If you’ve been told you need an ultrasound, one of your first questions might be: Will OHIP cover it? In Niagara Falls, many residents are eligible for OHIP-covered ultrasound services—but coverage depends on a few important factors. Here’s what you need to know in 2025.
What Ultrasounds Does OHIP Cover in Niagara Falls?
OHIP (Ontario Health Insurance Plan) does cover most diagnostic ultrasounds, but not all. To qualify for coverage:
- The ultrasound must be medically necessary
- You must have a valid OHIP card
- A referral from a licensed doctor or nurse practitioner is required
- The ultrasound must be performed at a licensed diagnostic imaging clinic
Covered ultrasound services include abdominal, pelvic, pregnancy-related, thyroid, breast, kidney, and vascular imaging—if recommended for diagnosis or monitoring by your healthcare provider.
When Ultrasounds Are Not Covered by OHIP
There are a few cases where you may have to pay out of pocket:
- Elective or non-medically necessary ultrasounds (e.g. gender determination without medical indication)
- Some screening ultrasounds not linked to a known medical issue
- Ultrasounds without a valid referral
- If the imaging is done at a private clinic not enrolled in OHIP
To avoid surprise costs, always ask: Is this ultrasound covered by OHIP? and confirm your clinic participates in the OHIP system.
How to Get a Covered Ultrasound by OHIP in Niagara Falls
If your doctor recommends an ultrasound, follow these steps:
- Get a referral from your physician or nurse practitioner
- Book your appointment at a diagnostic imaging clinic that accepts OHIP
- Bring your valid OHIP card to your appointment
- Confirm there are no fees ahead of time for the specific exam being done
Many Niagara Falls clinics can book your OHIP-covered ultrasound quickly. Just ask for availability and confirm coverage at the time of booking.
How to Book an Ultrasound Appointment in Niagara Falls with OHIP
Booking is simple if you follow the right process:
- Your doctor will either fax or give you a requisition form
- Use that to contact a Niagara Falls OHIP ultrasound service location
- Mention you’re looking for a covered ultrasound appointment
- Ask if same-day or next-day availability is an option for your exam
Valence Medical Imaging in Niagara Falls accepts OHIP-covered referrals and offers quick, accurate ultrasound services in a professional and comfortable environment.
Do I Need to Pay Anything?
If the service is OHIP-covered, you won’t pay out of pocket. However, you might be charged if:
- You don’t have a valid health card
- You don’t bring your OHIP card to your appointment
- The service is considered non-insured (cosmetic, elective, or not medically necessary)
Always check with your clinic when scheduling.
Tips to Make Sure Your Ultrasound Is Covered by OHIP
- Check your OHIP card for validity and renewal dates
- Confirm your doctor included the right diagnostic codes on the referral
- Avoid walk-in or private clinics that don’t bill OHIP directly
- Ask the clinic in advance: Is this a covered OHIP ultrasound?
2025 Update on OHIP Diagnostic Imaging Policies
OHIP continues to cover most necessary ultrasounds, but policies may evolve. As of 2025:
- All insured ultrasound services still require a doctor’s referral
- Pregnancy ultrasounds are covered only for clinical reasons, not for souvenir images
- You can apply for OHIP-covered services through your primary care provider at any time
For the most up-to-date OHIP ultrasound coverage policy in Niagara Falls, speak to your healthcare provider or contact your local diagnostic imaging clinic directly.
Need to Book a Covered Ultrasound in Niagara Falls?
Valence Medical Imaging makes the process easy. If you have a referral and a valid OHIP card, you’re eligible for insured ultrasound services. They provide fast, professional care with clear communication and minimal wait times.
Take the next step today:
- Call your doctor for a referral
- Contact Valence Medical Imaging to schedule
- Bring your OHIP card to your appointment
- Get the diagnostic answers you need—without the stress
Want help booking your OHIP-covered ultrasound in Niagara Falls? Contact Valence Medical Imaging for available appointment times and friendly guidance.
