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OMSIP enrollment period extended to May 16th Ontario Health Minister Dr. M. B. Dymond has announced that residents of the Province may still receive full Ontario Medical Services Insurance Plan coverage and benefits by July 1st providing they enroll in the Plan before May 16th. "The Plan is a success," declared the Minister. 'The number of applications received already cover more than 1,100,000 of our citizens." Dr. Dymond added, however, that a large number of residents had indicated they would join OMSIP but for a variety of reasons had been unable to send in their application in time. The OMSIP open enrollment period has therefore been extended by two weeks in order that these persons may qualify for coverage from the day the Plan goes into effect on July Ist. "The May 16th deadline is final," added the deadline cannot be extended any further because it takes time to process such a flood of.applications even with the most modern equipment available." The extension of the open enrollment period means that those residents who have already enrolled, and those who enroll before May 16th, will be protected by OMSIP, beginning July 1st. Ontario residents who enroll after May 16th will have to undergo a minimum three month waiting period before they are entitled to OMSIP coverage and benefits, said Dr. Dymond. minister. "This enrollment OMSIP head office ts located at 135 St. Clair West, Toronto. Applications . OE LAA INA ia eae as. THE COHAWA. TAS, Prin, Mey 6, 7966 11 20 thods and OMI 4 4 are y being p by micre-photo 'P Notification of acceptance te be sent out shortly People who have already en- rolled in OMSIP need not apply a second time. Dr. Dymond stated that their applications are now being processed, and their notification will arrive in the mail very soon, The second enrollment period (deadline May 16th) is for people who missed the first deadline. OMSIP PROVIDES COVERAGE REGARDLESS OF AGE, INCOME, OR HEALTH OMSIP has been established to provide adequate insur- ance coverage for the pay- ment of doctors' bills, and to make this coverage available to all Ontario residents re- gardiess of their age, income, or state of health. Enrollment in OMSIP is voluntary. The Plan is intended for individuals and their families and does te provide group . (Group coverage is wee 6 number of indivi- duals collectively purchase insurance through their place of employment, union, etc.) Everyone who has lived in Ontario for the past 8 months is eligible to join, except those who are entitled to physicians' services under another Act. Members are free to choose their own doctor. If a member travels outside the province, and requires care, OMSIP will still pay the doctors' bills up to OMSIP established rates. People who find they can- not continue to pay for all or part of their OMSIP eon- tract because of unemploy- ment, illness or disability, may apply for temporary as- sistance in paying their fees. OMSIP BENEFITS OMSIP provides practically all physicians' services as benefits including: @ Dector visits in the home, office or hospital. @ Diagnosis and treatment of illnesses and injuries. @ Diagnosis, pre-operation care and treatment, surgery and posi-operation care. @ Obstetrical care, including pre-natal and post- natal care effective from the date of enrollment. @ Anaesthesia and X-rays for diagnostic, surgical and other procedures. @ Treatment of fractures and dislocations. @ Certified specialist services at established rates when you are referred to the specialist by your doctor. @ Certain dental surgical services performed in @ hospital. Payment system is flexible Doctors' bills are paid for you by OMSIP in either of two ways. Your doctor may submit his bill directly to OMSIP. This is the most convenient method for everyone and it is hoped most doctors will use it. Or your doctor may prefer to bill you directly. In this case, two courses of action are open to you. You may pay the bill and submit the receipted account to OMSIP, or you may sub- mit the account to OMSIP prior to paying the doctor. In either situation when the doctor bills you directly, you will be paid the amount of the established OMSIP rates. These rates are based on 90% of the current sched- ule of fees listed and pre- pared by the Ontario Medi- cal Association. Legislation epproving the Ontario Medica! Services Insurance Plon-- OMSIP for short--weas passed in the Ontario Legislature on Feb. 18th of this year. Coverage commenced April Ist for social assistance recipients. Coverage will begin July Ist for those who have olready enrolled, or who enroll now before May 16th. OLD AGE PENSIONERS Many old age pensioners have automatically been enrolled in OMSIP but most must fill in and submit an application. Those who will get automatic coverage are pen- sioners who are P gong A receiving benefit under the Ontario Old Age Assistance Act, or those pensioners who have been declared eligible for coverage by the Ontario Department of Welfare. These pensioners have already received their OMSIP registration cards. All other pensioners must complete and submit an application to receive OMSIP coverage. If you have not received an OMSIP registration card, or have not already sent in an application form, you must apply before May 16th for coverage when the Plan starts on July 1st. Since the aim of OMSIP leg- islation is to provide ade- uate medical insurance for ntario residents, full or par- tial premium assistance is available for those who re- quire it. Automatic fully-paid coverage Many residents and their dependants have automatic- ally received fully paid coverage under OMSIP. These are people who are already receiving benefits under the following Acts: © The Blind Persons' Allowances Act © The Disabled Persons' Allowances Act © The General Welfare Assistance Act The Mothers' Allowances Act The Old Age Assistance Act The Rehabilitation Services Act Automatie fully-paid cover- age is also provided for old age security pensioners and their dependants declared el- igible for coverage by the Ontario Department of Public Welfare. Many qualify for full or partial assistance Fully-paid coverage on application People resident in Ontario for the past 12 months and who had no taxable income in 1965 get full assistance. This means if these people make out their application form now, before May 16th, they will get OMSIP pro- tection, fully paid for by the hy la starting this uly Ist. In addition, many who have been resident in Ontario for the past 12 months will be ' eligible for ial assistance, depending on their taxable income and number of de- pendants. (See below). Yes, if you are a single person and your taxable income in 1965 was $500 or less. Complete cost..... $60.00 Government pays.. 30.00 You pay 30.00 ($7.50 every 3 months) Yes, if you have one depen- dant, and if together your total taxable income in 1965 was $1,000 or less. Complete cost... . $120.00 Government pays. 60.00 You pay "60.00 ($15.00 every 3 months) What is taxable income? DO YOU QUALIFY FOR PARTIAL ASSISTANCE ? Yes, if you have a family of 3 or more, and if your family's total taxable income in 1965 was $1,300 or less. omplete cost... .$150.00 overnment pays. 90.00 You pay 60.08 ($15.00 every 3 months) Taxable income is the amount of your income upon which you pay tax after exemptions for dependants and other allowances have been - deducted. APPLICATION FORM ONTARIO MEDICAL SERVICES INSURANCE PLAN PLEASE READ INSTRUCTIONS BELOW BEFORE COMPLETING APPLICATION FOR PREMIUM ASSISTANCE 1, Do you have a Social pala" | if yes, insert \ Social insurance Number No O |» For office use only 2. Your Name * Please print Last or Family Name iven Names (First) (Second) this application. 4. Your Address Please print RR # or P.O, Box or Street & Number City or Town or Village or Post Office County or District Month | Year Day 5. Birth Date 6. o a] Male Female Bex 7. Marital Status «6 & Nature of B Oo 0 Single Married Other (specify) or Industry 9. LIS Other end fully children must apply for separate coverage. 11, | have lived In Ontario for the past 12'months. | am not covered for total medical care by government. | agree to aliow the Medical Services Irisurance ot Division to verify all statements made by me on (SIGN A OR B ONLY) A. NO TAXABLE INCOME | hereby apply for full premium assistance | and my eligible dependants had no taxable In- come for the 12 months ended December Sist last. | state that the information given by me Is correct. IEPENDANTS Spouse and/or children (children must be under 21 and Birth Date Month NOTE: OMSIP will not pay for the cost of hospitaliza- i tien. OMSIP is an additional service, not a substitute DED DROS ONY tae for Ontario Hospital Insurance. You will still require Birth Date Month Sex Given Names Only MorF Day 3rd child Signature of Applicant Date : 19 coverage by Hospital Insurance. Spouse 1st child 4th child (oldest eligible) . TAXABLE INCOME OF $1,300.00 OR LESS | hereby apply for partial premium assistance 2nd child 8th child FORM HERE'S YOUR APPLICATION PLEASE USE BALL POINT PEN ONLY. CUT OUT FORM CAREFULLY, MAIL TODAY! M required, additional application forms are available from aay bank, or from OMSIP, 135 St. Clair Ave., West, Toronte 7. My taxable Income and the taxable income of my ligible dependants was In total $ for 10. In applying for coverage under The Ontario Medical Services Insurance List additional dependant children A in space provided be the 12 months ended December 3ist last. ct, 1965, | confirm that | have lived in Ontario for the past 90 days, 1 am not covered for total medical care by government and that the information given by me is correct. For office use only Date. | eae Signature of Applicant | state that the Information given by me Is correct. Signature of Applicant Date 19 INSTRUCTIONS 1. If you have a Social Insurance Number-write It in the squares provided starting with the first number in the first square. If you do not have a number, place av mark in the square marked NO, 2. Print your last or Family Name in the box. (Example: Smith, Jones, Brown, etc.). 3. Print your first and second Given Names in the boxes, (Example: John, Harry, Mary, etc.). If you have a nickname or are commonly known by another name for mailing purposes, please Indicate in the box 9. Print the first names of your wife or husband (spouse) In the first box. Then print the first names of all your eligible dependant children, starting with the oldest, In the following boxes. If you have more than five eligible dependant children continue your list in the section on this side of the form. if you have more than 10 eligible dependant children, list them separately and return with your application form. Under BIRTH DATE, write the number of the day of birth, print the month and write the number of the year of birth. (Example: 18 Sept. 1954), Under SEX; write M if the child Is male, F if the child is female. . Sign your name on the line marked SIGNATURE OF APPLICANT and OMSIP IS VOLUNTARY -- APPLICATION IS NECESSARY OMSIP is a voluntary plan and you can cancel your membership at any time. The government, however, ean only cancel memberships in the case of misrepresenta- tion, misuse of services, non- payment of premiums, or 3 months after a member has ceased to be a resident of Ontario. If you fill out this appli- cation and mail it now, you will be eligible for OMSIP- coverage beginning July 1st. Otherwise you will have to wait a minimum of 3 months for your coverage to begin. Since these applications have to be recorded with a micro-photo machine, please print carefully and plainly with a ball point pen only, write In the date and year. IF YOU ARE APPLYING FOR PREMIUM ASSISTANCE Village Post Office in the next box; and your Read this section very carefully and complete either the section marked County or District in the last box. 'A' or the one marked 'B' (not both). . Write the number of the day on which you were born . R ber, if you receive benefits under any of the Acts listed under In the box marked DAY. Print the name of the month Fa) In the folder entitled "omsip... wHaTIT MEANS AND WHATIT CAN DO FOR YOU", (or its abbreviation) in the box marked MONTH, you should not complete an application form. You will be provided marked OTHER. : . Print your address in the first box; your City, Town, PARTIALLY ASSISTED PREMIUMS Cost for those eligible for premium assistance Complete Government You Cost Pays Pay (a) The single person .......sssesees seer 00.00 $30.00 $30.00 (covering only the member) (37.50 with a taxable income in 1965 8 of $500 or less (b) The family of two ...,.0.-eeseeee o0000$120.00 (covering the head of the family and-one eligible dependant) with a total taxable income in 1968 of $1,000 or less (c) The family of three or more.......+.. $180.00 (covering the head of the family and all eligible dependants) with a total taxable income in 1968 of $1,300 or less FULL PREMIUMS $60.00 $80.00 (315.00 3 months) $60.00 (315.00 8 montha) Write the number of the year in the box marked automatically with fully pald coverage. ® YEAR (Example: 9 Feb. 1927). « Men should place a +/ mark in the box marked MALE, ; Women should place a / mark in the box marked gt Nl ae FEMALE. . If you are single place a +/ mark In the box marked SINGLE. If you are married place av/ mark inthe box marked MARRIED. If your status is other than single or married (Example: separated, divorced or widow- ed) write your status on the line marked OTHER. . Write your occupation and the kind of business or ADDITIONAL DEPENDANTS | pa Year Cost for those not eligible for premium assistance cost (a) The single person ....ss+rsevesceesscncsesecess $00.00 8 year (covering only the member' ($15.00 every 8 months) (b) The family of two seveceseceesces+$120,00 8 year (covering the head of the family ($30.00 every 3 months) and one eligible dependant) (c) The family of three or more,......0s seeeveeeeeess $190.00 8 year (covering the head of the family ($37.50 every 3 months) and all eligible dependants) =e industry in which you work (Example: Carpenter-- Building Trade; Farmer--Agriculture; Salesman-- FOR ADDITIONAL CHILDREN ATTACH A SEPARATE SHEET igiiteevsie-*a gn oh srs Bin. angie, a Ss, cial ah reer LG Gk So ee ee SEND YOUR COMPLETED APPLICATION FORM TQg OMSIP, P.O. Box 1700, Terminal A, Toronto, Ontario. atl