Is your ultrasound covered by OHIP? What’s Included & What’s Not

If you’ve been told you need an ultrasound, one of the first questions that comes up is: Will OHIP cover the cost? In Ontario, many ultrasound scans are fully covered by the Ontario Health Insurance Plan (OHIP)—but not all. Here's what you need to know before you book your next ultrasound appointment with OHIP.

What ultrasounds are covered by OHIP?

OHIP covers most diagnostic imaging services when they are medically necessary and referred by a qualified healthcare provider. This includes many types of ultrasounds done to diagnose or monitor health conditions.

Covered ultrasound scans include:

• Abdominal ultrasounds (e.g., liver, kidneys, gallbladder)
• Pelvic ultrasounds (for both men and women)
• Breast ultrasounds (typically after a mammogram or for lump evaluation)
• Thyroid ultrasounds
• Obstetric ultrasounds (to monitor pregnancy)
• Doppler ultrasounds (to check blood flow)

To access these OHIP diagnostic imaging services, you must have:

• A valid Ontario health card
• A referral or requisition from a licensed doctor, nurse practitioner, or midwife

You can book OHIP-covered ultrasounds at most OHIP-approved ultrasound clinics across Ontario.

When do you have to pay out-of-pocket?

Not every ultrasound is automatically covered. You may need to pay if:

• The scan is for non-medical reasons (like elective 3D/4D baby scans)
• It’s not requested by a medical professional
• You're using a private clinic without OHIP approval
• It’s for screening not considered “medically necessary” by OHIP (e.g., full-body scans without symptoms)

In those cases, clinics may charge a fee. Always ask if you're unsure whether your ultrasound scan is covered by OHIP.

What to do before scheduling your appointment

Before you schedule medical imaging in Ontario, follow these steps:

• Get a referral from your doctor or specialist
• Ask if the test is medically necessary and eligible for OHIP coverage
• Confirm the clinic is OHIP-approved
• Check if there are wait times and ask about availability
• Bring your health card to the appointment

If you’re searching online, look for Ontario health insurance ultrasound clinics near you that clearly state they accept OHIP.

Do private clinics offer faster service?

Yes. Some people choose private or non-OHIP options to get faster appointments or extra services. For example:

• 3D baby ultrasounds for keepsake images
• Imaging for sports injuries without a referral
• Scans for peace of mind when symptoms are mild

These are not free. But if speed or added detail is your priority, private options are available.

FAQs about OHIP ultrasound coverage in Ontario

Can I get an ultrasound without a doctor’s referral?

Only if you’re paying privately. To use OHIP, you must have a referral.

Is an ultrasound ever free without OHIP?

No. Clinics charge a fee if you don't have valid OHIP coverage or a medical referral.

How do I find an OHIP-covered ultrasound clinic?

Search online for "find ultrasound clinic covered by OHIP" or ask your doctor for a referral to a covered ultrasound scan Ontario provider.

How long does it take to get an ultrasound?

This depends on the urgency and location. Some clinics offer same-week appointments, while others have longer wait times.

Can I get a copy of my ultrasound results?

Yes. Most clinics provide a copy to your referring doctor, and some let you request your report directly.

Helpful tip: Always double-check with the clinic before your visit to confirm what’s covered, what’s not, and what to bring.

Transparency statement: While Canadian Diagnostic Network provides specialized care, many reputable clinics offer similar treatments. Always seek multiple opinions before deciding on treatment.

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