Is your chiropractic care covered?

Extended Health Care (EHC) Plans

You, like many Ontarians, may have an EHC group plan that your employer, union, trade or professional organization has set up as part of your workplace benefits package.  If you are self-employed, you can purchase an individual EHC plan from various health care insurance providers. 

EHC plans are sometimes called supplementary health or supplementary medical plans because their purpose is to supplement provincial health care coverage. 

When chiropractic care is covered, everyone benefits

Chiropractic care is covered under many EHC plans as a ‘paramedical service.’ If you and your family have EHC coverage through an employee benefits package, it likely covers chiropractic care. In fact, our 2019 Environics poll revealed four in five chiropractic patients surveyed have private health care coverage to pay for their chiropractic care.¹

That’s not surprising when you consider research shows the following patient and economic benefits:

Check this fact sheet to learn how everyone benefits when chiropractic is covered.

Other Chiropractic Care Coverage Options

If you don’t have EHC coverage or your plan doesn’t include chiropractic, you may be eligible for one of the following options, if you meet specific requirements: 

  • Primary Care for Low Back Pain (PCLBP) Program for people who:
    • Have low back pain and/or related symptoms
    • Are a patient of one of the seven interprofessional primary care teams that offer the program or live near one of its locations in: Alexandria and Cornwall; Belleville; Mount Forest, East Wellington and Minto-Mapleto; Orillia; Scarborough; Sudbury; or Windsor
    • Receive a referral from their doctor or nurse practitioner from the team
  • Health2Work program (in the Region of Waterloo) for people who:
    • Have back, neck or shoulder pain or stiffness, an injury, such as a sprain or strain, or arthritis that’s stopping them from working
    • Are receiving support from Ontario Works or are a non-disabled family member of a person receiving Ontario Disability Support Program support
    • Live in Cambridge, Kitchener or one of the evolving areas where this program is offered.
  • Health Canada’s Non-Insured Health Benefits (NIHB) Program (under its benefits specific to Ontario) for Canadian citizens who are a First Nations person (registered under the Indian Act) or an Inuk (recognized by an Inuit claim organization).

Some chiropractors also deliver care on a volunteer basis at select community health centres across Ontario. Check this list to find your local community health centre and contact them to learn of any volunteer chiropractors in your area.

Chiropractic Coverage for Ontarians

Working to help you, as well as other Ontarians, receive the chiropractic care you need is one of our ongoing priorities. In 2020, we are forming an OCA EHC Working Group to support this goal. We also regularly consult with government decision-makers and health care insurers (benefit firms) to ensure patients have access to chiropractic care in their EHC plans.

And we advance programs, such as the PCLBP program and Health2Work program to help Ontarians without EHC plans, access the chiropractic care they need.


[1] Environics Research Group, Attitudes of Ontarians Toward Chiropractors study, commissioned by the Ontario Chiropractic Association, June, 2019
[2] Allen, H., Wright, M., Craigh, T., Mardekian, J., Cheung, R., Sanchez, R., Bunn, W. and Rogers, W. (2014) Tracking low back problems in a major selfinsured workforce: toward improvement in the patient’s journey. Journal of Occupational and Environmental Medicine, 56(6), 604-620.
[3] Tsertsvadze, A., Clar, C., Court, R., Clarke, A., Mistry, H. & Sutcliffe, P. (2014). Cost-effectiveness of manual therapy for the management of musculoskeletal conditions: A systematic review and narrative synthesis of evidence from randomized controlled trials. Journal of Manipulative and Physiological Therapeutics, 37(6), 343-362.
[4] Allen, H., Wright, M., Craigh, T., Mardekian, J., Cheung, R., Sanchez, R., Bunn, W. and Rogers, W. (2014) Tracking low back problems in a major selfinsured workforce: toward improvement in the patient’s journey. Journal of Occupational and Environmental Medicine, 56(6), 604-620.