Uninsured Services
What are "non-OHIP" covered services or "uninsured services"?
Non -OHIP covered services are those services provided to patients that are not covered by the Ontario Health Insurance Plan (OHIP). The Ministry covers all insured medically necessary services provided by physicians, however, it does not pay for services that are not medically necessary. These may include: writing sick notes, cosmetic procedures, charges for missed appointments, completing forms for daycare, insurance, legal or employment purposes, or if your health card is not valid on the day of your appointment.
Why am I being charged for these services?
OHIP pays physicians for most medical services delivered to patients. Services not covered by OHIP or another insurance plan are called uninsured services. Your physician will request a payment from you for those services. It is the patient's responsibility to pay for uninsured services.
How are the uninsured fee rates determined?
When fees are charged for uninsured services, they are based on the Ontario Medical Association's suggested fees as found in the most current edition of the OMA Physician's Guide to Third Party and Other Uninsured Services.
What if I have questions?
For more details please see the Ministry's website or contact your nearest Ministry office.
Patient Payment Costs
Non OHIP INSURED SERVICES Toronto Western Family Health Team
| Missed Appointments | Cost | ||
| Regular appointment | $30.00 | ||
| Periodic Health Exam, counselling, or procedural | $60.00 | ||
| Clinical Services | |||
| General Assessment or Physical A003 | $130.00 | ||
| Intermediate Assessment A007 | $65.00 | ||
| Minor Assessment A001 | $45.00 | ||
| Full child physical K017 | $70.00 | ||
| TB Skin Test | $20.00 | ||
| Liquid nitrogen treatment (OHIP covers feet and genital removals) | $20.00 | ||
| Ear syringing, not meeting OHIP guidelines | $25.00 | ||
| Removal of lesions (moles/cysts/skin tags) | $50 - $200 | ||
| Circumcision - Newborn - up to 1 month | $200.00 | ||
| Insurance Medical Examination | $200.00 | ||
| Travel advice | $60.00 | ||
| Forms | Cost |
Appointment Required |
|
| Physicals | |||
| School/camp | $30.00 | ||
| Pre-employment | $35.00 | √ | |
| Fitness Club | $35.00 | √ | |
| Hospital/Nursing Home Employee | $35.00 | √ | |
| Licensing Forms | |||
| Drivers Medical Exam (FLRC80): must add exam cost on this | $50.00 | √ | |
| ** Physical exam is separate and non ohip covered (180$ total with form) | $130.00 | √ | |
| Work/School Forms/Notes | |||
| Back to Work | $20.00 | √ | |
| Sick Notes/Day Care | $20.00 | √ | |
| Fed Employee Absence Note (Blue) | $20.00 | √ | |
| Insurance Certificates | |||
| Treatment Plan (OCF-18) | $140.00 | √ | |
| Disability Form (OCF-3) | $140.00 | √ | |
| Determination of Catastrophic Impairment (OCF-19) | $120.00 | ||
| Treatment Confirmation (OCF-23) | $140.00 | ||
| Travel Cancellation | $35.00 | √ | |
| Disease/System Specific Questionnaire | $80.00 | √ | |
| UIC Disability/Maternity Certificate | $30.00 | √ | |
| Insurance medical examination (assessment and report) | $235.00 | √ | |
| APS (Attending Physician’s Statement) | $145.00 | √ | |
| Government Forms | |||
| CPP Disability Medical Report (government copay $85) | $85.00 | √ | |
| CPP narrative medical report | $150.00 | ||
| Rev Canada, Fed Disability Tax Credit | $45.00 | √ | |
| Miscellaneous | |||
| Chart Transfer | $60 (includes USB stick cost) | ||
|
Charges for Reproduction/Transmission of Medical Records (not to patient but to other party such as lawyer, insurance company, etc.) (a) Copying/printing (or digital reproduction) (b) Out-of-pocket disbursements (were applicable) (c) Physician review of records (where applicable) |
(a) $30 (first 20 pages) + $0.25 per page thereafter (b) At cost (c) Physician's hourly rate, after first 15 minutes |
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| ODSP | None | √ | |
| Handicap Parking | None | ||
| Hearing Aide | None | ||
