ODSP Dental, Vision Care & Prescription Drug Coverage

Mandatory Health Benefits Overview

Every person on ODSP (and their covered spouse/dependents) automatically receives comprehensive health benefits designed to cover essential medical expenses.

1. Prescription Drug Coverage (ODB)

• Coverage: Prescriptions listed on the Ontario Drug Benefit (ODB) Formulary are 100% covered.
• Co-payment: ODSP recipients pay $0 co-payment per prescription (the standard $2 ODB fee is waived for social assistance).
• Exceptional Access Program (EAP): If you require a medication not on the standard formulary, your doctor can submit an EAP request to the Ministry for special coverage.

2. Dental Coverage

• Basic Dental Services: Examinations, cleanings, fillings, extractions, root canals, and emergency dental care are covered under the ODSP Dental Schedule.
• Dependent Children: Children under 18 receive comprehensive care through Healthy Smiles Ontario (HSO).
• Dentures: Denture replacement and repairs are partially or fully covered with pre-approval.

3. Vision Care Benefits

• Eye Examinations: Routine eye exams are covered once every 24 months for adults (annually for youth and seniors).
• Eyeglasses: Basic frames and lenses are covered every 3 years (or sooner if your prescription changes significantly).
• Repairs: Repairs to broken frames or lenses are covered.

Always present your monthly ODSP Stub or digital MyBenefits health card to the dental clinic or pharmacy before receiving treatment to ensure direct billing.

Dental Office Tip