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NON-VALID HEALTH CARD OR NO OHIP COVERAGE

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Are Red + White Health Cards still valid?

No, they are not still valid. 

If you still have a Red + White Health Card please contact a Service ON location to update your Ontario Health Card to the new Health Card which is Green and has your photo on it

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​Is a Valid Health Card required for all appointments?

Yes, under most circumstances a valid Health Card is required for ALL visits at Acton Medical and Urgent Care - BUT 

there are a few exceptions; 

• If you are a resident of Quebec - Quebec Health Cards are not accepted in Ontario and payment will be required for any visit

• If you do not reside in Canada payment will be required for any/all visits​

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I do not have my Health Card(lost, stolen or can't find it) or my Health Card is expired can I still be seen?

Yes you can still be seen, however you will have to pay for the appointment; BUT if you provide the office with your VALID Health Card within 3 months of your assessment we will reimburse you.

 

I am not a resident of Canada, can I be seen?

• Yes you can be seen, however you will have to pay for the appointment

•  You will be required to complete an Out-Of-Country Form.

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I am an international student with UHIP coverage, can I be seen?

• Yes you can be seen, you will need to present the UHIP Card and complete a UHIP Claim Form which must be signed by the UHIP member.

• You will be required to complete an Out-Of-Country Form.

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​​UNINSURED SERVICES

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What are Non-OHIP Covered Services or Uninsured Services?

Non-OHIP covered services/Uninsured Services are those services provided to patients that are not covered by the Ontario Health Insurance Plan (OHIP) which is determined by the Ministry. This includes services such as but not limited to: notes, forms, letters and certificates; referrals for physio therapy, massage therapy and orthotics; ear flushing and cosmetic procedures, wart removal/skin tag removal; as well as splints, tensor bandages and if your health card is not valid on the day of your appointment etc.

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Why am I being charged for these services?

OHIP pays physicians for most medical services delivered to patients, however some services not covered by OHIP, these are called uninsured services. Your physician will request a payment from you for those services and it is the patient's responsibility to pay for uninsured services.

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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.

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What forms of payment are accepted for uninsured services?  

• Most fees are payable by either cash or Interac e-Transfer and are due at the time of the service. The office staff will provide you with the specific email address for Interac e-Transfer at the time of payment. 

• Fees for an assessment/visit without a valid Health Card are payable by cash only, as it makes the reimbursement process easier if applicable. 

• A receipt can be provided, please be sure to ask for one at the time of payment for your receipt.

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For more information about uninsured services, feel free to visit the Ontario Ministry of Health website

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LIST OF FEES

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The below listed fees are minimum fees, which may increase based on complexity of assessment, document or document format. The medical practitioner reserves the right to make adjustments to the fees listed below at any time without notice.

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If a fee is not specifically listed below, it will be determined by the medical practitioner.

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Expired/Invalid Health Card or No Health Card (assessment type determined by physician based on OHIP guidelines)

ONLY CASH IS ACCEPTED for these assessments

If a valid Health Card is provided within 3 months of assessment, a reimbursement can be provided 

• $   65.00  Minor Assessment

• $ 105.00  Intermediate Assessment

• $ 235.00  Major Assessment

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Basic Documents

• $   30.00  Sick notes (includes non-complex notes for return to work/school and free of communicable disease)​

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Completion of Form/Documents that may be associated with patient physicals

• $   45.00  Abilities form for workplace

• $   35.00  School, camp, pre-school, daycare, university/educational institutions

• $   45.00 - 240.00(based on complexity)  Pre-employment certification of fitness

• $   50.00  Medical clearance for dental procedure

• $   40.00  Pre-op form (No longer covered by OHIP)

• $   20.00  CPP for Specialist 

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Completion of licensing Form/Documents

• $   80.00  Ontario Ministry of Transportation - Driver's medical form/physical

• $ 150.00  Driver's medical (ANY driver's medical form/physical that is not 'Ministry of Transportation Ontario' form)

• $ 165.00  Civil aviation medical examination/form/report

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Life, Health, Accident Benefits and Insurance Forms/Documents​

• $ 165.00  Attending Physician's Statement (APS)

• $ 165.00  Disability

• $ 120.00  Drug authorization 

• $ 255.00  Treatment plan

• $ 140.00  Determination of catastrophic impairment

• $ 165.00  Treatment confirmation

• $ 240.00  Insurance medical examination

• $   45.00 - 165.00(based on complexity) Life insurance death certificate

• $ 150.00  Travel cancellation form

• $   30.00  Documentation to provide to Insurance Company in order to receive coverage for Massage Therapy,          Physiotherapy, Orthotics, Chiropractic, Acupuncture, Compression Stockings, Brace for back/knee, Medical  device/equipment ​

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Other Form/Documents

• $ 240.00  CRA Disability tax credit form

• $   50.00  Medical certificate for employment insurance - Sickness benefits

• $   65.00  Medical certificate for employment insurance Compassionate care benefits

• $ 230.00  Children’s Aid Society (CAS) Application for prospective foster parent

• $ 160.00  Citizen and immigration - Canada medical report for immigration

• $ 105.00  Request for medical information re:  Applicants to the armed forces

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Procedures

• $   40.00 - 80.00  Ear Flushing/Wax Removal.....for 3 days prior to this appointment patient must administer 2 drops of olive oil into the affected ear(s) 4 times daily

• $   40.00 - 200.00  Lesion removal: mole, skin tag, wart etc. (foot wart removal may be referred to a dermatologist)

• $   50.00  PAP not covered by OHIP (additional processing fee is billed directly by Dynacare Laboratory)

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Medical Supplies

• $   30.00  Arm Splint

• $     5.00  Finger Splint

• $     5.00  Tensor Bandage

• $   40.00  Suture Glue​

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Miscellaneous

• $   60.00  TB 1 Step paperwork (2 in office appointments are required, these are time specific appointments)

• $ 120.00  TB 2 Step paperwork (4 in office appointments are required, these are time specific appointments)

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• $   75.00  Travel Consultation for 1 patient

• $ 125.00  Travel Consultation for 2 patients (in same family)

• $   30.00  Travel Consultation for each additional family member (in same family)

          (Travel consultation fee includes the initial consultation and follow-up appointments to administer injection(s). 

           The travel consultation fee does NOT include the cost of purchasing the injection(s) at a Pharmacy)

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• $   30.00  Copying/Printing/Reproducing/Transmitting of Medical Records (first 20 pages)

• $     0.25  Copying/Printing/Reproducing/Transmitting of Medical Records (per page after the first 20 pages)

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