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Fees for Uninsured Medical Services

Not all of the services that your physician provides to you are insured through your provincial health card or your health plan. As a result, a fee may be charged at the time of your visit. Consult the uninsured services fees listed below or contact us at 613-564-3950 for more information.

Uninsured medical services are not covered by the Ontario Health Insurance Plan (OHIP) and may be charged directly to the patient (or third party) at the discretion of the physician. Third Party services are defined as any service (including a medical assessment) received by a patient which, in whole or in part, is necessary for the production or completion of a document or transmission of information to satisfy the requirements of a party other than the patient.

  • How can I pay for my fees?

    The ByWard Family Health Team issues electronic invoices by e-mail for outstanding medical fees. If you receive an electronic invoice by e-mail, you may process your payment online at https://payment.bywardfht.ca/ or in person at one of our clinic locations. Accepted methods of online payment are Visa, Mastercard and Paypal. In person at any location accepted methods of payment are Visa, Mastercard, Debit, Cash.

    Your electronic invoice will indicate the date of the original invoice as well as a description of the medical fee for which it was issued.

  • Why am I being charged for a prescription renewal?

    A prescription renewal without a visit with your primary care provider is an administrative (uninsured) service not covered by the Ontario Health Insurance Plan.

    Prescription renewal requests received by phone, fax or (e)mail will incur a $25 charge per request.  If you do not wish to pay this fee, please book an appointment with your Primary Care Provider (PCP) prior to finishing your current course of medication. Patients who have been granted BWFHT Financial Exemption, are exempt from paying this fee. Consult the Prescription Renewals or Referrals section for more information.

  • Why am I being charged for a referral for Physiotherapy/Massage?

    A referral to an Allied Health Professional requested for documentation purposes (i.e. referral requested by your insurance company) is an administrative (uninsured) service not covered by the Ontario Health Insurance Plan.  As such a $25 fee per referral request will apply and must be paid prior to processing the request.  Allied Health Professionals include, but are not limited to: Massage Therapist, Physiotherapist, Chiropractor, Chiropodist/Podiatrist/Orthotics, Osteopath, Naturopath, Acupuncturist, Speech Language Pathologist, Psychologist, Dietician etc.

    Please contact the clinic at 613-564-3950 to request a referral from your primary care provider.

  • Visit Fee for RAMQ Patients

    Quebec (RAMQ) patients are required to pay a fee at each visit.

    For detailed information, see the Visit Fees for Quebec patients (RAMQ) section below.

  • Fees

    *The following is information regarding uninsured medical services including the associated costs not covered by OHIP. Please note that all fees are subject to change without notice.*

    (Last update: December 2022)

    Visit Fees for Quebec Patients (RAMQ)

    RAMQ patients registered to a primary care provider, are charged a $35 administrative fee at each visit. This is an out-of-pocket, non-refundable expense for health-care services provided by your primary care provider, at the walk in clinic, as well as by most specialists.

    Non-registered RAMQ patients are required to pay a $35 fee for services provided at visits with most specialists.

    For in person appointments, patients will be asked to pay the administrative fee and sign the Out of Province claim form at the time of their visit. For virtual appointments, patients will be required to pay the fee at the time of booking.

    For additional information, please go to : https://bywardfht.ca/important_notices/update-payment-policy-for-ramq-patients .

    Missed Appointment
    Family Medicine Regular $40
    Family Medicine (Specialized Service) $75
    Periodic Health Visit $80
    Travel Medicine Consultation $80/$50 additional person
    Mental Health Counselling $40
    Psychiatry $150
    Pediatric Psychiatry $150
    Pediatrician – Consult $150
    Pediatrician – Follow Up $60
    Pediatrician (Primary Care) – Regular $65
    Pediatrician (Primary Care) – Follow Up $35
    Pediatric Neurology – Consult $150
    Pediatric Neurology – Follow Up $60
    Electromyography (EMG) – Consult $90
    Obstetrics and Gynecology – Consult $100
    Obstetrics and Gynecology – Follow Up $40
    Neurology – Consult $150
    Neurology – Follow Up $75
    Internal Medicine – Consult $150
    Internal Medicine – Follow Up $60

    For third party requested forms or reports, an appropriate assessment fee may be charged in addition to the fee charged for completion of the form/report, when the assessment is not medically necessary.

    Immunization Report for employment purposes $15
    Medical Certificate (BWFHT) – Standard Form $25
    Academic Accommodations Medical Certificate $40
    Student Clinical Pre-Placement Form $40
    Occupational Health Report (Health Canada) $40
    Documentation/forms for physicals for schools, camps, pre-school, daycare, university/educational institutions $40
    Medical certificate for employment insurance compassionate care benefits $55
    Canada Pension Plan (CPP) Disability Medical Report Form $85
    Attending Physician Statement (no exam required) $145
    Other forms Variable
    Prescription Renewal & Referrals

    Please book an appointment for prescription (medication) renewals. There are no fees for a clinical review and renewal of your medications during an appointment with your health care provider.

    Prescription renewal requests sent by telephone, email or faxed from your pharmacy without a scheduled visit will incur a fee.

    Insurance letters/notes/”prescriptions” for paramedical professional services (eg physiotherapy, massage therapy, orthotics, naturopaths, etc) required by your insurance company will incur fees with or without an appointment.

    Book an appointment to see your provider to request a prescription renewal No fees
    Call, email or Pharmacy faxes (613-564-6627) your prescription renewal request to your provider $25
    Request for a referral for massage therapy, physiotherapy, etc. with or without a visit to your provider $25

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    Vaccines and Injections
    Hepatitis A (Havrix 1440) $80
    Hepatitis A (Vaqta) – Temporarily not available $75
    Hepatitis A Jr (Vaqta Pediatric) Temporarily not available $50
    Hepatitis A (Avaxim) $85
    Hepatitis A Junior (Havrix 720) $45
    Hepatitis B (Engerix B) $55
    Hepatitis B (Recombivax) $55
    Hepatitis B Junior (Engerix B Jr) $30
    Hepatitis B Junior (Recombivax Jr) $35
    Meningitis C (Menjugate) $70
    Meningitis B (Bexsero) $170
    Menveo $150
    Menactra $165
    Hepatitis A+B (Twinrix) Adult $90
    Hepatitis A+B (Twinrix Jr) $45
    Typhoid (Vivotif) $45
    Typhoid (Typhim) $47.50
    Hep A-Typhoid (Vivaxim) – Not Available $110
    Varicella (Varivax) $125
    Varicella (Varilrix) $95
    Rotarix $110
    Rotateq $115
    HPV (Gardasil 9) $220
    Pneumococcal (Prevnar 13) $150
    Pneumococcal (Prevnar 20) $155
    Pneumococcal (Pneumo 23) $50
    Tdap (Adacel) $75
    Tdap (Boostrix) (Quebec residents only) $50
    Tdap + Polio (Boostrix-Polio) $55
    Polio $70
    Flulaval Tetra (Influenza) $25
    FluMist $25
    Depomedrol $25
    Kenalog (40 mg/ml) $45
    Shingles-Zoster (Shingrix) $175
    Shingles-Zoster (Zostavax 11) $215
    Rabies (Rabavert) $240
    Rabies (Imovax) $425
    Tetanus, Diphtheria (TD) $35
    Yellow Fever $220
    MMR (Priorix) $40
    MMRV (Priorix-Tetra) $140
    Cholera/Diarrhea (Dukoral) $70
    Japanese Encephalitis (Ixiaro) $260
    Travel Medicine
    Travel Visit – 1st patient $80
    Travel Visit – applicable for group visit fee for each additional patient going to the same destination $50

    Hepatitis B (Recombivax)$55

    Tuberculosis Test for travel (Includes injection, follow-up with Nurse, result card) $45
    Dukoral $70
    Rabies $315
    Japanese Encephalitis $260
    Yellow Fever $220
    Hepatitis A (Havrix 1440) $80
    Hepatitis A (Avaxim) $85
    Hepatitis A Jr (Havrix 720) $45
    Hepatitis B (Engerix B) $55
    Hepatitis B Jr (Engerix B Junior) $30
    Hepatitis B Jr (Recombivax Jr) $35
    Menactra $165
    Menveo $150
    Typhoid $47.50
    Twinrix Adult $90
    Twinrix Jr $45
    Oral Typhoid (Vivotif) $45
    Hep A-Typhoid (Vivaxim) $110
    Boostrix (Quebec residents only) $50
    Vaqta – Temporarily not available $75
    Vaqta Pediatric- Temporarily not available $50
    Ben’s Insect Repellent 120 ml Pump Spray 30% DEET $8.95
    Ungava Cream Insect Repellent 120 ml, 30% DEET – Unscented $9.95
    Ungava Cream Insect Repellent 60 ml, 30% DEET – Unscented $6.95
    Natrapel Lemon Eucalyptus Insect Repellent Pump Spray 74 ml $9.95
    Piactive Insect Repellent 175 ml Pump Spray 20% Icaridin $12.95
    Piactive Insect Repellent Kids 175 ml Pump Spray 20% Icaridin $12.95
    Piactive Insect Repellent 100ml (Travel Size) $9.95
    Piactive Insect Repellent 40ml (Wallet Size) $7.95
    Knock Down Bed-Bug Spray 75 grams $9.95
    Bed Bug Detective (4 pack) $7.95
    Lifesystems Tick Remover $8.95
    Aeroxon Tick Remover $4.95
    Pristine Water Bottle w/ Microbio & 50 purification tabs $35.95
    Deltamethrin impregnated bed nets $56.44
    Travel Vaccination Record replacement $5
    IAMAT Guide to Healthy Travel $15
    Element-proof bag with lanyard for smartphone (aLOKSAK) $9.95
    Element-proof storage bags (aLOKSAK) $15.95
    GoToob Medium Travel Bottles (3 pk) $24.95
    P-EZ Female Travel Urinal (1 unit) $12.95
    Minor Surgical Procedure Skin Tag 1-3: $80
    4-10: $125
    >10: $200+
    Milia $50-$100
    Ear Cleaning (not covered by your provincial plan) $25
    Pap test (not covered by your provincial plan) *Does not include lab fees which will be billed directly to the patient by Dynacare. $50
    Intralesional Kenalog Acne Cysts 1-3: $30
    >4: $60
    Keloids 1-3: $30
    >4: $60
    Cryotherapy/Hyfrecator Benign lesions (seborrheic keratosis, skin tags, spider angioma) 1: $80
    2-4: $100
    5-9: $200
    >10: $250
    Warts (other than feet & genitals) $40 per wart
    Surgical Excision Nevi (without suture) Face: $200
    Body: $100
    Nevi (with suture) Face: $250
    Body: $150
    Cysts (size and location dependent) 1: $300-400
    Subsequent cysts: $200
    Elastic bandages $10
    Theraband Strip $5
    Mona Lisa 5 IUD $60
    Mona Lisa 10 IUD $75
    Pregnancy Test (not covered by your provincial plan) $15
    Splint (finger) $10
    Needles (acupuncture, ART) $10
    Respicare Tube Inhalation $12
    Rental of ABPM Device (24-hour blood pressure) $75
    Rapid Strep Test $5.50 (QC Residents only)
    Dressing Change Supplies $5
    Washable & reusable face mask $12
    Adjustable Nylon Strap for Face Mask $4
    Face mask/Strap combo $15
    Copy and Transfer of Chart
    Digital copy of chart $40
    Copies of several reports or a portion of a chart reviewed by a physician Hourly rate
    Third Party Assessment

    For third party requested forms or reports, an appropriate assessment fee may be charged in addition to the fee charged for completion of the form/report, when the assessment is not medically necessary.

    Intermediate Assessment 75 $
    General Assessment 175 $
    Medical Specific Assessment Fees vary
    Insurance Medical examination (assessment and report) 240 $
    No or Expired Health Card Visit Fee
    Regular Appointment $75.00
    All other appointment types $100.00

    For virtual (telephone or video) appointments, patients will be required to pay the service fee at the time of booking.
    If an in person visit is required, patients will be charged when registering for their appointment.
    Depending on the reason for the visit, the invoice may be adjusted and patients will be required to pay the difference after the visit.

    OHIP Patients: Once you have renewed your health card, you can request a reimbursement for the fee by contacting our clinic and providing proof of valid coverage. *Please note that a $15 processing fee will apply and it may take up to 8 weeks from the date of the request to issue the refund.

    Patients from another province (or with private insurance): You can make a request for reimbursement directly with your provincial insurer or insurance carrier.

    Should you present at the clinic on the same day of service, with your valid health card, invoice and receipt, an immediate refund will be issued. Patients must present at same clinic location.

    Tuberculosis (TB) Testing

    Non-Mandated TB Testing (e.g. volunteer, employment etc.)

    Tuberculosis Skin Test (step 1) $45
                                               (step 2) if required $45

    *Does not include documentation fee

    Footcare Wellness


    APEX Footwear $300
    Orthotics – Custom $400
    Prefabricated Orthotics $150
    Orthotics Modification $75
    Initial Visit – Nursing Footcare $70
    Follow up Visit – Nursing Footcare $50
    Compression Fitting and Sizing $40
    3D Envisic Scan Exam $60
    Bio-Mechanical Assessment $50
    Onyfix Treatment – 1 Nail $150
    Onyfix Treatment – 2 Nails $275
    Onyfix Treatment – 3 Nails $400
    Podoexpert Healthy Nail $50
    Compression Stockings 15-20mmHg $75
    Compression Stockings 20-30mmHg $150
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