Reviewed by Daniel Mirkovic
Updated February 18, 2026 | Published November 2, 2023
Accident benefits are a set of benefits and coverages that are part of every car insurance policy in Ontario. They provide financial assistance for an insured who’s been injured in an accident, including coverage for medical and rehab costs, lost income, and many others.
Starting July 1, 2026, accident benefits are going to change. For example, some coverages will become optional, and the list of people covered by these optional benefits will become more restrictive.
Here, we’ll explain how Ontario’s accident benefits work and how they’re going to change in 2026.

Accident benefits are a collection of coverages that are part of every car insurance policy in Ontario. While car insurance policies certainly cover damage to the vehicle itself, they also help with the financial burden that arises when someone is injured (or killed) in an accident.
Ontario’s Statutory Accident Benefits Schedule (SABS) describes the benefits available on every car insurance policy sold in the province. There are standard benefits that are always available, but there are also several options for expanding those benefits — more to come on that later.
One thing to note before we continue: Some accident benefits differentiate between catastrophic injuries and non-catastrophic injuries. What’s the difference? Generally speaking, a catastrophic injury is one that causes severe, permanent impairment to the injured person. That includes loss of limbs, paralysis, loss of vision, and similar severe injuries that permanently affect the injured person’s ability to carry on their normal life.
One major difference between accident benefits and many other insurance coverages is that some accident benefits are available to everyone. That includes people who don’t have car insurance policies. Everyone involved in an accident can access accident benefits: drivers, passengers, pedestrians, and other bystanders.
Starting July 1, 2026:
Some accident benefits are becoming optional. After July 1, the optional accident benefits will only cover the named insured, their spouse, the dependants of either person, and drivers specifically listed on the policy.
This change starts July 1 regardless of the policy’s renewal date.
Keep reading to learn which benefits will be optional.
If you’re involved in an accident, and you have car insurance, your own claims adjuster will help you apply for accident benefits. If you’re injured in a vehicle accident as a pedestrian, you can claim some accident benefits from the insurer of the vehicle that injured you. Even if there is no insurance policy available whatsoever (like a pedestrian injured in a hit and run or by an uninsured motorist), it’s possible to claim accident benefits from the Motor Vehicle Accident Claims Fund.
These benefits won’t become optional on July 1, 2026.
They remain standard on all policies, and are available to pedestrians, bystanders, and other injured persons involved in an accident but not listed on a policy.
Existing options to increase limits or add supplementary coverage will remain as well.
There is one change, however: after July 1, car insurance will become the first payer for medical and rehabilitation claims. That means that the policy will pay covered costs before other coverage that may be available, like workplace benefits. This allows someone to keep their other benefits available for injuries or illnesses that don’t arise from car accidents.
This set of benefits helps cover additional costs associated with the actual process of recovering from an injury. While some medical and rehab costs are covered by public (or private) health care, this benefit will help with costs that aren’t already covered.
Medical and rehabilitation benefits will cover a wide range of expenses if they aren’t covered by the insured’s other insurance options (including public health coverage). That includes things like medical and dental procedures, physiotherapy, prescriptions, and even transportation to and from medical treatment sessions — as long as these things relate to the injuries sustained in the accident.
Attendant care benefits cover reasonable expenses if an injured person needs to hire a caregiver to help them while they’re injured, or if they need to move into a long-term care facility.
Medical, rehabilitation, and attendant care benefits are grouped together under one coverage limit. That limit, by default, is $65,000 for non-catastrophic injuries and $1 million for catastrophic injuries. There are several options available for increasing these limits:
By choosing options 2 and 3 together, it would result in $1 million in coverage for non-catastrophic injuries and $3 million for catastrophic injuries.
The full list of covered expenses and limitations is also available in the SABS.
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Starting July 1, 2026:
These benefits will become optional.
After July 1, existing policies will renew with their current coverages and limits. If you wish to remove the optional coverages, speak with your insurance provider.
For new policies, you will be able to purchase or decline these optional coverages when you apply.
This collection of accident benefits provide financial assistance to people who are unable to fulfil certain regular duties (such as work, caregiving, or attending school) due to a car accident.
Income replacement helps cover lost wages for people who need to take time away from work because of their injuries. The default benefit covers up to 70% of a person’s gross income, capped at $400 per week. There are options available to raise that cap to $600, $800, or $1000 per week.
If someone has disability benefits through their employer, it’s possible to co-ordinate those benefits and the income replacement benefit to avoid shortfalls.
Non-earner benefits provide compensation to people who are injured in an accident, but under different circumstances than income replacement.
There are two possible conditions that someone might qualify for non-earner benefits. In either case, they must have suffered a complete inability to carry on a normal life because of the accident. In addition to that, they must meet either of the conditions below:
In either case, non-earner benefits are only available for up to two years following the accident. The benefit will pay $185 per week to eligible people for the duration that they’re unable to carry on their normal life.
Non-earner benefits aren’t available for people who choose to receive the income replacement benefit instead.
The caregiver benefit will help cover the cost of hiring a caregiver if a primary caregiver is injured in an accident. The conditions to qualify for the caregiver benefit are:
For example, a caregiver may be a single parent, a stay-at-home parent, or someone taking care of a disabled family member or elderly parents. To qualify, they mustn’t receive any payment for providing care.
The caregiver benefit is limited to $250 per week for one dependant, plus $50 per week for each additional dependant. This benefit is available either for catastrophic injuries or for any injury — check your policy documents to be sure which injuries you’re covered for.
The caregiver benefit is available for up to two years following the accident.
Starting July 1, 2026:
These benefits will become optional.
After July 1, existing policies will renew with their current coverages and limits. If you wish to remove the optional coverages, speak with your insurance provider.
For new policies, you will be able to purchase or decline these optional coverages when you apply.
If the absolute worst should happen and someone dies as a result of a vehicle accident, the death and funeral expenses benefit will compensate the deceased person’s family.
This benefit provides a one-time payment if an insured person dies as a result of an accident. This applies if they die within 180 days following the accident, or three years if they were continuously disabled by the accident during that time.
The payments include:
There is an option to increase these benefits to $50,000 and $20,000, respectively.
This benefit will cover funeral expenses if an insured person dies as a result of a car accident. By default, coverage is limited to $6,000, but this limit can be increased to $8,000.
Starting July 1, 2026:
Most of these benefits will become optional.
After July 1, existing policies will renew with their current coverages and limits. If you wish to remove the optional coverages, speak with your insurance provider.
For new policies, you will be able to purchase or decline these optional coverages when you apply.
Accident benefits don’t stop there — there are several other benefits available.
There are a number of expenses that accident benefits will cover for an injured person. These coverages include:
This is an optional benefit that isn’t automatically included in your accident benefits.
The dependant care benefit will pay some additional costs necessary to care for the insured person’s dependants following an accident. To qualify, the insured must have been employed at the time of the accident and must have sustained an impairment as a result of the accident. They also must not be receiving the aforementioned caregiver benefit.
This benefit is limited to $75 per week for one dependant plus $25 for each additional dependant.
This is another optional benefit that drivers in Ontario can choose to add to their car insurance policy. The indexation benefit protects weekly benefit payments from lost value due to inflation after a claim. The adjustment is based on the Consumer Price Index, so the amount that each payment will change is different each year.
The benefits whose limits can be indexed are:
The adjustment to these limits happens on January 1 each year.
Each type of benefit has its own time limitations. Income replacement, non-earner, and caregiver benefits are typically available for up to 104 weeks (2 years) after the accident so long as the insured person continues to suffer impairment from their injuries. However, the income replacement benefit isn’t available for the first week of the disability. The non-earner benefit isn’t available for the first four weeks of the onset of disability.
Medical, rehabilitation, and caregiver benefits are available for up to 260 weeks (5 years) after the accident so long as they’re needed, though this limit doesn’t apply for catastrophic injuries.
Some accident benefits are available to anyone injured in a vehicle accident in Ontario: drivers, passengers, pedestrians, and bystanders.
Starting July 1, 2026, optional accident benefits will only be available to the named insured, their spouse, the dependants of either person, and drivers specifically listed on the policy.
Currently, the main optional accident benefits are the dependant care benefit, and the indexation benefit. There are also several options available for increasing the limits of the standard benefits, or expanding the types of injuries covered
On July 1, 2026, all benefits except for Medical, Rehab, and Attendant Care will become optional. Income replacement, non-earner, caregiver, and many other benefits will be optional after this date.
A catastrophic injury or catastrophic impairment is one that results in paralysis, amputation of a limb, loss of vision in both eyes, traumatic brain injuries, or similar impairments that seriously compromise a person’s ability to continue their normal life. The Schedule of Accident Benefits describes the precise definitions and limitations of catastrophic injuries.
Ontario’s government passed legislation to change accident benefits with the goal of improving flexibility for drivers. Some people have access to similar coverages through employer or private insurance plans. By making some benefits optional, Ontarians have the option to reduce their car insurance costs by declining coverages that they may have access to elsewhere, or that they simply don’t want.
Anyone opting out of accident benefits should carefully consider whether the cost savings are practical compared to the loss of coverage. Remember, if someone opts out of a benefit, they won’t have access to that coverage even if another driver is at fault for an accident — they’d have to pay out-of-pocket or pursue legal action (at their own cost).
This change will take effect on July 1, 2026. After this date, existing policies will renew with their existing coverages, options and limits. Policyholders can contact their insurance provider to add, change, or remove optional accident benefits. Someone buying a new policy after July 1 will be able to buy or decline optional coverages during the application process.
Your car insurance provider will send you more information about these changes and what you’ll need to do before July 1.
For most people, it will be best to keep the soon-to-be-optional accident benefits to ensure they have no gaps in their coverage and to avoid financial impacts that they might not predict.
However, you can prepare by taking a look at which coverages you might have from sources other than your car insurance policy. If you are considering opting out of any benefits once they become optional, make sure you’ve reviewed all of the coverage you have access to from other sources. Even if accident benefits overlap with your other coverage, there are good reasons to keep them.
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About the expert: Daniel Mirkovic
A co-founder of Square One with 25 years of experience in the insurance industry, Daniel was previously vice president of the insurance and travel divisions at the British Columbia Automobile Association. Daniel has a bachelor of commerce and a Master of Business Administration (MBA) from the Sauder School of Business at the University of British Columbia. He holds a Canadian Accredited Insurance Broker (CAIB) designation and a general insurance license level 3 in BC, Alberta, Saskatchewan, Manitoba and Ontario.
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