Uninsured Services and Block Fees

Physicians at Magenta Health are committed to helping patients with all of their health care needs.  The Ontario Health Insurance Plan (OHIP) covers most aspects of your care; however, some medical and administrative services are not covered by OHIP and require separate payment. The typical cost of such services are enumerated below and are set in line with the guidelines set by the Ontario Medical Association (OMA) and the College of Physicians and Surgeons of Ontario (CPSO).

To reduce administrative overhead and provide a potential cost saving advantage to patients, Magenta Health physicians also provide patients with the option of subscribing to an annual “block fee”.  Patients who subscribe will receive the services covered by the block fee at no additional cost.  Patients who do not subscribe will be asked to pay for uninsured services each time they are provided.  

Typical block fee rates are:

  • $250/year for families of two adults and up to 4 dependents

  • $125/year for each patient age 18 and up

  • $85/year for each patient under age 18

These rates may vary somewhat from physician to physician.

What is Covered by the Block Fee?

The following uninsured services are covered by the block fee:

Uninsured Service / Typical Per-Service Charge ($)

  • Electronic communication with your physician
  • Prescription Renewal (without coming in for an appointment)  20.00
  • Uninsured Vaccine (other than travel advice) - 15.00
  • Sick Note  20.00 
  • Back to Work, School or Daycare Note  20.00
  • Camp, Daycare or School Form  30.00
  • Short-term Disability Form  60.00 
  • Electronic or Fax Transmission of Medical Records  35.00 (for first 20 pages, rates increase for more pages)
  • Children’s Aid Society (CAS) Application Form for Prospective Foster Parent  54.00
  • Death Certificate for Life Insurance  50.00 
  • Revenue Canada, Federal Disability Tax Credit Form  50.00 
  • Canada Pension Plan (CPP) Disability Medical Report Form  85.00
  • Medical Certificate for Employment Insurance Compassionate Care, Parental, or Sickness Benefits (INS5216B, INS5168, or INS5140)  30.00
  • Fitness Club Form  40.00 
  • Immunization Records Replacement or Summary  20.00
  • Lost Referrals or Prescriptions  20.00 
  • Pre-employment Certificate of Fitness  50.00 
  • Travel Cancellation Form  40.00
  • Volunteer Form  27.00 
  • Weight Loss Commercial Program Form  35.00 

What isn't Covered by the Block Fee?

Any uninsured services not listed in the table above are not covered by the block fee.  Common examples include:

Uninsured Service / TYPICAL Per-Service Charge ($)

  • Appointment Without Valid OHIP Coverage  40.00-150.00
  • Disability Report/Insurance Form (including long-term disability form, #OCF-3, #OCF-18 and #OCF-19 certificates)  OMA rates, 140.00+ 
  • Driver’s Medical Examination Form (without physical exam/with physical exam)  56.05/150.00
  • Canada Pension Plan (CPP) Narrative Medical Report  $185.00 
  • Legal Reports  OMA rates 
  • Letter at Patient's Request  OMA rates 
  • Liquid Nitrogen Treatment of Benign Skin Lesions & Warts not covered by OHIP  35.00-50.00/visit 
  • Appointments missed or cancelled/rescheduled less than 12 hours in advance  40.00/80.00
  • Pap Tests (when done earlier than OHIP-covered/recommended frequency)  115.00 (+lab fee)
  • Private Insurance Form (including Life Insurance, Health Insurance and APS forms)  OMA rates , 250.00+
  • TB Skin Test (1-step/2-step)  35.00/50.00
  • Third-party Physical Examination  175.00 
  • Travel Advice  65.00+

For all of the above uninsured service charges, HST will be charged if applicable.

How to Pay for Individual Uninsured Services and/or Block Fee

For block fees and individual third-party charges, we will send you an invoice by email with instructions on how to complete payment online with a credit card.  If you prefer to not pay online with a credit card, kindly drop-off or mail us a cheque that clearly indicates the corresponding invoice number(s).  Cheques should be made out to the doctor or medical professional corporation listed on the invoice.

Please note that we will not be accepting payments by debit or cash, or credit card in person.

How to Subscribe and Unsubscribe to the Block Fee

If you wish to subscribe to the block fee, please complete the form here and you will be sent an annual invoice automatically.  

To unsubscribe, please contact us to let us know.  


Refunds on block fee subscriptions are offered up to 60 days after activation or renewal of the subscription. Please note that if you received any uninsured services during this period and subsequently cancel your subscription, that we will invoice you for such services.

No refunds are available on charges for individual services once provided.