Ontario Temporary Health Program (OTHP) Benefit Grid - Health Care Coverage
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1 or Per Diem In-patient (up to 45 days) 0164IPU $ / day See NOTES 1, 2, 20 & 21 In-patient (over 45 days) 0164IPO $ / day See NOTES 1, 2, 20 & 21 In-patient for Only 1 Day - Under 8 Hours In-patient for Only 1 Day - Over 8 Hours 0164IPDU $93.70 / day 0164IPDO $ / day See NOTES 1, 2, 20 & 21 Must include admission and discharge times. Only Emergency Room fee is payable. See NOTES 1, 2, 20 & 21 Must include admission and discharge times. Half the per-diem will be reimbursed. Main Facility fees Emergency Room 0155ER $93.70 / day See NOTES 3, 4, 5 & 21. Only emergency room fee is payable. Exception to note 5: CT and MRI can be billed together with Emergency Room fee. Outpatient 0155OP $26.75 / day See NOTES 5, 20, 21 & 22 Outpatient - Patient in a bed (kept for observation under 24 hours) Overnight Emergency Room Stay 0155OPB $93.70 / day See NOTES 3, 4, 5, 20 & OER $ / day Urgent Care Centre Visits 0155UC $93.70 / day Secondary Facility fees See NOTES 3, 4, 5 & 21 Exception to NOTE 5: CT and MRI can be billed together with Overnight Emergency Room Stay. See NOTES 5, 6 & 21 Exception to NOTE 5: CT and MRI can be billed together with Urgent Care Centre Visits. Dialysis 0155D $ / day See NOTES 5 & 21. Not payable together with per diem. Chemotherapy (excluding See NOTES 5 & C $60.20 / day the cost of chemo drugs) Not payable together with per diem. OTHP does not cover chemo drugs. Out-patient day surgery 0155OPS $ / day See NOTES 5, 7, 8 & 21. Not payable together with per diem. Blood Transfusion 0155BT $60.20 / day See NOTES 5 & 21. Not payable together with per diem. Radiotherapy 0155RT $60.20 / day See NOTES 5 & 21. Not payable together with per diem. CT Scans 0155CT $ / service See NOTES 5, 9, 10 & 21. Exception to NOTE 5: CT scans can be billed together with Urgent Care Centre Visits, Emergency Room Visits or Overnight Emergency Room stay. 1 Version 2.0 Current as of 12/19/2013
2 MRI 0155MRI or $ / service See NOTES 5, 10, 11 & 21. Exception to NOTE 5: MRI scans can be billed together with Urgent Care Centre Visits, Emergency Room Visits or Overnight Emergency Room stay. Abortion 0155A $ / day See NOTES 5 & 21. Not payable together with per diem. Lithotripsy 0155L $ / day See NOTES 5 & 21. Not payable together with per diem. Professional Fees Community Nursing Services 0211CI 40 / CM See NOTE 21 Not payable with per diem. OTHP will pay as per invoice up to a maximum of $53.30 / hour when the visit is for Communicy Nursing $53.30 / hour services, for acute care clients. Requries a physician's order as part of and hospital discharge. OTHP covers prenatal care, obstetrical care and postpartum care up to 28 days after delivery, for the following specialties: $2, / CM General Practice, Gynecology / Obstetrics, Pediatricians and Community Nursing Services. General Practice Anaesthesia Cardiology Clinical Immunology Community Medicine Cardiovascular and Thoracic Surgery Dermatology Endocrinology & Metabolism Emergency Medicine See NOTES 6, 13, 20 & 21 See NOTES 6, 14 & 21 See NOTES 6, 14 & 21 See NOTES 6, 14 & 21 See NOTES 6, 14, 20 & 21 See NOTES 6, 14 & 21 See NOTES 6, 14, 20 & 21 See NOTES 12 & 21 See NOTES 6, 14 & 21 OTHP does not cover treatment for cosmetic purposes, tattoo removal, treatment of warts and uncomplicated acne vulgaris. 2 Version 2.0 Current as of 12/19/2013
3 Gastroenterology General Surgery General Thoracic Surgery Geriatrics Haematology Immunology Infectious Disease Laboratory Medicine Internal Medicine Medical Oncology Neurosurgery Nuclear Medicine Nephrology Neurology Gynecology / Obstetrics Oral / Maxillofacial Surgery Otolaryngology Ophthalmology or See NOTES 6, 14 & 21 See NOTES 6, 14, 20 & 21 See NOTES 6, 14 & 21 See NOTES 6, 14, 20 & 21 See NOTES 6, 14 & 21 See NOTES 6, 14 & 21 See NOTES 6, 14 & 21 See NOTES 6, 14 & 21 See NOTES 6, 14, 20 & 21 See NOTES 6, 14, 20 & 21 See NOTES 6, 14 & 21 See NOTES 6, 14, 20 & 21 See NOTES 6, 14 & 21 See NOTES 6, 14, 20 & 21 See NOTES 6, 14, 20 & 21 See NOTES 6, 14, 20 & 21 OTHP does not cover elective surgery, or surgical procedures performed for cosmetic or religious purposes. See NOTES 6, 14, 15, 20 & 21 See NOTES 6, 20 & 21 Coverage is limited to treatment provided in a hospital. 3 Version 2.0 Current as of 12/19/2013
4 or Pediatrics Psychiatry Respiratory Disease Rheumatology Urology Orthopaedic Surgery Plastic Surgery Vascular Surgery Radiation Oncology Diagnostic Radiology Physicial Medicine See NOTES 6, 14 & 21 See NOTES 6, 14 & 21 See NOTES 6, 14 & 21 Diagnostic and Therapeutic Procedures and Tests Diagnostic Tests (Laboratory) Specialized Products for diagnostic tests (radiopharmaceuticals) Diagnostic Tests (Radiology) Diagnostic Tests (Ultrasound) See NOTES 6, 14, 17, 20 & 21 See NOTES 6, 13 & 21 See NOTES 6, 14, 20 & 21 ed to acute care. See NOTES 6, 14, 20 & 21 Surgery for cosmetic purposes is not covered. See NOTES 6, 14, 20 & 21 See NOTES 6, 14 & 21 See NOTES 6, 14 & 21 See NOTES 6, 14 & 21 See NOTES 6, 21 & 23 See NOTES 6 & 21 See NOTES 6 & 21 Gynecology / Obstetrics, Pedatricians and Community Nursing Services. See NOTES 6 & 21 4 Version 2.0 Current as of 12/19/2013
5 Integrated Prenatal Screening Tests Maternal Serum Screening Tests Transportation or $ / day See NOTE $ / day See NOTE 21 Ambulance - Ground 0729E $ See NOTES 18, 19 & 21 Ambulance - Air 0729A See NOTES 19 & 21. Actual cost allowed. NOTES: NOTE 1 - Hospital charges not covered: (1) The day of discharge from hospital; (2) Television; (3) HST; (4) Telephones, etc.; (5) Charges from a person who received reimuneration from the hospital. NOTE 2 - Facility Fee charges for the following services will be rejected if they occur during the time of the hospital stay: (1) X-rays, (2) Ultrasounds, (3) Pharmaceuticals, (4) Lab Work, (5) MRI s, (6) CT Scans, (7) Dialysis, (8) Surgical Daycare, (9) Emergency, (10) Outpatient; and (11) Nurse Visits. NOTE 3 - The Emergency Room Facility Fee is an all inclusive rate and includes payment for: (1) Swabs; (2) Bandages; (3) Plaster casts; (4) Splints; (5) Medical supplies; and (6) Drug packets. NOTE 4 - Charges for follow-up visits and accompanying services, must be billed under the appropriate facility fee code. NOTE 5 - When fee is claimed together with a main or secondary facility fee on the same day, only the facility fee for the service with the highest reimbursement rate can be claimed. NOTE 6 - For professional fees, hospitals / practitioners must indicate the appropriate physician fee code(s), from the OHIP Schedule of s, plus time units, where applicable. Reimbursement will reflect the rates stipulated by the current OHIP Schedule of s. NOTE 7 - Type of surgery performed should be indicated on the claim form. NOTE 8 - The following services are not covered: (1) Two visits on the same day; (2) Surgery for cosmetic purposes; (3) Elective surgery. NOTE 9 - More than one CT Scan per patient, per day is payable IF: (1) CT Scans were for a different area of the body; OR; (2) Several CT Scans were performed at different times during the day. Not payable together with per diem. NOTE 10 - Examined body / region must be specified on the claim. NOTE 11 - More than one MRI per patient, per day is payable IF: (1) MRI Scans were for a different area of the body; OR; (2) Several MRI Scans were performed at different times during the day. Not payable together with per diem. NOTE 12 - For professional fees, the appropriate provincial physician fee code(s), plus units of time, (where applicable) must be indicated. Services not covered: (1) Periodic oculo-visual assessments for all age groups; (2) Annual health examinations; (3) Genetic assessments; (4) Smoking cessation. NOTE 13 - For service performed in a hospital, the name of the referring practitioner is not required. 5 Version 2.0 Current as of 12/19/2013
6 or NOTE 14 - For service performed in a hospital, the name of the referring practitioner is not required. For clinic visits - referral from a GP or NP is required. NOTE 15 - The following services are not covered: (1) Tubal occlusion / interruption / removal by any method or approach for the purpose of sterilization; (2) Fertility diagnostic and treatment procedures and (3) Elective procedures. NOTE 16 - Services not covered: (1) Periodic oculo-visual assessment for all age groups; (2) Services for the purpose of prescription of eye glasses; (3) Pterigium surgery with or without graft for all age groups; (4) Refractive surgery. NOTE 17 - The following services are not covered: (1) Circumcision performed for ritual, cultural, religions or cosmetic reasons, at any age; (2) Circumcision for neonatal phimosis; (3) Vasectomy for sterilization purposes; (4) Vasetomy reversal; (5) Fertility diagnostic and treatment procedures. NOTE 18 - OTHP follows the provincial fee guidelines. Where no provincial fee guidelines exist, OTHP will pay up to a maximum $350 for ground ambulance transportation. NOTE 19 - Ground or air conveyance, used or intended to be used for a person who: (a) injured in a traffic or industrial accident or otherwise have suffered an illness that poses an immediate threat to a person's life, limb or a function; (b) transported to a health facility or between two health facilities, as arranged by an attending physician or health care provider designated by a physician. NOTE 20 - Solid organ and tissue transplant procedures (single and multiple) e.g. lung, heart, kidney, liver, pancreas, skin, bone and bone marrow transplants and transplant adjunctive services can only be considered on exceptional approval from the OTHP. Note that under Care Coverage, OTHP does not cover medications and products unless they are required to prevent, diagnose and treat diseases posing a risk to public health or conditions of public safety concern and included in the IFHP Public and Public Safety Drug List. Chemo drugs, immunosuppressants, anti-infective medications, medical supplies etc., for treatment of cancer or transplant patients are not covered under Care Coverage. Contact Medavie Blue Cross prior to transplant procedures. NOTE 21 - Services provided to Ontario residents with OHIP coverage are not covered. NOTE 22 - Out-patient fee 0155OP is not payable when the sole purpose for an out-patient visit is to administer laboratory tests, diagnostic radiology or diagnostic ultrasound procedures. NOTE 23 - OTHP will reimburse for the cost of radiopharmaceuticals (products) to hospitals/lab/imaging clinics: a) when product purchased/ordered in advance of a service and the client ceases to be eligible after the product is purchased/ordered but before the scheduled service date. b) the product was purchased/ordered within a maximum of 2 weeks before the scheduled procedure, and the client was eligible on the date the product was purchased/ordered (submit the printout of the eligibility query screen with time stamp, copy of a dated order confirmation or receipt), c) OTHP will reimburse only for the cost of the product as per invoice amount. All other fees/services will not be reimbursed. d) Note, in situations where the client is still covered under the same plan on the date of service, providers will be reimbursed as per respective P/T fee code and/or OTHP main or secondary facility fee. e) The following procedures are eligible: Venography Abdominal Scintigraphy Brain Scintigraphy Cardioangiography Calcium absorption/excretion Perfusion lung Scintigraphy Myocardial Perfusion Scintigraphy Gastro-oesophageal reflux and absorption Ventilation Lung Scintigraphy Myocardial Scintigraphy Abdominal Scintigraphy Lymphangiogram 6 Version 2.0 Current as of 12/19/2013
7 or Myocardial Wall Motion Bilary Scintigraphy Scintimammography Adrenal Scintigraphy Salivary Gland Scintigraphy Testicular and Scrotal Scintigraphy Thyroid Scintigraphy Liver Scintigraphy Leukocyte Scintigraphy Thyroid uptake and repeat Spleen Scintigraphy Positron Emission Tomography Parathyroid Scintigraphy Renal Single-photon emission computed tomography (SPECT) Shilling test Bone marrow Scintigraphy Malabsorption test Bone Scintigraphy Gastrointestinal (protein/ blood loss, transit) Gallium Scintigraphy Calcium absorption CSF Circulation 7 Version 2.0 Current as of 12/19/2013
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