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.

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Non-OHIP Insured Services 
Summerville Family Health Team 2024

Missed Appointments 

Regular Office Visit without OHIP........................................................................ $92.15

Office Physical without OHIP (age based) ..................................................... $101.40 - 193

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 ...................................................... $83

Medical Report for for CPP Disability Benefit ......................................................... $85

CPP Narrative Medical Report .................................................................................$150

Medical Certificate Employment Insurance Sickness Benefits ................................ $44

Medical Certificate Employment Insurance Compassionate Care Benefits ..............$62

Sick note and Return to Work or School note .......................................................... $22

Pre-Employment Certificate of Fitness .................................................................... $42

Certificate of freedom from communicable disease................................................. $22

Massage, Orthotics, Orthopedic shoes and physiotherapy note,
for Insurance purposes.............................................................................................. $30

Citizenship Form Completion ................................................................................. $100

Life Insurance Death Certificate .............................................................................. $54

Travel Cancellation Form ....................................................................................... $42.75

Jury Duty Exemption Letter .................................................................................... $32

School. Camp, Pre-School, Daycare form completion ............................................$31.50

Attending Physician Forms - Insurance/Employment ................. (independent consideration)

Insurance Certificate OCF-3 Disability Certificate  ............................................... $160

Insurance Certificate OCF-3 Treatment Plan .........................................................$160

Insurance Certificate OCF-3 Catastrophic Impairment ..........................................$132

Attending Physician Statement ...............................................................................$160

Insurance Medical Exam (assessment and report) ................................................$260

Uninsured Procedures

Ear syringing (if no hearing loss - unilateral or bilateral) .................................... $28.40

Liquid Nitrogen treatment for cosmetic reasons ................................................. $29.15 +

Excision on benign lesion from skin ................................................................... $150 +

Medical Records

Copying........................................................................................$30 (first 20 pages +
                                                                                                         $0.25 per page thereafter)

Electronic Transfer .......................................................................$40

Physician Review ........................................................................$45 (per 15 minutes,
                                                                                                                after first 15 minutes)

Please be advised that the above fees are based on the guidelines set forth in the Ontario Medical Association's Physician's Guide to Uninsured Services and are subject to regular revision. The fees are also subject to change at the discretion of individual providers at the Summerville Family Health Organization.

We understand the importance of transparency and will make reasonable efforts to communicate any fee changes through our official communication channels, such as our website, email notifications, or direct correspondence. It is recommended that you regularly review our fee schedule and related policies to ensure you have the most up-to-date information regarding our charges.

Updated: November 2024