Health Insurance Act

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Case comment on Ishac v Ontario (Health Insurance Plan), 2025 CanLII 108363 (ON HSARB), administrative tribunal decision upholding OHIP coverage denial for bilateral pectoral implant explantation under the situs provision excluding services performed at the same anatomical site as a previously uninsured cosmetic procedure. By Paul Cahill, LSO Certified Specialist in Civil Litigation.

Ishac v Ontario (Health Insurance Plan): The Situs Provision and OHIP Coverage for Cosmetic Procedure Complications

HSARB upholds OHIP coverage denial for pectoral implant removal, applying the situs provision that excludes follow-up procedures at the site of cosmetic surgery.

November 13, 2025

Case comment on College of Physicians and Surgeons of Ontario v Karim, 2023 ONPSDT 18, on a five-month licence suspension for OHIP fraud committed by a physician while non-resident in Ontario. By Paul Cahill, LSO Certified Specialist in Civil Litigation.

CPSO v Karim: An OHIP Fraud and a Five-Month Licence Suspension

A family physician was suspended for five months after using OHIP fraudulently while resident in New York. Discipline for non-clinical conduct under the HPPC.

August 26, 2023

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Health Insurance Act

Ishac v Ontario (Health Insurance Plan): The Situs Provision and OHIP Coverage for Cosmetic Procedure Complications

CPSO v Karim: An OHIP Fraud and a Five-Month Licence Suspension

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Concerned about medical negligence? Talk to Paul directly.

Concerned about medical negligence?
Talk to Paul directly.