BULLETIN 4319b 3 of 4
  • a psychiatrist who receives a majority of gross income from insured services provided to patients under 20 years old or 60 years or more, or in a mental health facility listed in Schedule 1,2 or 3 of Regulation 741 under the Mental Health Act;
  • a physician who receives the majority of gross income from insured services provided to patients of provincial outpatient HIV clinics listed in Schedule 21 of Regulation 552 under the Health Insurance Act, whether or not the services are rendered at the clinic;
  • a physician who receives the majority of gross income from insured services provided to persons who are deaf or have severe hearing loss, or who provide insured services to the dependent children who are less than 19 years of age of parents who are deaf or have severe hearing loss;
  • who for at least six consecutive weeks, under a written agreement, provides insured services as a locum tenens in an oversupplied area on behalf of a physician whose practice is not subject to discounted fees and who is taking a leave of absence in relation to the birth or adoption of a child. The basic fee payable for the service is decreased by 2.9 per cent for insured services provided on or after December 16, 1996 but before February 1, 1998.

Effective August 27, 1998, the following exemptions to the discounted fee system apply to a physician:

  • who entered into a binding agreement on or before August 26, 1998 to practise as an ophthalmologist in a designated oversupplied area;
  • who receives the majority of gross income from insured services provided to patients of an emergency department in a public hospital;
  • who for at least six consecutive weeks, under a written agreement, provides insured services as a locum tenens in an oversupplied area on behalf of a physician whose practice is not subject to discounted fees and who is taking a leave of absence for the reasons set out below:
  • birth or adoption of a child
  • serious illness of the physician
  • serious illness of the physician’s immediate family member
  • who for at least six consecutive weeks and not more than 26 consecutive weeks, under a written agreement, provides insured services as a locum tenens in an oversupplied area on behalf of a physician whose practice is not subject to discounted fees and who is practising
Ontario Ministry of Health
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