Bulletin

   
Bulletin Number
        4382
Date
        April 1, 2002
Direct inquiries to

         Ministry of Health
         Processing Office


(address below)
Distribution

 Physicians, Hospitals, Clinics, Laboratories

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.health.gov.on.ca.

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.

This increase does not apply to uninsured services that are listed in Appendix F, and technical, hospital and facility fees for diagnostic services.

2.     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

 

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