ANNUAL PLAN FOR UNINSURED SERVICES
What does the annual plan cover?
Uninsured Services Covered by Annual Plan
Prescription refill by phone or fax (exceptions apply at physician’s
discretion)* - $25
Telephone consult (One [1] per annual plan) - $35
Doctor’s note - $25
APS (attending physician statement) - $140
TB skin test (third party request) 2 step - including completion of forms $100 ($40/step +
$20 for forms)
Note for orthotics, massage, chiropody - $25
Canada Revenue Disability Tax Credit form - $50
Drivers medical examination - $90
Uninsured Services NOT Covered by Annual Plan
Patient without a valid health card - $80
Missed appointment with in-house specialist - $80
Missed regular appointment - $45
Missed physical appointment - $85
* Prescription renewals ordinarily require an office visit to re-assess the condition requiring the prescription