Schedules Available
Physician Services – Schedule of Benefits
Physician Services Under the Health Insurance Act [PDF] - March 9, 2023 (effective April 1, 2023)
OHIP Fee Schedule Master – (For use with Billing Software)
The Fee Schedule Master below is effective December 1, 2022. 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
March 9, 2023 (effective April 1, 2023)
Services of Optometrists
- Schedule of Benefits [PDF] – April 1, 2023
- Schedule of Benefits [PDF] – Effective September 1, 2023. The Schedule reflecting changes that take effect on September 1, 2023 is available to facilitate the transition to the changes to coverage. The following changes are not applicable to optometry services rendered prior to September 1, 2023. Optometrists should continue to follow existing payment rules for any services rendered before September 1, 2023.
OHIP Optometry Fee Schedule Master – (For use with Billing Software)
The Optometry Fee Schedule Master below has been updated effective April 1, 2023.
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 – Effective July 1, 2020 (Updated July 1, 2020)
Dental Services
Schedule of Benefits [PDF] – Effective October 1, 2021
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