How to Get an Allergy Test in Ontario and Understand Coverage by OHIP

How to Get an Allergy Test in Ontario and Understand Coverage by OHIP

Living in Ontario, Canada, and experiencing allergy symptoms is frustrating. Fortunately, there's a structured process to diagnose allergies and find the right treatment. In this article, we will guide you through the steps to get an allergy test done in Ontario and understand whether it is covered by OHIP (Ontario Health Insurance Plan).

Steps to Get an Allergy Test Done in Ontario

When dealing with potential allergies, your first step is to schedule an appointment with your family doctor. They will evaluate your symptoms and medical history. Based on their assessment, they may decide to refer you to a specialist such as an allergist or an immunologist for further testing. Here’s a detailed breakdown of the process:

1. Visit Your Family Doctor

Start by scheduling an appointment with your family doctor or a general practitioner. During this visit, discuss your allergy symptoms and any related medical history. The doctor’s main goal is to determine if there are clear signs of allergies.

2. Referral to an Allergist

If your family doctor suspects allergies, they may refer you to an allergist or an immunologist. These specialists have the knowledge and experience to perform and interpret allergy tests. This step is crucial as it helps in narrowing down the specific allergens causing your symptoms.

3. Types of Allergy Tests

Once referred to an allergist, you can expect various types of allergy tests. These may include:

Skin Prick Tests: A small amount of allergen is placed on the skin, which is then scratched to allow the allergen to come into contact with the immune system. Blood Tests (Specific IgE Test): A blood sample is taken and tested for specific IgE antibodies, which are produced when the immune system reacts to allergens. Patch Tests: Small patches are placed on the skin to test for allergic reactions to specific substances over a 48-hour period.

4. Booking the Test

Once referred, you will need to book an appointment with the allergist who will conduct the tests. It's essential to bring your up-to-date health card and any relevant medical records to your appointment.

Coverage by OHIP

Allergy Testing Coverage

Allergy testing is generally covered by OHIP if it is deemed medically necessary and performed by a physician or a specialist. This usually includes the initial consultation with the allergist and the tests themselves. However, some allergy tests or treatments may not be covered by OHIP, especially if they are considered experimental or not medically necessary.

Out-of-Pocket Costs

Some allergy tests or treatments may require out-of-pocket expenses. This often occurs when specific tests are requested that are not part of the standard testing. In such cases, the specialist will inform you about the cost beforehand. It's always best to confirm with your healthcare provider and the allergist's office to understand what specific tests will be covered under OHIP.

If You Are a Permanent Resident with an OHIP Card

As a permanent resident with an OHIP card, pretty much every test ordered by a doctor is covered. Here’s what you need to do:

Explain your symptoms to your family doctor, specifically any that indicate a possible unknown allergy. Request a referral to an allergist for further testing. Allergists typically test for basic allergies, such as environmental allergies and common food allergies, first. If your allergies are more specific, you can request a specialized test.

The experience should be free, except for parking fees (if applicable). Just remember to keep your OHIP card up to date, as it can be easily renewed for free if it has expired.