Uninsured Services and subscriptionS


This page provides information about uninsured services and fees, the option for annual subscription, as well as how to pay your invoice.


Magenta Health Uninsured Service Policy

Magenta Health has implemented a policy that requires physicians within the clinic to invoice their patients for the uninsured services they provide.  The fees collected are directed solely into relieving administrative burdens, both for your physician, and our staff, to secure a long-standing foundation for the Magenta Health team. To learn more about why the clinic requires your physician to invoice for uninsured services, review our blog post on Uninsured Services and Fees.

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).


OHIP COverage

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.

Annual Uninsured Services Subscription

This is an optional annual fee (previously called ‘block fee’) that is charged to patients who choose to pay for the provision of one or more uninsured services (i.e. services not covered by OHIP) from a predetermined set of services.

Your physician includes the provision of certain types of medical care via electronic communication in their Annual Uninsured Services Subscription. This fee does not replace the need for appointments.

Cost: $125/year per patient. These rates may vary somewhat from physician to physician.

↓ Click here to review a list of Non-OHIP Services and Per-Service Fees (+ Inclusions and Exclusions for Electronic Messaging) ↓
Uninsured Service / Services NOT covered by OHIP Typical Per-Service Charge ($ , subject to vendor / delivery fees) Additional Notes Covered by Subscription?
Forms
Canada Pension Plan (CPP) Disability Medical Report Form 85 No
Disability Report/Insurance Form OMA rates, 141.00 and up includes long-term disability form, #OCF-3, #OCF-18 and #OCF-19 certificates No
Driver’s Medical Examination Form 70.0 without physical exam
305.85 with physical exam
No
Medical Certificate for Employment Insurance, Compassionate Care, Parental, or Sickness Benefits 46.75 (INS5216B, INS5168, or INS5140) Yes
Medical Fitness to Participate Form 33.75-50.00 (work, school, camp, daycare, fitness club, other programs, etc.) Yes
Private Insurance Form OMA rates, 250.00 and up (Life Insurance, Health Insurance and APS forms) No
Revenue Canada, Federal Disability Tax Credit Form 150 No
Short-term Disability Form OMA rates, 60.00 and up No
Travel Cancellation Form 150 No
Volunteer Form 27 Yes
Prescriptions
Prescription Renewal (without an appointment) 20 Yes
Prescriptions for orthotics, massage, compression stockings, etc. for insurance reimbursement 20.00 and up Yes
Lost Referrals or Prescriptions 20 Yes
Notes
Back to Work, School or Daycare Note 23.5 Yes
Legal Reports OMA rates No
Letter at Patient's Request OMA rates No
Sick Note 23.5 Yes
Medical Records
Electronic or Fax Transmission of Medical Records 35.00 and up (cost may vary based on length) Yes
Immunization Records Replacement or Summary 20 Yes
In-Clinic Medical Services
Appointment Without Valid OHIP Coverage 40.00-150.00 No
Appointments missed or cancelled/rescheduled late 40.00/80.00 "Deadline varies per MD
please see your appointment confirmation
or reminder email"
No
Earwax removal 35 (only OHIP covered if there is hearing loss and non-responsive to cerumenolytics OR OHIP covered if removal is for diagnostic and/or therapeutic purposes, effective October 1, 2019) Yes
Liquid Nitrogen Treatment of Benign Skin Lesions & Warts not covered by OHIP 35.00-50.00/visit No
Pap Tests 115.00 (+lab fee) (when done earlier than OHIP-covered/recommended frequency) No
TB Skin Test (1-step/2-step) 35.00/50.00 No
Third-party Physical Examination 219.6 No
Travel Advice 65.00 and up No
Uninsured Vaccine Administration 15 (does not include travel advice) Yes
Urine pregnancy test 25 (only OHIP covered when an immediate determination of pregnancy is required to prevent imminent physical harm; blood pregnancy test is still OHIP covered, effective October 1, 2019) Yes
Electronic Communication
Administrative Communications via electronic messaging Offered free of charge for all patients
Medical Communication via electronic messaging Some medically appropriate electronic messaging is available to those who have subscribed to the Uninsured Services Subscription, or wish to pay per message. What message types are available at at your physician's discretion, and will be clear when using their homepage to address your concern or question.

- Messaging remains only for medically appropriate circumstances.

- These fees are intended to compensate physicians for non-OHIP covered time spent reviewing and responding.

- Patients will not receive prioritized care. Magenta Health does not offer executive health or concierge care.

- Your physician may ask you to book an appointment if they believe medically appropriate.

- The annual subscription allows for 12 messages related to the circumstances listed.

Those who choose not to subscribe can always book an appointment (OHIP Covered) to discuss any medical issues and concerns.

All patients have access to all types of appointments on their physician's booking page.

INVOICES AND RECEIPTS

The doctors use the following third party services for invoices and payments: Wave, Tracument, and Stripe.
Each service will provide an automated receipt once the invoice has been resolved.

  • Wave invoices can be paid online using the instructions in the email.

    Paying by cheque: If you prefer not to pay your Wave invoice online, you can drop-off or mail us a cheque that clearly indicates the corresponding invoice number(s) and is made out to the name on the invoice. Please be sure to copy the name exactly as it appears on the invoice.

    Paying in Clinic: Please note that our in-clinic staff are unable to process debit or credit card payments at the clinic.

    As appropriate (for Wave invoices ONLY), our staff are able to process cheques and exact cash payments (i.e. staff are unable to make change if needed) at the clinic.

  • Tracument is our secure document delivery vendor.

    Please be advised that Tracument will include their own separate delivery fee. This fee will be clearly noted on the invoice.

    Paying Online: Tracument invoices can be paid online by clicking the Invoice link in your email.

    Paying by Mail: A cheque should be addressed to Tracument and mailed directly to them (please see your invoice for details). Once payment has been processed by Tracument, they will automatically notify you on how to access the document(s).

    Paying in Clinic: We cannot accept payments/cheques in clinic for Tracument Invoices.

    Questions / Troubleshooting: Any questions regarding payment or document access should be addressed to Tracument directly via support@tracument.com .

    Tracument’s troubleshooting page is available here.

  • Stripe Invoices received by email: can be paid online using the instructions in the email.

    Stripe Receipts for automated online payments: Currently, Stripe payments are made at the time of a service request. A receipt will be automatically emailed to the address on file for you with Magenta Health (e.g. to claim back reimbursement from your own private insurance). If you have questions about this receipt, please submit them here.

    Paying by cheque: If you prefer not to pay your Stripe invoice online, you can drop-off or mail us a cheque that clearly indicates the corresponding invoice number(s) and is made out to the name on the invoice. Please be sure to copy the name exactly as it appears on the invoice. This is not an option for automated online payments taken at the time of a service request.

    Paying in Clinic: Please note that our in-clinic staff are unable to process debit or credit card payments at the clinic.

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

    Refunds on Uninsured Services 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.

  • Please be advised that for some requests, our secure document delivery vendor (Tracument) will include their own separate delivery fee. This fee will be clearly noted on the invoice.

    For some requests, our secure messaging vendor will include their own vendor fee. This fee will be clearly noted on the invoice.

  • If you believe an invoice was sent to you in error, we invite you to reach out to us via the linked forms below.

    Wave Invoices: For concerns regarding Wave invoices, please click here.

    Tracument Invoices: For concerns regarding Tracument invoices, please click here.