Ohip Bulletin and Govenment logo
Bulletin Number

2038

Date

June 1, 2002

Direct inquiries to

Ministry of Health Processing Office

(See Address Below)
Distribution

Independent Health Facilities


Subject

Changes to the Schedule of Benefits and Related Changes Effective April 1, 2002

  1. Increase to Schedule of Benefits (1%)
  2. Increase to Threshold Levels
  3. Other Schedule Changes
  4. Amendment List

For your convenience, a complete updated version of the Schedule is available on the ministry's website at www.gov.on.ca/health/.

  1. Increase to Schedule of Benefits

The Physician Services Agreement between the Ministry of Health and Long-Term Care and the Ontario Medical Association (OMA) provides a 2% increase to the Schedule of Benefits effective April 1, 2002. In accordance with this agreement, the Schedule of Benefits will be revised to provide a 1% increase to all professional fees, effective April 1, 2002 and the remaining 1% will be used to fund new and revised services.

  1. Increase to Threshold Levels

The threshold levels at which reductions are calculated will increase by $10,000. For general and family practitioners, the starting level will increase from $340,000 to $350,000, and for specialists the increase is from $420,000 to $430,000. The threshold reductions take effect when these higher OHIP earnings amounts are reached. After-hours, non-elective hospital services continue to be exempt from threshold reductions. The threshold levels are increased as follows:


Reduction Rate 33.3% 66.7% 75.0%
Payment amounts for services effective April 1, 2001
General Practitioners $340,000 $365,000 $390,000
Specialists $420,000 $445,000 $470,000
Payment amounts for services effective on or after April 1, 2002
General Practitioners $350,000 $375,000 $400,000
Specialist $430,000 $455,000 $480,000