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After-hour and Special Visit Premiums
The time period at which after-hour and special premiums become effective is changed from 17:00h to 18:00h. All non-elective hospital services rendered evenings, nights, weekends and holidays are now exempted from thresholds. After-hours and special visit premiums are increased as follows.

Surgical Assistants' Services

General Preamble, Section 20 (d), after-hours premiums payable when a case commences

E400B Evenings (18:00h - 24:00h) Monday to Friday or daytime and evenings on Saturdays, Sundays, Holidays. Premium increased from 40% to 45%.
E401B Nights (00:00h - 07:00h). Premium increased from 50% to 62.5%.

General Preamble, Section 20 (e), special visit premiums payable when a physician is required to make a special visit to assist at non-elective surgery with sacrifice of office hours for a case commences

C998B Evenings (18:00h - 24:00h) Monday to Friday or daytime and evenings on Saturdays, Sundays or Holidays. Premium increased from $33.90 to $43.70.
C999B Nights (00:00h - 07:00h). Premium increased from $50.75 to $65.60.

Anesthetists' Services

General Preamble, Section 22 (e), after-hour premiums payable when a case commences

E400C Evenings (18:00h - 24:00h) Monday to Friday or daytime and evenings on Saturdays, Sundays, Holidays. Premium increased from 40% to 45%.
E401C Nights (00:00h - 07:00h). Premium increased from 50% to 62.5%.

General Preamble, Section 22 (f), special visit premiums payable for a case that commences

C998C Evenings (18:00h - 24:00h), Saturdays, Sundays, Holidays or non-elective surgery with sacrifice of office hours. Premium increased from $33.90 to $43.70.
C999C Nights (00:00h - 07:00h). Premium increased from $50.95 to $65.60.

Special Visit Premiums

General Preamble, Sections 23 (g), The maximum number of special visit premiums including "additional patient(s)" is one per patient to a maximum of 10 during a single visit to a patient(s) in an emergency or out-patient department and a maximum of 3 during a single visit to hospital inpatient(s).

General Preamble, Sections 23 (j and k), payable for special visits to emergency department or outpatient department (prefix K) or hospital inpatient (prefix C)

C/K991 Daytime Special Visit (07:00h - 18:00h) Monday to Friday, for additional patients requiring a special visit and seen during the same special visit. New maximum premium of $17.30 per patient.
C/K993 Emergency call with sacrifice of office hours, for additional patients requiring a special visit and seen during the same special visit. New maximum premium of $34.55 per patient.
C/K994 Evenings (18:00h - 24:00h), Saturdays, Sundays, Holidays - first patient seen. Premium increased from $33.90 to $43.70.

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Ontario Ministry of Health and Long-Term Care
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