Ontario Medical Association (OMA) Guidelines Charges
Transcription
Ontario Medical Association (OMA) Guidelines Charges
Charges for Uninsured Services (NOT COVERED BY OHIP) Ontario Medical Association (OMA) Guidelines TYPE OF SERVICE Completion of Form Physicals for: Schools/Camps DESCRIPTION OF UNINSURED FORM/REPORT/SERVICE FEE $26.00 Admission to Day-Care, Preschool, University or any other educ-al institution $26.00 Pre-employment Certification of Fitness/Fitness Clubs $34.00 Hospital/Nursing Home Employees $34.00 Drivers Medical Examination Completion of Licensing Forms/Certificates: Civil Aviation Medical Examination Report Pilots License Validation Administrative License Suspension Appellant Medical Info. Form Back to Work Notes/Sick Notes Completion of Work and School Federal Employee Absence Notes Related Forms/Notes: $52.00 Physician hrly rate Physician hrly rate $40.00 $18.00 $26.00 Day Care Note (free of communicable disease) $18.00 OCF-18 Treatment Plan $130.00 OCF-3 Disability Certificate $130.00 OCF-19 Determination of Catastrophic Impairment $107.00 Insurance Certificates: (Note: An OCF-22 Approval of an Assessment assessment fee can be charged in Travel Cancellation Insurance Form $122.00 addition to the insurance form fee if an assessment is necessary to obtain relevant information needed to complete the form) $44.00 Life Insurance Death Certificate Medical Certificate for Employment Insurance Compassionate Care Benefits $50.00 Attending Physician’s Statement $130.00 System – Specific or Disease Specific Questionnaire $87.00 Insurance Medical Examination $212.00 System-Specific Examination $104.00 Full Narative/Clarification Report Citizen and Immigration Canada Medical Report for Immigration Government Forms: Other Certificates: $349.00/hr $130.00 CPP Disability Medical Report Form $85.00 CPP The Narative Medical Report $150.00 Request for Medical Information re: Applicants to Canadian Armed Forces $102.00 Central Collection Service Request for Physician’s Information $130.00 Revenue Canada, Federal Disability Tax Credit $44.00 Auto Sales Rebate Form $35.00 Children’s Aid Society Application for Prospective Foster Parent $52.00 Medical Certificate Employment Insurance Sickness Benefits TB Test requested by Ministry of Health Program (eg. Public Health) TB Mantoux Testing*** $35.00 TB Test requested for admission or continuation in a day care, pre-school, school, college, university or other educational institution. TB Test Insured by OHIP. Charge for Form/Report Completion TB Test requested for employment purposes (Test + Form) $26.00 OHIP covered $20.00 $45.00 Application for Accessible Parking Permit/Transit Forms for Disabled Unremunerated Report Forms: (Physician is NOT permitted to PR Card Forms/Request for Birth Certificate Form/Canadian Passport Application charge a patient for completion) Children’s Aid Society Form (on behalf of a child)/Ministry of Health and Long-Term Care (eg. Limited Use, Assistive Devices etc.) Copies from the Patient’s Chart (up to 20 pages) Chart Copies: Copy of the Full Chart (over 20 pages). $30.00 + $.25 per page for each page over 20 pages. Letter for massage therapy, orthotics, back support, stockings etc. Missed Appointment Other: PAP Test*** No Charge $1.00/pg. $30.00 + $0.25/pg. $30.00 $40.00 Lost requisition/Referral $5.00 Fax Prescription refill $15.00 Travel Advice and Vaccine Administration (must be purchased from Pharmacy) $65.00 Charge for PAP Test by Physician $36.00 Processing Fee - payable directly to Processing Laboratory (e.g. CML) $20.00 *** MAYBE COVERED BY OHIP IF CERTAIN CRITERIA ARE MET