Annual Fee Plan for Medical Services Not Covered by OHIP
At Queen’s Quay Family Medical Health, it is our goal to help you with all of your health needs and provide you with the best medical care in a friendly and efficient manner. We offer an Annual Fee Plan in order to increase the convenience and reduce the costs associated with your medical needs.
The Ontario Health Insurance Plan (OHIP) pays for most of your medical visits to our office. There are, however, uninsured services, which OHIP does not cover, such as prescription refills by phone, medical forms for insurance, legal or employment purposes, and photocopying, faxing and transferring medical records. Queen’s Quay Family Health will charge for uninsured services in accordance with the fee guidelines set by the Ontario Medical Association (OMA) and the College of Physicians and Surgeons of Ontario (CPSO).
While you can pay for these services on an as-needed basis, Family Physicians at Queen’s Quay Family Medical offer an Annual Fee Plan as a more convenient and cost-effective way to manage these charges. The Annual Fee Plan covers most of your uninsured services for the entire year for one annual fee. For the majority of patients this alternative to pay-per-service will provide significant financial saving.
Individual
Enter your description-
1 membership account
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Cancel anytime
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Access to after-hours emergency services
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A-la-carte services (notes, referrals etc)
Couples
For up to 2 accounts*-
2 membership accounts
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Cancel anytime
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Access to after-hours emergency services
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A-la-carte services (notes, referrals etc)
Family
Up to 5 accounts*-
5 membership accounts*
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Cancel anytime
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Access to after-hours emergency services
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A-la-carte services (notes, referrals etc)
Our Annual Fee Plan Covers the Following Medical Services Not Covered by OHIP
Should you prefer to pay for individual services, the schedule of fees is indicated in the following chart:
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Prescription refills by fax $30.00
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Email advice during office hours (max. twice/year) $50.00 and up
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Medical record copies* $45.00 + delivery/page
Price is only for pages 1-5. Each additional page: $1.75
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Medical record faxes* $20.00
First page only. Each additional page: $1.00
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Immunization records $30.00
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Illness/return to work notes $30.00
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Hand written doctor's notes $30.00
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Unemployment insurance/Maternity certificate/disabled parking $30.00
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Fitness club forms $30.00
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Replacement of immunization card $30.00
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Day care application form $30.00
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Camp form $30.00
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CPP Disability form $200.00
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School/college/university medical certificate $30.00
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Lost notes/prescriptions/requisition $30.00
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Forms for volunteers at nursing homes/hospitals $30.00
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Driver medical form & physical examination $200.00
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Wart treatment $35.00
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Letters at Patient's request OMA set fee, min $150
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Employment physical & form $200.00
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Ministry of Transportation medical & form $200.00
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Insurance medical & form $275.00
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Missed appointment - Regular $50.00
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Missed appointment - Physical or Specialist appointment $100.00
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Long distance advice $100.00
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Travel information, immunization & prescriptions – non-OHIP $65.00 and up
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Application for out-of-country insurance Min. $100.00
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Airline/trip cancellation form $60.00
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Transfer of charts, individual or family Min $60 + delivery, max. $85 + delivery
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Simple disability tax credit* $200.00
*can claim tax credit on this fee
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Legal reports $360/hr. (OMA rate)
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Referral Notes for Chiropody or Orthotics* $25.00
*Referral notes are considered an uninsured service when requested by the patient for a service that is not medically necessary.
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Referral Notes for Chiropractors* $25.00
*Referral notes are considered an uninsured service when requested by the patient for a service that is not medically necessary.
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Referral Notes for Massage Therapy* $25.00
*Referral notes are considered an uninsured service when requested by the patient for a service that is not medically necessary.
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Referral Notes for Physiotherapy* $25.00
*Referral notes are considered an uninsured service when requested by the patient for a service that is not medically necessary.
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Ear flushing $45.00