Get the latest Schedules of Benefits for OHIP covered services.
This page is intended for health care providers. Learn more about services covered by OHIP .
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Overview
The information contained in the OHIP Schedule of Benefits requires knowledgeable interpretation and is intended primarily for members of the professional health care community. The Schedules set out the fees and requirements for payment for insured services under OHIP .
The OHIP Schedule of Benefits is not available in French or in alternative formats.
Physician Services Under the Health Insurance Act ( PDF ) - to February 20, 2024 (effective April 1, 2024)
- Amendments regarding Emergency Department Diagnostics to the Schedule of Benefits under the Health Insurance Act ( PDF ) - April 1, 2005
OHIP Physician Fee Schedule Master
These files are intended for use with billing software.
The Physician Fee Schedule Master below is effective April 1, 2024.
If your billing software has not been updated by your vendor, you are encouraged to do so at your earliest convenience.
Please direct technical inquiries to your billing package developer or vendor.
- OHIP Physician Fee Schedule Master (April 1, 2024)
OHIP Optometry Fee Schedule Master
These files are intended for use with billing software.
The Optometry Fee Schedule Master below is effective September 1, 2023.
If your billing software has not been updated by your vendor, you are encouraged to do so at your earliest convenience.
Please direct technical inquiries to your billing package developer or vendor.
- OHIP Optometry Fee Schedule Master (September 1, 2023)
Dental Services Under the Health Insurance Act ( PDF ) - October 15, 2021 (effective November 5, 2021)
- Master Numbering System ( CIHI Institution Numbers) - April 1, 2013
Schedule of Facility Costs for Integrated Community Health Services Centres
Contact
For more information, call ServiceOntario, INFOline at:
- Toll-free: 1-866-532-3161 (toll-free)
- TTY : 1-800-387-5559 (TTY)
- 416-314-5518 (in Toronto)
- TTY : 416-327-4282 (in Toronto)
