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
OFFICE VISITS
Regular Office Visit without OHIP........................................................................ $77.85
Office Physical without OHIP (age based) ..................................................... $100.75-178.35
Driver's Medical Examination .............................................................................. $125
Missed Regular Appointment................................................................................ $40
Missed Physical Appointment .............................................................................. $75
Appointment Cancellation less than 24 hours ....................................................... $40
FORMS
Revenue Canada Federal Disability Tax Credit ....................................................... $75
Medical Certificate Employment Insurance Sickness benefits ................................. $40
Sick note and Return to Work or School note ........................................................ $20
Pre-Employment Certificate of Fitness ................................................................ $38.25
Certificate of freedom from communicable disease............................................... $20
Massage, Orthotics, Orthopedic shoes and physiotherapy note,
for Insurance purposes......................................................................................... $30
Citizenship Form Completion .............................................................................. $100
Life Insurance Death Certificate ......................................................................... $48.75
Travel Cancellation Form ..................................................................................... $39
Jury Duty Exemption Letter .................................................................................. $25
Attending Physician Forms - Insurance/Employment ................. (independent consideration)
School. Camp, Pre-School, Daycare form completion ........................................... $28.50
Medical Certificate for EI Compassionate Care Benefits.......................................... $56
Full Narrative Insurance Report .............................................................. $150 per page and up
UNINSURED PROCEDURES
Ear syringing (if no hearing loss) ........................................................................... $26
Liquid Nitrogen treatment for cosmetic reasons .................................................. $20 +
Wart Removal, Skin Tag Removal ................................................. (independent consideration)
Excision on non-malignant lesion from skin ................................................... $150 +
(Independent consideration)
Please Note: You may be reimbursed for your costs by your insurance provider.