If you live in Ontario and have a valid health card, you are covered by the Ontario Health Insurance Plan (OHIP) and are able to receive standard care.
Additional fees are charged for the following:
|
Ambulance and Non-Essential Ambulance For more information on ambulance you can visit https://www.health.gov.on.ca/en/public/publications/ohip/amb.aspx |
$45-$240 |
| Assistive devices (Crutches, Casts, Splint, etc.) | Varies |
|
ALC – Co-Payment Fee For more information, you can visit https://www.ontario.ca/page/hospital-chronic-care-co-payment |
Up to $68.56 |
| Premium Eye Lens | Varies depending on the type of lens |
Semi-private rooms (per day) $295
Private rooms (per day) $325
Deluxe Room (per day) $340
Inpatient fees (for staying in the hospital per day)
Outpatient fees (per visit)
Note: Diagnostic imaging and other tests are subject to additional charges.
Important Information for Uninsured and Out-of-Country Patients
Inpatient fees (for staying in the hospital per day)
Outpatient fees (per visit)
Note: Diagnostic imaging and other tests are subject to additional charges. Prepayment is required for all services. Prices are subject to change at any time.
*Facility fee only, additional charges may apply
Important Information for Uninsured and Out-of-Country Patients
Michael Garron Hospital provides outpatient care to eligible patients referred through our partner Community Health Centres (CHCs). CHCs are non-profit, community-governed, interdisciplinary organizations that deliver comprehensive primary care services.
Our partner CHCs include:
Eligibility Criteria
To receive care through this program, patients must meet the following criteria:
Please contact your CHC to inquire about eligibility for coverage.
MGH offers four types of rooms:
Room preferences will be discussed at the time of admission or pre-admission. For semi-private and private rooms, you are required to provide your private insurance information. Patients are responsible for confirming their insurance coverage prior to admission, as hospital staff are unable to verify or provide advice regarding insurance benefits. You will be billed for any portion of the charges not covered by your insurance plan.
If you do not have private insurance and request a semi-private or private room, a minimum one-day deposit is required in advance, with the remaining balance payable prior to discharge.
While every effort will be made to accommodate requests for semi-private or private rooms, assignments are made on a first-come, first-served basis. Room changes may be necessary during your stay due to medical or infection control requirements. If you occupy a room category different from your original request, you or your insurance provider will be billed only for the type of room actually occupied.
Self-pay out-of-country patients and uninsured residents of Canada will be charged the standard ward rate. Requests for a semi-private or private room will incur additional charges above the standard ward rate.
Any changes to accommodation must be confirmed in writing with the Business Office Department by signing an updated Room Accommodation Request form.
Our patients typically have one or more of these types of health care coverage:
If you have a valid Ontario health card, OHIP will pay for most of the health care services you receive.
The following services are not covered by OHIP, and you will need to pay for these:
If you have private insurance, your insurance plan may cover the costs of some of these services.
If you have lost your health card, find out how you can get a new card.
If you were injured at work and your treatment at MGH is related to your work injury, you must provide your WSIB claim number when you receive treatment. If you are treated in the Emergency Department for a work-related injury and you have not submitted a claim with WSIB, you must tell your health care team that this was a work-related injury and complete a form. Your employer should complete WSIB Form 7 and you should complete WSIB Form 6.
If you received a letter from MGH regarding WSIB, please fax: 416-469-6804 or email: @email
Get more information about WSIB coverage and claims here: https://www.wsib.ca/en
If you have a health card from another province or territory in Canada, most health care services you receive in Ontario will be paid for through a reciprocal agreement between the provinces and territories. When you arrive at MGH, provide your home address, your provincial or territorial health card and the expiry date of the card.
If you have lost your health card, find out how you can replace your card through your provincial or territorial health care office.
If you do not have Ontario or other Canadian provincial or federal health insurance, you will be required to pay all estimated fees in advance.
We may charge fees for appointments, assessments, diagnostic tests, procedures, treatments, assistive devices, drugs and follow-up appointments – these fees must be paid in advance.
If you have private insurance coverage, you will need to submit payment to the hospital and submit your claim for reimbursement to your insurance. Please note that the hospital will coordinate if you are an Inpatient to submit a claim, but is the patient’s responsibility for all charges if a claim is not paid within 90 days from the date of discharge.
If you are covered under the Interim Federal Health Program, you must tell the registration clerk when you arrive at MGH and provide a copy of your refugee papers.
Ontario Ministry of Health will not pay the hospital or physician for your hospital visit without the correct health card information.
Please follow the steps below within 7 days to ensure the eligible costs of your visit will be paid by Ontario Ministry of Health.
Important
If you do not provide Michael Garron Hospital (MGH) with a valid Health Card Number and Version Code, it will be your responsibility to pay for your hospital visit.
Step 1: Visit Service Ontario in-person to review your Health Card.
Please note, renewing your Health Card online will not backdate your coverage. You must do this in-person.
Step 2: Notify MGH of your valid Health Card Number and Version Code.
Please call the Business Office at MGH 416-469-6580 ext. 6231 with your valid Health Card Number and Version Code.
If we do not receive your valid Health Card information within one week of your visit, we will send you an invoice for the amount owing.
For general Health Card related questions, please call Service Ontario at 1-866-532-3161.
Notice to All Patients
Billing and Insurance Information
Payment Terms
Physician Billing
