Uninsured Services

 




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Uninsured Services

UNINSURED SERVICES

Did you know that the Ontario Health Insurance Plan (OHIP) does not pay for all the services that may be provided by a physician or health care provider? Please see our fees for uninsured services below:

Code Description Value
ANAUNIN Anaesthesia – Uninsured Pt $00.00
CHRTREV Chart Review, per 15 minutes $75.00
CHRTXFR Chart Transfer Fee $25.00
COURIER Courier Charge $25.00
PHOTOC Photocopying, per page, minimum charge 25 pages $1.00
CPPDIS CPP Disability Form $85.00
CPPNARR CPP Narrative Medical Report, per unit $25.00
1 unit = Photocopies + short statement
2 units=up to 1 page
4 units=at least 2 pages
6 units=3 or more pages
DENTAL Dental Assessment $10.00
DNATEST DNA Testing $25.00
FAF Functional Abilities Form – non WSIB $25.00
FOOT Foot care $20.00
FORMEI EI Disability Form $15.00
FORMPX Camp/School/Fitness Club Physical Form $25.00
FORMRTW RTW Form / Sick Note $15.00
FOSTER CAS Foster Parent Application Form $40.00
IMMIGRA Immigration Forms $150.00
IMM Immunization, per injection $15.00
INSMDS Insurance Attending MD Statement (form) $50.00
INSMDU Insurance Attending MD Update (form) $30.00
INSPX Insurance Medical Exam (includes form) $150.00
USCHQ Bank Charge – U.S. Cheque $20.00
KTMVK Katimavik Form $25.00
KATIMAV Katimavik Medical Consultation $15.00
LETTER Per 5 minutes $25.00
MISCFORM Miscellaneous Forms $ 25.00

UNINSURED SERVICES

Code Description Value
MISSAPT Missed Appointments (2 in current year) $30.00
MISSEST Missed Appointment Fee – Uninsured EST $100.00
MOBTRAV Travel to/from Mobert – per return journey $200.00
MTOPX Driver’s License Physical (includes form) $80.00
NSF NSF Fee $5.00
NWTWSCC WSCC Form Completion (NWT) $36.50
OCF-3 Disability Certificate (third party) $50.00
OCF-18 Treatment Plan (third party) $63.72
OFFWRK Off Work Note $25.00
PHONE Phone time, per 15 minutes $75.00
PHOTOC Photocopying, per page, minimum charge 10 pages $1.00
PX Work Physical (Pre-Employment etc) $135.00
PX2 Minor Physical – Vitals, Height & Weight $75.00
RCDISCR Revenue Canada Disability Credit Certificate $35.00
RX Short-notice Rx refill – NOT REALLY USED NOW $10.00
SKIN Cosmetic skin treatment, per visit $20.00
SKIN++ Cosmetic skin treatment, >5 lesions, per visit $35.00
SYMVISC 3 x Symvisc Injection $45.00
TB TB skin test – administer and interpret $40.00
TRAVEL Travel Consultation $30.00
TREATPX Treatment Centre Physical (includes form) $50.00
VETERANS Veteran’s Medical Questionaire $120.00
WARTTX (NON PLANTER/GEN) 1st visit $20.00
2nd, 3rd & 4th visit – included in one fee $20.00
Every subsequent 3 visits. $20.00
WCBMB WCB Manitob – Drs Progress Report $49.85