Types of Coverage in Ontario
1. Private Insurance; Employment
2. FNIHB; Status Card; Band; Nation
3. Ontario Health Insurance Plan (OHIP); Health Card
4. Veterans Affairs Canada (VAC)
5. Social Services; Ontario Works & Disability
6. Government Funded Programs (LHIN)
7. Family Health Teams
1) Private Insurance; Employment - If you have extended health benefits you may be covered for routine foot care, please contact your insurance provider regarding details.
2) FNIHB Non–Insured Health Benefits First Nations, supported by AFN, assert that health benefits are an inherent Indigenous and Treaty Right and are constitutionally protected.
Health services are to be comprehensive, accessible, fully portable and timely. FNIHB provides funding for Orthotics and Orthopedic shoes through a prior approval program. This program is set up where orthotic centres can register with FNIHB, they are then recognized as an approved centre to provide orthopedic wear to First Nations and Inuit people with foot abnormalities. To receive orthotics or orthopedic shoes, a prescription must be written by your family doctor stating the reason why, and handed into the registered orthotic centre. For more information, and to find a registered orthotic centre near you, please call the toll free number below.
Coverage Includes: Dental, Drugs, Eye and Vision Care, Medical Transportation, Medical Supplies & Equipment, Crisis Counselling, Orthotics; Orthopedic Shoes (1 pair every 2 years)
For More Information: First Nations Inuit Health Branch, Ontario—1 800 640 0642 Non Insured Health Benefits– Health Canada—1-866-225-0644, 1-613-957-2991
3)OHIP (Ontario Health Insurance Plan)- does not cover routine foot care or orthotics. Some Podiatrists are able to partially bill OHIP for routine foot care. More information can be found here https://www.ontario.ca/page/what-ohip-covers#section-6
4) Veterans Affairs Canada (VAC) Services: Some Veterans can receive routine foot care. There is a wide variety of services for Veterans and their families. These programs are to assist you after an injury or during the transition from military to civilian life, and many other services to help you and your family throughout your life.
For terms and conditions of coverage, as well as detailed information regarding the benefits provided, please call Sun Life, toll-free, at 1-888- 757-7427 or visit the Sunlife website Sun Life Financial: www.sunlife.ca/PSHCP or the Public Service Health Care Plan main page: http://www.pshcp.ca.
VAC contact: http://www.veterans.gc.ca/eng 1-866-522-2122 Monday to Friday, 8:30 to 4:30
5) Social Services; Ontario Works & Disability - Services Individuals from low income households can also access special funding assistance for foot care and diabetes related need through local social services.
These programs include, Ontario Works- (905) 734-1483, (800) 728-4920 Ontario Disability Support Program- (905) 688-3022
Coverage Includes: Diabetes Supplies, Travel and Transportation
Discretionary coverage may include special diet supplies, prescription orthotics and socks. Not routine foot care.
Contact Information: If you have low income and do not have a worker, contact your local social service department and inquire about discretionary assistance and diabetes. If you have a case worker, you must identify your diabetes and needs to your worker. You can also contact your local IDHC Family Wellness Worker for a referral. Ministry of Community and Social Services http://www.mcss.gov.on.ca/en/mcss/index.aspx
General Inquiry: 416-325-5666 Toll Free: 1-888-789-4199
Mailing Address: Ministry of Community and Social Services 80 Grosvenor St Hepburn Block 6th Floor Toronto ON M7A 1E9
6) Government funded diabetic foot care program (LHIN)
Feet first steps for Health are a Hamilton, Niagara, Haldimand, Brant, Local Health Integration Network (LHIN) funded program that covers the entire Hamilton and Niagara region. The program provides assessments, consultation and treatment to people with diabetes and other barriers to health at no cost to eligible clients. These services are provided by Registered Chiropodists (licensed foot and ankle specialists) and Nurses.
The foot care program is for diabetic clients who have risk factors such as peripheral neuropathy, decreased sensation, foot deformities, evidence of peripheral vascular disease, boney prominences, plantar callus, absent pedal pulses and have barriers (e.g. income, language, no private insurance) to using existing services then you may be eligible for the program.
For more information:
For more information, please contact the Feet First team at (905) 523-0090
7) Family Health Teams- Some family health teams have funding for foot care. Please check with your family doctor if they offer foot care services.