Uninsured Services

Dear Patient,

As family doctors we are committed to helping you with all your health care needs. It is our goal to provide you with the best medical care in an approachable, friendly, and efficient manner. As you know, the Ontario Health Insurance Plan (OHIP) pays for most of your medical visits here at the office, however, some medical procedures and most administrative services are not insured by OHIP. These services are still provided by our office but require significant time and resources to administer. In the face of rising office expenses and government restrictions, we are no longer able to provide these services to you free of charge. In order to maintain the highest standard of care, payment for these services has become the responsibility of either the patient themselves or the agency requesting the service. To address this issue over the last few years the Ontario Medical Association has introduced a fee schedule for uninsured services.

It is our office policy to charge for uninsured services in accordance with the guidelines of College of Physicians and Surgeons of Ontario. There are two ways for patients to pay for uninsured services. You may pay for each uninsured service at the time it is provided or, we offer you the option of paying an Annual Fee for Uninsured Services (Block Fee). This payment method allows us to reduce our administrative time and focus on patient care. It also may result in savings to the patients who utilize these services. As always, it is entirely your decision which method you wish to use.

Please see the attached list of uninsured services provided by GSH Medical, which includes the Ontario Medical Association recommended fee for each service and a detailed breakdown of how the cost of each service is covered by the Annual Block Fee.

 

Uninsured service

Fee

Covered by block fee?

Email or Telephone Consult at doctors discretion (10 annually)
Dr. Gradinger ( telephone consult only)
Dr. Patel ( email only)

$25

YES

Prescription renewal at doctors discretion without an office visit (Emergency short term refills at doctors discretion only)

$25

YES

Sick Notes

$20

YES

Faxing, email, photocopying (20 pages included 0.25 cents each page after)

$30

YES

Daycare notes

$20

YES

Jury duty note

$30

YES

Immunization record replacement

$30

YES

School camp forms

$25

YES

Adoption Forms

$100

YES

Certificate of Medical Status

$20

YES

Consultation on your behalf with allied health professional

$20

YES

Drivers Medical Examination

$100

YES

Death Certificate

$100

YES

Disability CPP Medical Report

$60

YES

Disability Federal Tax credit

$60

YES

Disability parking permit form

$20

YES

Maternity /Employment Insurance form

$50

YES

Foster Parent CAS application form

$80

YES

Lost prescriptions or notes by fax or phone at Dr. discretion (5 annually)

$20

YES

Pre-Employment certificate of fitness

$75

YES

Tb skin test, injection, reading (per test)

$25

YES

Travel cancellation forms

$30

YES

Volunteer forms

$30

YES

Pre-employment certificate of fitness

$33.85

YES

The Following Uninsured Services are NOT Covered by the Annual Fee

Missed appointment without 24-48 hrs notice

$30

NO

Extensive Disability Report/ Insurance Forms

Hourly Rate

NO

Administration of injections for travel purposes ( per injection)
eg: Twinrix

$30

NO

Legal Reports

Hourly Rate

NO

Transfer of individual records

Hourly Rate

NO