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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 2023)

Visit Fees for Quebec Patients (RAMQ)

RAMQ patients registered to a primary care provider, are charged a $30 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 $30 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 $25 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
Forms

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
Hepatitis B – Engerix B Adult $55
Hepatitis B – Recombivax Adult $55
Hepatitis B Jr – Engerix B Pediatric $30
Hepatitis B Jr – Recombivax Pediatric $35
HPV – Gardasil 9 $220
Meningitis a,c,y,w135 – Menactra $165
Meningitis a,c,y,w135 – Menveo $150
Meningitis B – Bexsero $170
Meningitis C – Menjugate $70
MMR (Quebec Resident) – Priorix $40
MMRV (Quebec Resident) – Priorix-Tetra $140
Pneumococcal (Quebec Resident) – Pneumovax 23 $50
Pneumococcal – Prevnar 20 adult $155
Polio (Quebec Resident) – Polio $70
Rotavirus (Quebec Resident) – Rotarix $110
Rotavirus (Quebec Resident) – Rotateq $115
Respiratory syncytial Virus (RSV) – Arexvy $300
Tetanus, Diphtheria (Quebec Resident) – Td Adsorbed $35
Tetanus, Diphtheria, Acellular pertussis (Quebec Resident) – Adacel $75
Tetanus, Diphtheria, Acellular pertussis (Quebec Resident) – Boostrix $50
Tetanus, Diphtheria, Acellular pertussis + Polio (Quebec Resident) – Boostrix-Polio $55
Shingles-Zoster – Shingrix $175
Varicella – Varilrix $95
Varicella – Varivax $125
Travel Medicine
Travel Visit – 1st patient $80
Travel Visit – applicable for group visit fee for each additional patient going to the same destination $50
Cholera/ diarrhea – Dukoral $70
Hepatitis A  – Avaxim $85
Hepatitis A – Havrix 1440 $80
Hepatitis A  – Vaqta $75
Hepatitis A Jr – Havrix 720 Pediatric $45
Hepatitis A Jr – Vaqta Pediatric $50
Hepatitis B – Engerix B Adult $55
Hepatitis B – Recombivax Adult $55
Hepatitis B Jr – Engerix B Pediatric $30
Hepatitis B Jr – Recombivax Pediatric $35
Hepatitis A+B – Twinrix $90
Hepatitis A+B Jr – Twinrix Pediatric $45
Japanese Encephalitis – Ixiaro $260
Meningitis a,c,y,w135 – Menactra $165
Meningitis a,c,y,w135 – Menveo $150
Rabies – Imovax Rabies $315
Rabies – Rabavert $240
Tetanus, Diphtheria (Quebec Resident) – Td Adsorbed $35
Tetanus, Diphtheria, Acellular pertussis (Quebec Resident) – Adacel $75
Tetanus, Diphtheria, Acellular pertussis (Quebec Resident) – Boostrix $50
Tetanus, Diphtheria, Acellular pertussis + Polio (Quebec Resident) – Boostrix-Polio $55
Typhoid – Typhim $47.50
Typhoid oral – Vivotif $45
Yellow Fever – Yellow Fever $220
Travel Medicine Products
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
Procedures
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
Equipment
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, and travel 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
Operated by Ontario Partners in Health
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