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Uninsured Services

What are "non-OHIP" covered services or "uninsured services"?

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OHIP pays physicians for most medical services delivered to patients. Services not covered by OHIP or another insurance plan are called uninsured services.


Non-OHIP covered services are those services provided to patients that are not covered by the Ontario Health Insurance Plan (OHIP). Your physician will request a payment from you for those services. It is the patient's responsibility to pay for uninsured services.

 

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

  • prescription renewals

  • completing forms for daycare, insurance, legal or employment purposes, or

  • if your health card is not valid on the day of your appointment
     

How are the uninsured fee rates determined?

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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.

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What if I have questions?

For more information about uninsured services, please visit the Ontario Ministry of Health website or contact your nearest Service Ontario Office

 

 

Below is a list of uninsured services with the current rates
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Missed appointments:

10 minutes (regular appointment)     $30

20 minutes (periodic checks, pap, prenatal, diabetic checks, meet and greet)     $50

30 minutes (long procedure)     $75

Sick note / Work note     $20

 

Letter for therapy/Medical device

(e.g. massage, physio, orthotics, Chiro, medical braces)     $20

 

Wart treatment (Not covered by OHIP)    $20                                                                                       

 

Cosmetic Treatment (eg: lipoma, cyst, skin tag) - Physician discretion
 

TB Mantoux test (covered by OHIP if criteria met)

1 Step     $40

2 Step    $60
 

Driver’s Medical Exam     $185
 

Attending Physician’s Statement     $150
 

Completion of forms for physicals (eg: employment, school)     $20/pg
 

Other Forms

CRA Disability Tax Credit     $150

OCF - 18 Treatment Plan     $150

OCF - 3 Disability Certificate     $150

OCF - 19 Determination of Catastrophic Impairment     $150

OCF - 23 Treatment Confirmation     $150
 

Medical Records

Transfer/copy of patients medical records     $60

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© 2024 Bleams Medical Centre 

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