Bulletin Number
        September 21, 1999
Direct inquiries to

         Ministry of Health
         Processing Office

(address below)
       Independent Health Facilities       
Subject      Billing Patients for Intraocular lenses for Cataract Surgery
When a foldable or rigid intraocular lens is implanted in conjunction with a surgical cataract extraction performed in a hospital, Independent Health Facility (IHF) or physician clinic, the provision of the lens is part of the insured service and its cost cannot be billed to the patient. Hospitals or physicians cannot bill patients for the difference in cost between the foldable and rigid lenses.

The foldable lens is considered medically beneficial to many patients because it requires a smaller incision, results in less post-operative pain, promotes more rapid visual recovery, and provides less post-operative activity restrictions. The rigid and foldable lenses are considered clinically interchangeable and either lens must be provided by the hospital, IHF or physician clinic at no charge to the patient.

This bulletin clarifies an earlier memorandum dated May 25, 1998 from the Ministry to hospitals.

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L4M 3P2
119 King St. W
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P9N 1X9
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Oshawa Centre.
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K1P 5Y9
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N4K 2H5
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3rd Floor
L2R 3C3
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Roberta Bondar Place
70 Foster Dr., Ste. 100
P6A 6V4
199 Larch St.,
Suite 801
P3E 5R1
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Suite 113
P7E 6T1
38 Pine St. N., Ste. 110
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2195 Yonge St.
P.O Box 1700 Stn. A
M5W 1G9
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N8X 1K1
Head Office
P.O. Box 38
Kingston, ON
K7L 5J2