OHIP coverage
What OHIP covers, and what it doesn’t
Most of the pain procedures we do in this clinic are covered by OHIP for Ontario residents with a valid health card. A handful of elective options — hyaluronic acid (HA) injections, platelet-rich plasma (PRP), and Botox for non-OHIP indications — are out-of-pocket. The table below shows which is which, treatment by treatment.
| Treatment | OHIP coverage | Notes |
|---|---|---|
| Covered by OHIP (13 procedures) | ||
| Peripheral Nerve Block Injection | ✓ OHIP-covered | Treats: occipital neuralgia · cervicogenic headache · chronic migraine |
| Cervical Epidural Injection | ✓ OHIP-covered | Treats: cervical radiculopathy · cervical disc herniation · cervical spinal stenosis |
| Cervical Facet Joint Injection | ✓ OHIP-covered | Treats: cervical facet syndrome · cervical facet arthropathy · post-whiplash neck pain |
| Cervical Medial Branch Block | ✓ OHIP-covered | Treats: cervical facet syndrome · post-whiplash neck pain · axial neck pain |
| Radiofrequency Ablation | ✓ OHIP-covered | Treats: chronic facet-joint pain · post-whiplash facet pain · post-laminectomy axial pain |
| Trigger Point Injection | ✓ OHIP-covered | Treats: myofascial pain syndrome · tension-type headache · post-postural muscle spasm |
| Cortisone Joint Injection | ✓ OHIP-covered | Treats: osteoarthritis (any joint) · bursitis · tendinitis |
| Facet Joint Injection | ✓ OHIP-covered | Treats: facet arthropathy · post-whiplash facet pain · axial spine pain |
| Interlaminar Epidural Steroid Injection | ✓ OHIP-covered | Treats: cervical radiculopathy · sciatica · lumbar radiculopathy |
| Medial Branch Block | ✓ OHIP-covered | Treats: cervical facet syndrome · thoracic facet pain · lumbar facet arthropathy |
| Transforaminal Epidural Steroid Injection | ✓ OHIP-covered | Treats: single-level radiculopathy · foraminal stenosis · disc herniation with nerve compression |
| Sacroiliac (SI) Joint Injection | ✓ OHIP-covered | Treats: sacroiliac joint dysfunction · sacroiliitis · SI joint pain |
| Hip Joint Injection | ✓ OHIP-covered | Treats: hip arthritis · hip osteoarthritis · labral tears (diagnostic) |
| Not covered — out-of-pocket (11 procedures) | ||
| Botox Injection for Pain | ⓘ Not covered | Treats: chronic migraine (≥15 days/month) · cervical dystonia · post-traumatic headache |
| Bone Marrow Aspirate Concentrate (BMAC) Injection | ⓘ Not covered | Treats: knee osteoarthritis · hip osteoarthritis · rotator cuff tendinopathy |
| Platelet Lysate Injection | ⓘ Not covered | Treats: chronic tendinopathy · nerve irritation · epidural/perineural pain |
| Platelet Rich Plasma (PRP) Injection | ⓘ Not covered | Treats: tennis elbow · golfer's elbow · rotator cuff tendinopathy |
| Hyaluronic Acid Injection | ⓘ Not covered | Treats: knee osteoarthritis · hip osteoarthritis · shoulder osteoarthritis |
| Platelet Rich Plasma (PRP) — Shoulder | ⓘ Not covered | Treats: rotator cuff tendinopathy · partial rotator cuff tears · chronic shoulder tendon pain |
| Platelet Rich Plasma (PRP) — Elbow | ⓘ Not covered | Treats: tennis elbow · golfer's elbow · lateral epicondylitis |
| Platelet Rich Plasma (PRP) — Hand & Wrist | ⓘ Not covered | Treats: thumb base osteoarthritis · CMC joint arthritis · wrist tendinopathy |
| Platelet Rich Plasma (PRP) — Hip | ⓘ Not covered | Treats: hip osteoarthritis · gluteal tendinopathy · greater trochanteric pain syndrome |
| Platelet Rich Plasma (PRP) — Knee | ⓘ Not covered | Treats: knee osteoarthritis · patellar tendinopathy · patellofemoral pain |
| Platelet Rich Plasma (PRP) — Foot & Ankle | ⓘ Not covered | Treats: plantar fasciitis · Achilles tendinopathy · chronic foot and ankle tendon pain |
What you’ll need to bring
- Your valid Ontario health card (OHIP).
- A list of your current medications, including doses.
- Any imaging reports you have — MRI, CT, X-ray, ultrasound.
- A referral form from your family doctor — see our referral page for the form they can fax.
What if I don’t have OHIP?
In some cases we can bill a third party directly — for example WSIB claims or motor vehicle insurance after a collision. For procedures OHIP does not cover, or if you are visiting from outside Ontario, you can pay for the visit yourself. Call the clinic before booking and we will walk through the options with you.
Still have questions?
We are happy to talk through what is and is not covered for your specific situation before you book.