Uninsured Services Fee Guide - Effective February 1, 2019

While OHIP covers the costs for most of your medical needs, there are many services we provide which are not covered. Examples of these include, but are not limited to:

 prescription renewals through phone/fax
 sick notes
 referrals for physiotherapy, massage therapy, chiropractic, etc.
 forms

We have embraced some changes that will enable us to provide all the services you and your family need, while allowing our clinic to operate at maximum efficiency and maintain our focus of providing quality care. We are excited to introduce a new program to our practice, called PatientSERV365*, also known as PS365, to help you cover the costs of uninsured services in a hassle-free and efficient manner.

This optional annual fee plan covers the costs of most uninsured services for one year, and allows the office to maintain our focus of providing quality care (see full list of services on back).
We believe that the PS365 program is fairly priced and have included subscription rates specifically for individuals, couples and families. We hope that you will seriously consider the benefits for both you and your family.

Of course, you may choose not to participate in the PS365 program. In this case, any uninsured services you receive will be charged on a “pay-as-you-go” basis. For this option, you may leave a credit card on file that will be held securely and charged only when an uninsured service is provided.

To choose either the PS365 or pay-as-you-go plan, please respond by one of the following methods:

 Complete the accompanying registration form and return it by mail in the postage-paid envelope. You can also send the completed form by fax to 1-877-461-7687, or you can scan and email it to info@patientserv.ca
 Enroll online at www.patientserv.ca (select Login, then Sign Up to be a PatientSERV Patient).
You will require your Health Card number as well as your unique PIN: contact the clinic or PatientSERV (1-800-385-3210) for your unique PIN

The administration of the PS365 program is handled for us by PatientSERV*. If you have any questions about this program, please contact PatientSERV at 1-800-385-3210.

Thank you for placing your trust in us to provide you with the highest quality healthcare possible, which we hope to fulfill for many more years to come.

* PatientSERV is a professional organization which assists Canadian physicians in the management of healthcare delivery services. PatientSERV strictly
adheres to guidelines with respect to privacy and confidentiality of patient information. All credit card information is securely held by Chase Paymentech – a
world leader in security of personal financial information. Please note, annual fee plans are endorsed by the CPSO (College of Physicians and Surgeons of
Ontario) and the OMA (Ontario Medical Association), for more details please look under “Block Fees” on their respective websites.

Greenwood Medical Centre,
Jan 28, 2019, 7:29 AM
Greenwood Medical Centre,
Jan 28, 2019, 7:30 AM