Are preventive checkups covered by OHIP?

If you live in Ontario, you’re lucky to have access to OHIP — the Ontario Health Insurance Plan.

It covers many essential medical services, including things like:

• Doctor visits
• Hospital stays
• Some diagnostic tests
• Surgeries and emergency care

So it’s fair to ask:
Are preventive checkups covered too?

Short answer: Yes — but only the basics.
And when it comes to real prevention? Not even close.

✅ What Is Covered by OHIP?

OHIP covers one annual physical exam with your family doctor, now officially called a “Periodic Health Visit.” It includes:

• Reviewing medical history
• Basic blood pressure and weight check
• General lifestyle questions
• Maybe basic lab work (if deemed necessary)

That’s your “checkup.” It’s surface-level, and it’s designed to catch major red flags — not to optimize your long-term health or performance.

If you’re relatively healthy, this visit might last 10–15 minutes. If you’ve got vague symptoms (fatigue, stress, gut issues, hormonal imbalances), you may walk out with:

• A referral
• A waitlist
• Or a “your labs look normal, you’re fine” answer

❌ What’s Not Covered by OHIP (But Matters for Prevention)

When we talk functional wellness and true prevention, we’re talking about:

• In-depth hormone testing
• Gut health panels
• Food sensitivity or nutrient absorption analysis
• Cortisol rhythm testing
• Micronutrient status
• Lifestyle and movement pattern reviews
• Full-body function assessments

None of this is covered by OHIP.
Not because it’s unnecessary — but because it’s outside the scope of “reactive medicine.” OHIP covers you once something goes wrong. It doesn’t pay to keep you well.

🔁 OHIP is Reactive. Functional Medicine is Proactive.

The system is designed to manage disease — not prevent it.

At YFS (Your Form Sux), we see clients every day who were told:

• “Everything’s normal.”
• “It’s probably just stress.”
• “We’ll monitor it.”

But you know something’s off. You’re tired, foggy, inflamed, stuck, or low on energy — and you’re not willing to wait until it becomes a crisis.

That’s where functional care steps in — and fills the gap OHIP leaves wide open.

💡 Why Functional Preventive Care Is Worth Paying For

You’re not paying for a rushed 10-minute checkup. You’re investing in:

• Time — we sit with you, listen, investigate
• Advanced insight — through labs, tracking, and testing that actually explain why you’re not feeling your best
• A game plan — built around your biology, goals, lifestyle, and root causes
• A system upgrade — not just symptom relief

Because the goal isn’t just “not being sick.”
It’s thriving — with stable energy, balanced hormones, clear thinking, strong digestion, and a body that keeps up with your life.

💬 Common Questions We Get at YFS:

“Can I combine OHIP with functional care?”
Yes — we encourage you to keep seeing your family doctor for anything OHIP covers. Think of us as your optimization and prevention team — we catch what your regular checkups miss.

“Is this stuff legit?”
Absolutely. Functional care is science-based, data-driven, and focused on systems biology. It’s not woo — it’s just what your body actually needs to perform well.

“Is it worth paying out-of-pocket?”
If you’ve already spent time, money, and energy guessing at supplements, diets, or chasing symptoms — then yes. Investing in real answers now saves you years of frustration later.

Bottom Line: OHIP Covers Sick Care. We Cover You Care.

If you’re ready to go beyond the basics and finally figure out what your body is trying to tell you — you need more than a standard checkup.

Book your functional wellness consult at YFS and let’s give you the clarity, strategy, and support OHIP can’t provide.