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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.

UNINSURED SERVICES FHT: 2014

Clinical Services
General Assessment (A003) $120.00
Intermediate Assessment (A007) $60.00
Minor Assessment (A001) $40.00
Full child physical - (K017) $70.00
TB Skin Test $20.00
Liquid nitrogen treatment $20.00
Removal of lesions (moles/cysts) $30 - $100 and up
Circumcision - Newborn - up to 1 month $200.00
Circumcision - Newborn - > 1 month $300.00
Insurance Medical Examination $200.00
Travel advice $60.00
Forms
Completion of Form Physicals
School/camp $25.00
Pre-employment $35.00
Fitness Club $35.00
Hospital/Nursing Home Employee $35.00
Licensing Forms
Drivers Medical Exam (FLRC80) $50.00
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) $125.00
Disability Form (OCF-3) $125.00
Travel Cancellation $35.00
Insurance APS $125.00
Disease/System Specific Questionnaire $80.00
UIC Disability/Maternity Certificate $40.00
Government Forms
CPP Disability Medical Report $85.00
(government pays $65) $150.00
Rev Canada, Fed Disability Tax Credit $35.00
Chart Transfer/Photocopying
Bill - 3rd Party          Pages 1-5 $35.00
Page 6+ (per page) $1.00
Bill - Patient $50.00
APS $125.00