2019, the Ontario government will no longer offer free prescriptions to children and young adults with private coverage. [6]
The extent of public financing varies considerably across services. For example, approximately 99% of physician services, and 90% of hospital care, are paid by publicly funded sources, whereas almost all dental care and most prescription drug cost are paid for privately.
Drug costs have increased substantially, rising nearly 60% from 1991 through 2005. Despite attempts to contain costs, overall health care expenditures rose to 10.7% of GDP in 2005, comparable to other western European nations, but substantially less than that spent in the U.S. (nearly 16% of GDP). [89]
The Canadian Dental Care Plan is a dental insurance program funded by the Government of Canada to provide dentistry services to uninsured Canadians that meet certain criteria. [1] It replaces a temporary dental benefit program established in 2022 for children under 12 who did not have dental insurance coverage, which was terminated in June 2024.
In 2022, however, the federal government announced the creation of a new Canada Dental Benefit which reimburses low- to middle-income parents up to $650 of dental fees per child. [79] This was a transitional policy on the way to universal, public coverage of dental care.