Clinic policies
Uninsured services
The Ontario Health Insurance Plan (OHIP) provides coverage for a vast majority of physician services. However, some services are not covered; talk to your physician about it for more information.
Quality health care, medical advice and timely access to services are priorities for Ontario’s physicians. Although physicians are pleased to offer the following valuable services, the payment is the responsibility of the patient or of the third party requesting the service.
Medical services:
- - Examinations or diagnostic tests necessary to satisfy employers’ requirements
- - Insurance companies, government agencies, etc.
- - Pre-adoption examinations
- - Travel medicine advice and other services for travelling outside of Canada
- - Cosmetic procedures and related examinations and diagnostic tests
Completion of forms and medical records:
- - Medical/legal reports
- - Federal government forms
- - Certificate for the purpose of travel, immigration, employment, etc.
- - Driver’s/aviation medical exam and other licensing forms and certificates
- - Parking forms
- - Insurance forms, reports and certificates, such as:
- - Disability certificate
- - Treatment plan
- - Insurance medical examination reports
- - Completion of work and school-related forms and notes, such as:
- - Sick or back to work notes
- - Admission to daycare, school, recreational programs
- - Reports and forms requested by employer (e.g., form physicals)
Forms not covered by OHIP
|
Uninsured service
|
Price
|
Notes
|
|
Paramedical
letters¹
|
$25.25
|
Massage, Physio,
Chiropody, Chiropractor, etc.
|
|
Various simple
medical notes
|
$25.25
|
Sick note, Back to
work, to school or to camp note
|
|
Short Form
|
$47.75
|
Absence notes for
work, school and camp and Disability reports, maternity reports
|
|
Extended Form
|
$90
|
CRA disability tax
credit / Trip cancellation / Fitness club form / CAS foster parent
application
|
|
Long Form
|
$180
|
Attending
physician statement (APS)/MVA form 4, Insurance: Life, Private, Immigration,
Private, Disability
|
|
Auto Accident
Benefits
|
$256
|
OCF 3, 18, 19, 23
|
|
Pension Buy Back
|
$336.60
|
Superannuation
government pension form/Driver’s medical $85 (plus cost of consultation A003
- $251.60)
|
|
Other Complex
Forms
|
$450.25/hr
|
MD hourly rate
|
These fees are based on the Ontario Medical Association’s guidelines and may be discussed with your provider.
Cosmetic treatments not covered by OHIP
|
Cryotherapy 1-5
(in multiples of 5)
Shave Biopsy (ex.
Mole, SK)
Punch Biopsy (ex.
Mole)
Cyst removal
Electrocautery/hyfrecator
(per 5 areas)
Intralesional
Kenalog (keloid, alopecia) – per 5 areas
Ear irrigation (if
not deemed medically necessary)
Missed appointment
specialty clinic initial visit
Missed appointment
specialty clinic follow up
|
$75.00
$150.00
$175.00
$200.00
$75.00
$30.00
$25.00
$80.00
$40.00
|
Consultations not covered by OHIP2
|
Intermediate
Assessment
|
$109.30
|
|
General Assessment
|
$251.60
|
|
Minor Prenatal
Assessment / Antenatal Preventative Assessment
|
$68.42
|
1 Referral requested by your insurance company is an administrative uninsured service
2 These fees apply for diplomats, patients with no or expired health card* invoices will be voided if the patient calls back within 2 weeks and updates the health card
If you have any questions, contact us:
Bruyère Health Academic Medicine Centre
75 Bruyère St.
Ottawa, Ontario K1N 5C8
Tel.: 613-241-3344
Forms are important to us and will be completed as soon as possible. Payments can be made by checks, e-transfer finance@fmao.ca and at the clinic with all major credit cards.
Family Health Organization
Ontario patients with OHIP coverage are asked to formally join our Family Health Organization (FHO) by signing an agreement with their family physician here at our Centre. Enrolling with the FHO gives you access to the many services offered by our Family Health Team and after-hours care.
Results
The great volume of test results makes it impossible to call patients with every normal result. You will, of course, be informed of significant abnormal results, and if we feel the results require discussion, we will ask you to come in. If you wish, you may make an appointment to review your results.