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    • Fees

    FEE SCHEDULE FOR JACONELLO HEALTH CENTER

    PAYMENT FOR SERVICE

    A portion of the visit with Dr. Jaconello is covered by OHIP. Please make sure that both your OHIP number and address are correct. The OHIP claim is submitted on your behalf and then OHIP reimburses you directly. A separate cost applies when complementary topics are discussed. Payment for both the OHIP and complementary part of the visit is paid to Dr. Jaconello. The method of payment is cheque, cash or debit. If payment is by cheque, please bring two cheques for your first visit. One cheque is payable to Dr. Jaconello and the other to Preventimed. This latter cheque covers the cost of the test and other practitioner’s visits. PAYMENT IS DUE AT THE TIME OF THE VISIT.

    Dr. Jaconello’s New Patients Program fee structure includes all testing and four specialized visits NOT COVERED BY OHIP:

    Age 16+ $1045.74 (plus applicable tax).

    Children Costs are determined by length of office visit and testing necessary.

    Prices subject to change without notice.

     

     

     

     

     

     

     

     

     

    The FIRST OFFICE VISIT includes:

     

     

     

     

     

     

     

     

     

    Please note: an additional cost applies for the FOURTH VISIT with Dr. Jaconello, which will be reimbursed to you by OHIP.

    In Dr. Jaconello’s FOLLOW-UP VISITS, there are areas of therapy that would be considered innovative and thus not covered by OHIP (please see IMPORTANT INFORMATION – NEW PATIENT). The fee for such services is $62.50 for the first 15 minutes and $21.50 per 5 minutes of discussion thereafter.

    The following costs are COVERED BY OHIP:

     

     

     

     

     

     

     

     

     

      

     Administrative Uninsured Services

    It is unlawful for any physician to charge or accept payment for rendering an insured service in excess of the amount payable under the Ontario Health Insurance Plan (OHIP). However, there are a number of services that are not insured by OHIP that might be adjuncts to insured medical services and are administrative in nature.

    These uninsured services may be billed directly to you.

    As part of your good medical care, is expected that you will be provided from time to time with uninsured services. The following is the cost of each uninsured service that the doctor is professionally obligated to tell you.

    A list of these services and their corresponding costs are as follows:

    • Telephone advice provided by me at your request – $250.00 per hour
    • Toll charges for long distance telephone calls – at cost
    • Renewals of prescriptions by telephone or fax- $20.00 per renewal*

    *Dr. Mildon does not renew prescriptions via telephone or fax.

    • Providing prescriptions at patient request and no other insured service is provided – $20.00
    • Preparation of Medicolegal reports based on the time taken – $200.00 per hour
    • Completion of various forms, notes and documents – $15.00 – $50.00 per form
    • Sick or return to work note – $15.00
    • Pre-Employment certificate of fitness – $25.00
    • Daycare form to verify free of communicable disease – $15.00
    • Medical report for Canadian Immigrants – $100.00
    • Disability Tax Certificate – $35.00
    • Preparation and transfer of health records when done at patient’s request – $35.00
    • Pregnancy due date verification note – $15.00
    • Photocopying file data – $40.00 per first five pages then $1.55 per page
    WP-Admin