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.
Non-OHIP Insured Services
Toronto Western Family Health Team 2023
|
Missed Appointments (all health care professions) |
Cost |
||
| Regular appointment | $30 | ||
| Periodic Health Exam, counselling, allied health or procedural | $60 | ||
|
Uninsured Appointments (applies to patients without |
Cost |
||
|
PLEASE NOTE THAT ALL UNINSURED PATIENTS WILL BE CHARGED AN ADDITIONAL FACILITY FEE OF UP TO $718 BY UHN IN ADDITION TO THE FEES BELOW |
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| General Assessment or Physical (A003) | $215 | ||
| Intermediate Assessment (A007) | $95 | ||
| Minor Assessment (A001) | $50 | ||
|
Uninsured Services/Procedures |
|||
| TB Skin Test (for employment or volunteer service) | $20/step (not including forms) | ||
| TB Skin test form | $35 | ||
| Liquid nitrogen treatment (OHIP covers feet and genital removals) | $20 | ||
| Ear syringing, not meeting OHIP guidelines | $30 | ||
| Removal of lesions (moles/cysts/skin tags) | $50 - $200 | ||
| Circumcision - Newborn - up to 1 month | $220 | ||
| Travel advice | $60 | ||
| Insurance Medical Examination | $200 | ||
| Sports Medicine Clinic Methylprednisolone Injection | $20 | ||
| Sports Medicine Clinic Viscosupplementation Injection (Durolane) & Procedure | $445 | ||
| Sports Medicine Clinic Viscosupplementation Injection | $50 | ||
| Sports Medicine Clinic Ultrasound | $75 | ||
| Sports Medicine Clinic Saline Artho-distension | $150 | ||
|
Forms |
Cost |
Appointment Required |
|
| Completion of forms associated with physicals | |||
| School/camp | $30 | Yes | |
| Admission to day-care, preschool, college/ university | $30 | ||
| Pre-employment - certification of fitness | $40 | Yes | |
| Fitness Club | $40 | Yes | |
| Hospital/Nursing Home Employee | $40 | Yes | |
|
Licensing Forms |
|||
| Drivers Medical Exam (FLRC80): must add exam cost onto this | $65 | Yes | |
| ** Physical exam is separate and non-OHIP covered ($280 total with form) | $215 | Yes | |
| Work/School Forms/Notes | |||
| Back to Work | $25 | Yes | |
| Sick Notes/Day Care | $25 | Yes | |
| Federal Employee Absence Note (Blue) | $25 | Yes | |
|
Insurance Certificates |
|||
| Treatment Plan (OCF-18) | $160 | Yes | |
| Disability Form (OCF-3) | $160 | Yes | |
| Determination of Catastrophic Impairment (OCF-19) | $135 | ||
| Treatment Confirmation (OCF-23) | $160 | ||
| Travel Cancellation | $35 | Yes | |
| Disease/System Specific Questionnaire | $100 | Yes | |
| UIC Disability/Maternity Certificate | $40 | Yes | |
| Insurance medical examination (assessment and report) | $240 | Yes | |
| APS (Attending Physician’s Statement) | $150 OR MD hourly rate | Yes | |
|
Government Forms |
|||
| CPP Disability Medical Report | $85 | Yes | |
| CPP narrative medical report | $150 | ||
| Revenue Canada, Federal Disability Tax Credit | $60 | Yes | |
| Employment Insurance Medical Certificate | $60 | Yes | |
|
Miscellaneous |
|||
| Chart Transfer | $30 (includes cost of USB stick) | ||
|
Charges for Reproduction/Transmission of Medical Records (not to patient but to other party such as lawyer, insurance company, etc.)
|
(a) $30 (first 20 pages) + $0.25 per page thereafter |
||
| ODSP | None | Yes | |
| Accessible Parking Permit/ Handicap Parking | None | ||
| Hearing Aid | None | ||
Please Note: You may be reimbursed for your costs by your insurance provider.