How the Healthcare System Works in Ontario

Featured and other images sourced from Pexels

When I first moved to Ontario, one of the biggest challenges I faced was understanding how the healthcare system works in Canada. Back in my home country, I could easily call and book an appointment directly with a doctor or specialist. In Ontario, the process is different, and it took me some time (and patience) to figure it out.

If you are new to Ontario and trying to learn how to find a family doctor, how to see a specialist, or how to access urgent care, I hope my experience will give you a clear picture.

Finding a Family Doctor in Ontario

The very first step in the Canadian healthcare system is finding a family doctor in Ontario. This is not as simple as it sounds. When I moved here, it took me nearly five to six months to finally register with one. Many doctors are not accepting new patients, so you might be on a waiting list.

I was fortunate because my sister recommended a clinic in our area that was still taking new patients. That’s how I managed to get my family doctor, and later I was able to register my family members with her too.

The Role of a Family Doctor

In Ontario, your family doctor is the first point of contact for any medical concern. You cannot directly call and book an appointment with a specialist. Whether you need to see a gynecologist, cardiologist, dermatologist, or pediatrician, everything starts with your family doctor.

When I became pregnant, my family doctor gave me a list of gynecologists to choose from and even asked if I had someone specific in mind. Once she sent the referral, I had to wait until the gynecologist’s office contacted me. I couldn’t just call and book the appointment myself.

This referral system applies to almost all types of specialist consultations in Ontario.

Urgent Care: What to Do When You Can’t Wait

One challenge I personally faced was dealing with urgent but non-emergency illnesses. For example, when I had a fever or a UTI, waiting days for a family doctor appointment wasn’t practical.

In these situations, I used walk-in clinics in Ontario. Walk-in clinics allow you to see a doctor without an appointment. Another option is to go to the emergency department at a hospital, especially if it’s something serious.

Costs: What Is Covered and What Isn’t

One of the biggest advantages of the Canadian healthcare system is that if you have a valid Ontario Health Card (OHIP card), you do not need to pay for doctor visits, consultations, or hospital care. These services are covered by Ontario’s publicly funded healthcare system.

However, there are costs that are not covered by OHIP, such as:

  • Prescription medications
  • Dental care
  • Vision care (for adults)
  • Certain medical supplies

When you get a prescription, you pay for it at the pharmacy. If you have private health insurance (through work or purchased separately), you can often claim the cost of medications and other services.

Key Tips for Newcomers to Ontario’s Healthcare System

Based on my journey, here are some practical tips:

  • Start looking for a family doctor early – it may take months to find one.
  • Know how referrals work – you need your family doctor to connect you to any specialist.
  • Use walk-in clinics in Ontario when you need urgent care but can’t see your family doctor right away.
  • Always carry your Ontario health card – you’ll need it for any appointment or hospital visit.

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