UNINSURED SERVICES AND BLOCK FEES
Not implemented under consideration.

Physicians at are committed to helping patients with all their health care needs.  The Ontario Health Insurance Plan (OHIP) covers most aspects of your care; however, some medical and administrative services are not covered by OHIP and require separate payment. The typical cost of such services is enumerated below and are set in line with the guidelines set by the Ontario Medical Association (OMA) and the College of Physicians and Surgeons of Ontario (CPSO).

To reduce administrative overhead and provide a potential cost saving advantage to patients, Maple clinic physicians also provide patients with the option of subscribing to an annual “block fee”.  Patients who subscribe will receive the services covered by the block fee at no additional cost.  Patients who do not subscribe will be asked to pay for uninsured services each time they are provided.  

Typical block fee rates are:

  • $225/year for families of two adults and up to 4 dependents

  • $100/year for each patient aged 18 and up

  • $80/year for each patient under age 18

These rates may vary somewhat from physician to physician.

WHAT IS COVERED BY THE BLOCK FEE?

The following uninsured services are covered by the block fee:

UNINSURED SERVICE / TYPICAL PER-SERVICE CHARGE ($)

  • Electronic communication with your physician

  • Prescription Renewal (without coming in for an appointment) ― 20.00

  • Uninsured Vaccine (other than travel advice) - 15.00

  • Insurance letters/notes (prescription for orthotics/massage or other insurance-related letters) - 30.00+

  • Sick Note ― 30.00

  • Back to Work, School or Daycare Note ― 30.00

  • Camp, Daycare or School Form ― 30.00

  • Short-term Disability Form ― 60.00

  • Electronic or Fax Transmission of Medical Records ― 35.00 and up (may vary based on length)

  • Children’s Aid Society (CAS) Application Form for Prospective Foster Parent ― 54.00

  • Death Certificate for Life Insurance ― 50.00

  • Revenue Canada, Federal Disability Tax Credit Form ― 50.00

  • Canada Pension Plan (CPP) Disability Medical Report Form ― 85.00

  • Medical Certificate for Employment Insurance Compassionate Care, Parental, or Sickness Benefits (INS5216B, INS5168, or INS5140) ― 30.00

  • Fitness Club Form ― 40.00

  • Immunization Records Replacement or Summary ― 20.00

  • Lost Referrals or Prescriptions ― 20.00

  • Pre-employment Certificate of Fitness ― 50.00

  • Travel Cancellation Form ― 40.00

  • Volunteer Form ― 30.00

  • Earwax removal ― 35.00 (only OHIP covered if there is hearing loss  OR OHIP covered if removal is for diagnostic and/or therapeutic purposes, effective October 1, 2019)

  • Urine pregnancy test ― 25.00 (only OHIP covered when an immediate determination of pregnancy is required to prevent imminent physical harm; blood pregnancy test is still OHIP covered, effective October 1, 2019)

WHAT ISN'T COVERED BY THE BLOCK FEE?

Any uninsured services not listed in the table above are not covered by the block fee.