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Patient Registration Decision Tree

Health Card Validation Reference Manual

Payer Definitions

• OHCN: Ontario Health Insurance Plan (OHIP) is Ontario’s health care plan.
• REFUGEE HEALTH PLAN: Interim Federal Health Program (IFHP) provides limited, temporary coverage of health care benefits to resettled refugees, asylum claimants and certain other groups.
• UNIVERSITY HEALTH PLAN: University Health Insurance Plan (UHIP) is a primary healthcare plan for those studying and working at universities in Ontario.
• SK ONTARIO UNINSURED SELF-PAY: Ontario residents lacking OHIP, while both parent(s)/guardian(s) are Canadian citizens or Permanent Residents; pay out-of-pocket.
• HOME PROVINCE: Canadian residents living outside Ontario who hold a valid provincial/territorial health card billed via reciprocal agreement.
• SK OOP UNINSURED SELF-PAY: Canadian residents living outside Ontario without a valid provincial health card; pay out-of-pocket.
• SK IPP INSURANCE CAD: International or non-resident patients (e.g., visitors) with valid commercial/private health or travel insurance via the International Patient Portfolio.
• SK IPP SELF-PAY CAD: International or non-resident patients (e.g., visitors) without accepted coverage; pay out-of-pocket. Also acts as catchall out-of-pocket payer for any patient lacking active, verifiable public or private coverage (including failed OHIP validations, expired cards after grace periods, or uninsured visitors). Families can submit proof of retroactive OHIP to the Business Office for refunds.

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