FEESFORSERVICESNOT
COVEREDBYOHIP
MessagetoPatients:Areyouawarethatnotalloftheservicesthatweprovidetoyouareinsured
throughOHIPandthatthereisachargefortheseservices?Thesechargesareestablishedbythe
OntarioMedicalAssociationandarereviewedonanannualbasis.
Sicknotesforworkandthecopy/transferofmedicalrecordsareexamplesofthesetypesofuninsured
services.Providingtheseservicesrequirestimeandresourcesandthereisacostforthis.
Pleasebeawareofthefollowingmostcommoncostswhichwillbecharged
beforetheserviceisprovided
PATIENTPAYS
FormsandNotes
DisabilityTaxCreditCertificate
FormsperPage
FosterParentApplication
FullExaminationandform
ImmunizationSummary
Orthotics/Massage/PhysioNotes
School/Daycare/CampFormsand
examination
Sick/BacktoWorkNotes
ConsultationandVisitFees
BloodWorkforNonOHIPProcedures
Cryotherapy(foruninsureduse)
ECGforNonOHIPProcedures
Patient-conductedinterviewofdoctor
PreOpforNonOHIPProcedures
RemovalofSkinLesions:
• foroneskinlesion
• fortwoskinlesions
• forthreeskinlesions
TravelAssessment/Rx
TravelInjection
OtherFees
Invalid/ExpiredHealthCardVisit
MissedAppointments(15minutes)
MissedAppointments(30minutes)
NSFcheques
TensorBandages/Slings
TransferofRecords(CD-perperson)
TransferofRecords
(CD-familyof3ormore)
$45.00 $25.00
$55.00
$175.00
$15.00
$20.00
$75.00
$20.00
$25.00
$25.00
$35.00
$95.00
$150.00
$65.00
$80.00
$120.00
$40.00
$15.00
$45.00-$150
pervisit
$25.00
$50.00
$25.00
$10.00
$40.00
$85.00
*Pleasenotethatsomecostshavebeenrounded
USUALLYCOVEREDBYTHIRDPARTY
(ie.InsuranceCo.,LawyerorGovernment)
APSLifeInsurabilityForm
$135.00
CPPDisabilityForm
$85.00
LegalLetters/ReviewofChart
$75/15min
OCF-18TreatmentPlan
$139.90
OCF-19CatastrophicImpairment
$114.80
OCF-23TreatmentConfirmation
$138.80
OCF-3DisabilityCertificate
$139.90
Photocopy(legalOMA)
$35.00(1-20pages)
ServicesWeCannotChargefor
BirthCertificateApplications
CCACDayPrograms
DisabledParkingApplications
HearingDeviceApplications
FEESFORSERVICESNOT
COVEREDBYOHIP
*Pleasenotethatsomecostshavebeenrounded