Starting October 1, 2019 priority will be given to patients who are a frail elderly or housebound who meet the following definitions:
A frail elderly patient as defined by OHIP is a patient who is 65 years of age or over who has one or more of the following:
A housebound patient is a patient who meets all the following criteria:
Patient who do not meet the definition of frail elderly or housebound can still be seen and covered under OHIP however priority will be given to frail elderly and housebound patients.
Home Visits are 100% covered if you have a valid Provincial Insurance Plan (PIP) such as OHIP
Home Visits are 100% covered if you are a refugee with valid coverage under the Interim Federal Health Program (IFHP)
Home Visits are 100% covered if you have valid coverage with the University Health Insurance Plan (UHIP).
Home Visits are 100% covered if you are a member of the Canadian Arms Forces with valid coverage.
Under NO circumstances should a physician be charging patients directly or collecting money from patients for travel purposes or special visit premiums if patients have valid coverage. These fees are included in the amount billed to OHIP. If you are a patient that has valid coverage and are being asked to pay a doctor directly for anything other than fees listed in the “Other Fees” section, please do not pay the doctor and contact our office immediately at 647-873-8936.
If no valid provincial coverage/UHIP/IFH/Canadian Armed Forces coverage AND you are not frail elderly or homebound, then home visits are $75 per individual seen at place of residence
If no valid provincial coverage/UHIP/IFH/Canadian Armed Forces coverage ANd you are frail elderly or homebound, then home visits are $250 for the first frail/homebound patient seen and $75 for any uninsured individual seen during the same visit at place of residence
***DURING COVID-19 HOME VISITS WILL ONLY BE OFFERED IF A PHONE AND/OR VIDEO ASSESSMENT IS UNABLE TO ADEQUATELY MANAGE YOUR MEDICAL CONCERN. THERE ARE NO FEES IF YOU HAVE VALID COVERAGE***