Ontario Health Insurance Plan

OHIP Schedule of Benefits and Fees

This information requires knowledgeable interpretation and is intended primarily for members of the professional health care community.

The OHIP Schedule of Benefits and Fees is not available in French.


Schedules Available

Physician Services – Schedule of Benefits

Physician Services Under the Health Insurance Act Portable Document Format – Effective April 1, 2016
October 1, 2015 (as most recently amended April 1, 2016)


OHIP Fee Schedule Master – (For use with Billing Software)

The Fee Schedule Master below is effective December 21, 2015. If your Medical Billing Software has not been updated by your vendor, you are encouraged to do so at your earliest convenience.

Please direct technical inquiries to your Billing Package Developer / Vendor.

Resources


Independent Health Facilities

Schedule of Facility Fees under the Independent Health Facilities Act
Effective December 21, 2015


Services of Optometrists


OHIP Optometry Fee Schedule Master –(For use with Billing Software)

The Optometry Fee Schedule Master below has been updated effective April 3, 2009.

If your Medical Billing Software has not been updated by your vendor, you are encouraged to do so at your earliest convenience.

Please direct technical inquiries to your Billing Package Developer / Vendor.

Resources


Laboratory Services

Schedule of Benefits for Laboratory Services – April 1, 1999


Dental Services

Schedule of Benefits Portable Document Format – April 1, 2012


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You can download this free software from the Adobe Web site.

For More Information

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