Block fee and uninsured services
One simple annual fee covering a set list of services that OHIP does not cover. You can also pay for each service when you need it. The choice is yours and will never affect the care you receive.
OHIP-insured care is always free
You never pay for services OHIP covers, such as visits for a health problem and referrals to a specialist.
The block fee is optional
You can become a patient or stay a patient without paying it. Our clinics will never refuse or delay your care.
Pay as you go instead
Without the block fee, you pay for each uninsured service when you get it.
Choose the plan that fits your family
Annual block fee for Ontario patients, 2026 to 2027.
-
Individual
$200per year
For one patient.
-
Couple
$350per year
For you and your spouse.
-
Family
$450per year
Includes your spouse and children 18 and younger living at the same address.
Tax deductible
According to the Canada Revenue Agency, block fees paid to a medical clinic are an eligible medical expense that you can claim on your tax return.
Private insurance may cover it
Many private insurance plans cover the cost of a block fee. Please contact your insurance provider for details on your coverage.
What the block fee covers
With the block fee, these services are included. Without it, you pay the fee listed for each service.
| Service | With the block fee | Without the block fee |
|---|---|---|
| Prescription renewal without a visit | Included | $45 |
| Referral for massage, physiotherapy or chiropractor | Included | $35 |
| Attending Physician Statement (2 pages or less) | Included | $200 |
| Sick note | Included | $50 |
| Ear syringing | Included | $35 per ear |
| Cryotherapy, including wart treatment on the hands | Included | $35 per lesion |
| Prescription for orthotics | Included | $45 |
| Return to work letter | Included | $55 |
| Missed appointment fee | Covered | $50 |
| Lab reports | Included | $20 |
| Chart transfer | Included | $100 |
| Photocopying, faxing or printing (up to 5 pages) | Included | $10 |
How much you can save
Save $480 or more with the individual plan
If you used each service above once in a year, you would pay $680 without the block fee. The individual plan costs $200 for the year.
- Without the block fee
- $680+
- Individual plan
- $200
- You save
- $480+
Wart treatment on the feet or genital area is covered by OHIP.
Services not covered by the block fee
These services are paid separately, whether or not you pay the block fee. Many are exams and forms requested by a third party, such as an employer, an insurer or a government program.
Exams and certificates
- Disability Tax Credit certificate
- $300
- Short-term disability certificate
- $300
- CATSA medical exam
- $250
- Certificate of good health
- $250
- Pension buyback exam
- $250
- RCMP or OPP medical exam
- $250
- Pre-military medical exam (CAF)
- $250
Forms
- Driver medical
- $180
- Pre-employment medical exam
- $180
- Sports form (kickboxing or any sport)
- $180
- School pre-entry form
- $180
- Personal support worker certificate of health
- $180
- Vaccination certificate
- $180
- Children’s Aid medical certificate
- $180
Tests, treatments and other fees
- TB testing for work
- $100
- TB certificate
- $25
- Missed annual physical exam
- $100
- Missed IUD insertion or removal
- $100
- Missed consultation
- $100
- Translation
- $10
Your clinic will tell you the fee before you get an uninsured service. Ask for a receipt that lists each service.
How it works
Think about what you need
Look at the uninsured services you needed in the past and may need this year. The block fee may cost more or less than paying for each service.
Ask at your clinic
To pay the block fee, ask at your clinic. The clinic will give you the offer in writing, and you will confirm your choice in writing.
Change your mind within 1 week
If you change your mind within 1 week, the clinic will refund the block fee, then charge you for any uninsured services you got during that week.
Questions about fees?
Please ask your clinic. Your physician can also answer your questions. To learn more about your rights, read the CPSO’s information on uninsured services and block fees.