It is a criminal offence to use some else’s health card
According to Health Canada, there is a mandate to detect abuse and misuse of the Ontario health care system
The Ministry of Health defines OHIP fraud as?
Who is eligible for Ontario health insurance coverage?
a person registered as an Indian under the Indian Act
or others listed in Regulation 552 under the Health Insurance Act are eligible for Ontario health insurance coverage provided they
If you are included in one of the above listed groups you will be eligible for OHIP coverage so long as you:
OHIP regularly conducts eligibility assessments. They are conducted by the ministry on a routine basis, an attempt to ensure that only eligible Ontario health card holders have access to publicly funded health services
The ministry investigates each and every allegation it receives regarding potential health insurance abuse.
Ontario health insurance coverage is cancelled where health card holders are unable to prove entitlement to Ontario health insurance coverage.
Where fraud is suspected, cases are referred to the Ontario Provincial Police Anti-Rackets Health Fraud Investigation Unit for investigation and possible prosecution.
After the investigation the suspected person may be charged with fraud, a criminal offence .
If convicted of fraud exceeding $5,000, under the Criminal Code of Canada Section 380, a person could be imprisoned for up to 10 years. Restitution may also be ordered under the Criminal Code.
where the value of the subject-matter of the offence does not exceed five thousand dollars.
(1.1) When a person is prosecuted on indictment and convicted of one or more offences referred to in subsection (1), the court that imposes the sentence shall impose a minimum punishment of imprisonment for a term of two years if the total value of the subject-matter of the offences exceeds one million dollars.