Monday, August 1, 2011

Does anyone have information on Ontario government medical programs for long term disability coverages?

I am a disabled amputed that has his private insurance running out at the first of the year and would like any information on Ontario goverment programs that would assist me with prescriptions, dental and eyeglass coverages.
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If you've previously paid into CPP (Canada Pension Plan) through any employment, within the last 4 years, you may do well to apply for benefits through them. The forms for this should be available at any Social Services or Human Resources office. Another route is to apply to Ontario Disability and again these forms would be available from the above offices. Be aware however that there is every possibility that you will be turned down on your first application attempt however supply as much medical documentation as you can to support your claim and if you do find you have to appeal...have your doctor write a letter to them covering every single aspect of your disability. It is rumoured that 1 in 25 will be rejected regardless of what their disability or documents support. Also, apparently (as the rumour goes) they will allow a specific number of applications in the beginning of the month and reduce the amount as the month goes on...whether this is true or not I can't say but it's what I was told by a rather reliable source. There is also a program called the Trillium program with applications for this available at drug stores (Shopper's is one). Complete this form and again, you are either accepted or denied based on your information...Appeals can take place with additional support for your case being added if necessary...also here a doctor's letter is beneficial. Note however that this particular avenue requires that you wait 3 months I believe before you are covered and you also must reapply every year. You are allowed a certain max. on drugs etc so read the application carefully. If you are not eligible for LTD with your current carrier (Insurance) your best bet is CPP, if you haven't worked however and thus not paid in...you will have to go the Ontario Disability route as they don't assess your application on whether you paid into a plan or not. They are very sticky however and I know of one person who has appealed several times only to be turned down. However, she also has a disability that is invisible and is likely not a recognized or debilitating one in their eyes. I am also classed as medically disabled...I have Insurance LTD and CPP both of which I fought for, I was denied first time for both and obtained a lawyer in both cases and won. Good luck, it will probably work out very well for you...take care
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