ClinicCare Plans
(By purchasing one of these plans, you avoid having to pay for many common uninsured services, saving time and money.)
Health care is a partnership, and we want a relationship with all of our patients and their families. While we must charge for uninsured services, we have established the ClinicCare Plans to help individuals and families conveniently pay costs one-time yearly and and up front, while supporting our IT and administrative environments. Your contributions enable us to continue to re-invest in our technologies to better serve you. We know how busy life gets and how much more convenient technology can make things. Even if you do not anticipate needing any or all of these services, by signing up for this plan you help support us in supporting you.
There are two optional ClinicCare Plan levels offered, Essential and Choice. Benefits for each are outlined below.
| Essential Plan |
| Individual$150 |
| Family6$230 |
| Choice Plan |
| Individual$205 |
| Family6$315 |
| Service | Cost | Essential | Choice | |
| Prescription Renewals by Phone or Fax1 | $40 | 3 Included | No Charge | |
| Massage Referral | $40 | No Charge | No Charge | |
| Chiropractic Referral | $40 | No Charge | No Charge | |
| Common Services | Orthotics Prescription | $40 | No Charge | No Charge |
| Specialist Referral (without visit) | $40 | No Charge | No Charge | |
| Acupuncture Referral | $40 | No Charge | No Charge | |
| TB Skin Testing for Work / School (per step) | $55 | No Charge | No Charge | |
| Surcharge to Securely e-mail Forms / Notes / Referrals to Patient (PHIPA-compliant) | $15 | $15 | No Charge | |
| Sick Notes / Back to Work / Day Care Notes | $40 | 1 Included | No Charge | |
| School / Camp Forms | $40 | 1 Included | No Charge | |
| Fitness Club Forms | $40 | $40 | No Charge | |
| Pre-employment Certificate of Fitness | $50 | $50 | No Charge | |
| Driver's Medical Examination and Form | $185 | $90 | No Charge | |
| Citizenship and Immigration Report | $75 | $75 | No Charge | |
| Travel Cancellation Letter | $50 | $50 | No Charge | |
| Notes and Forms | Revenue Canada Federal Disability Tax Credit | $100 | $100 | No Charge |
| CPP Disability Medical Report Form | $100 | $100 | No Charge | |
| Private Insurance Sickness and Disability Note (short term) | $75 | $75 | No Charge | |
| Private Insurance Sickness and Disability Note (long term) | $100 | $100 | No Charge | |
| EIC Disability / Maternity Certificate INS2019 | $75 | $75 | No Charge | |
| Other forms not covered by OHIP or Third Party Insurance | $40 - $150 | $40 - $150 | No Charge | |
| Surcharge to Securely e-mail Forms / Notes / Referrals to Patient (PHIPA-compliant) | $15 | $15 | No Charge | |
| Vaccination for Travel (Hep A, HEP B, Twinrix)2 | $50 | $50 | No Charge | |
| Uninsured Vaccination (HPV, Zostavax, Menactra)2 | $50 | $50 | No Charge | |
| Uninsured Pap Smears (physician's charge)3 | $60 | $60 | No Charge | |
| Medical / Cosmetic | Uninsured HPV Test (physician's charge)4 | $50 | $50 | No Charge |
| Wart Treatment (per wart) | $30 | $30 | $15 | |
| Missed Appointment Fee5 | $60 | 1 Waived | 2 Waived | |
| Missed Physical Fee5 | $95 | $65 | 1 Waived | |
| Missed Appointments | Missed Counseling Appointment (per 20-minute block)7 | $75 | $75 | 1 Waived |
| Re-Book Missed Specialist Appointment | $25 | 1 Free | No Charge | |
| Reissue Lost Prescription | $20 | 1 Free | No Charge | |
| Reissue Lost Blood Work / Other Test Requisition | $20 | 1 Free | No Charge | |
| Faxing and Photocopying (up to 5 pages, per page) | $35 | No Charge | No Charge | |
| Records | Faxing and Photocopying (over 5 pages, per page) | $1.50 | $1.50 | No Charge |
| Legal Letters ($100 minimum) | $300/hr | $300/hr | $300/hr | |
| Immunization Record Replacement | $25 | No Charge | No Charge |
Notes
1. Excludes narcotics and sedatives.
2. Includes prescribing and administering vaccine (pharmacy charge for vaccine not included).
3. Excludes lab fee for processing Pap test.
4. Excludes lab fee for processing HPV test.
5. 24 hours' notice required for appointment cancellation.
6. Family Plans are for persons living at the same address. Family benefits are per family member.