The information contained in the OHIP Schedule of Benefits requires knowledgeable interpretation and is intended primarily for members of the professional health care community. The Schedules set out the fees and requirements for payment for insured services under OHIP .

Search the Ontario Schedule of Medical Benefits electronically. We’ve digitized all the OHIP billing codes so you can easily find the most up to date billing rules and amounts. If you’re looking for more information on OHIP billing including how the system works, how to get paid, and how to bill properly, see our OHIP Billing Guide .

It lists insured physician services that can be paid by the Ontario Health Insurance Plan (OHIP) including: patient visits (consultations, assessments, interviews, mental health services), diagnostic and therapeutic procedures, surgical services as well as other miscellaneous services (for example multidisciplinary case-conferences, physician/nu...

2025年1月1日 · Physician contract payments which are tied to the OHIP claims system through shadow billing will receive the temporary 9.95% increase. Premium and add-on FSC s that pay a percent increase have not been changed but will calculate the premium payments using the increased fee approved value of the accompanying eligible service (s).

OHIP Schedule of Benefits (April 21, 2024): download. OHIP Resources for Physicians: details. 2025 OMA Schedule of Fees (OMA Suggested Fees for Uninsured Services): download. OMA Schedule of Benefits Mobile App: details

2020年4月16日 · The OHIP Schedule of Benefits (often referred to as SOB) is the only list of OHIP insured services that is currently used in Ontario. This means, that although it’s conventionally used under the fee-for-service model , doctors working under an alternative-payment-plan or salary, still need to reference it for reports and shadow billing .

Staying on top of the OHIP Schedule of Benefits and billing codes, as well as fees for uninsured services, can be time-consuming. To help Ontario physicians, we’ve made it easy to access billing codes, forms, reference guides on best practices and cheat sheets to …

2023年4月24日 · palliative care services billed to OHIP. The OHIP Schedule of Benefits2 (the “Schedule”) lists a range of fees for many services provided to patients with palliative care needs. This guide provides guidance to physicians on how to bill OHIP for palliative care services rendered in various care settings.

2022年2月11日 · It's known as OHIP, which is short for Ontario Health Insurance Plan. Many people wonder what OHIP coverage after age 65 looks like. Many seniors have a fixed income and no employer-sponsored benefits. Our guide reviews OHIP coverage for those over 65. We’ll also look at some of the recent changes in this area. Who Has OHIP Coverage?

Find up-to-date OHIP billing resources for Ontario physicians, including guides, billing briefs, post-payment review information and more.