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Annual Block Fees
We are now offering Annual Block Fee Plans
We're introducing a new way to help you save money and reduce surprise charges for uninsured services (services not covered by OHIP). Our new Block Fee Program lets you cover most of these services with one annual fee — no more worrying about individual charges.
Block Fee Program
Highlights of the Block Fee Program
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Coverage: Covers most uninsured services for 12 months
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Plan Options: Available for individuals, couples, or families
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Simple Payment Options: credit, debit, e-transfer, cash (exact change only)
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Flexible Start Date: Enroll at any point during the year—including on the day you receive an uninsured service—allowing you to start coverage when it's most relevant to your needs.
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Optional Enrolment: Does not affect your care or access to physicians
Uninsured Services | Pay-As-You-Go Prices | Covered by Block Fee? |
|---|---|---|
Prescription Refill Without an Appointment waived from Citrus Pharmacy or Humber Bay Pharmacy *Effective January 1, 2026* | $30.00 | ✔ |
TB Skin Test and TB Test Reading (2 Visits Required) | $25.00 per visit | ✔ |
Basic Immunization Verification Form | $50.00 | ✔ |
Ear Syringe (At Patient’s Request) | $40.00 | ✔ |
Travel Injection Administration | $30.00 each | ✔ |
Transfer and/or Copy of Medical Records | $30.00 (20 pages) + $0.25/page | ✔ |
Sick Note, Daycare Note, Basic Return to Work Note | $30.00 | ✔ |
Insurance Note for Massage, Physio, Chiro, etc. | $30.00 | ✔ |
Simple Return to Work Forms | ~$40.00 | ✔ |
Camp and School Physical Forms (Assessment and Form) | ~$150.00 | ✔ |
Pre-employment Certificate or Work Forms | ~$40.00 | ✔ |
School or Work Forms to Verify Immunization Status | $100.00 | ✔ |
Pre-operative Assessment (Assessment and Form) | $115.00 | ✔ |
Travel Insurance Cancellation Forms | $160.00 | ✔ |
Life Insurance Death Certificate | $160.00 | ✔ |
Medical Certificate for EI Compassionate Care Benefits | ~$70.00 | ✔ |
Pre-adoption or Foster Parent Forms | $250.00 | ✔ |
EI Disability of Maternity Certificate | $60.00 | ✔ |
CPP Narrative Medical Report *$150.00 starting cost billed to Service Canada* | Starting at $150.00 | ✔ |
Medical Report for CPP Disability Benefit (SCISP-2519) *$85.00 starting cost billed to Service Canada* | Starting at $85.00 | ✔ |
Other Simple Forms Not Otherwise Specified | $40.00 - $100.00 | ✔ |
Detailed Return to Work or Time Off Work Forms | $100.00 - $160.00 *physician’s discretion | 50% off |
CRA Disability Tax Credit Application | $150.00 | 50% off |
Attending Physician’s Statement or Other Complex Forms | $160.00+ *physician’s discretion | 50% off |
Driver’s Medical Examination (Assessment and Form) | $300.00 | 50% off |
Liquid Nitrogen Treatment (Warts) | $30.00 per lesion | Max 4 per 12m |
Travel Consultation | $125.00 | 50% off |
**The exact fee for forms is dependent on the complexity and requirements of the form. The final fee is at physician’s discretion upon review and completion of the form. See above for approximated rates.**
Services Not Covered by the Block Fee Program
Uninsured Services | Pay-As-You-Go Prices | Covered by Block Fee? |
|---|---|---|
Missed Appt (or cancel < 24h) for walk-in and family practice | $50.00 + HST | |
Missed Appt (or cancel < 48h) for specialists (Dr. Fung/Piran) | $200.00 + HST | |
Doctor’s Visit - Invalid Health Card or Out of Country or Quebec | $125.00 | |
Insurance Certificate OCF-3 Disability Certificate | $256.00 | |
Insurance Certificate OCF-18 Treatment Plan | $272.00 | |
Insurance Certificate OCF-19 Determination of Catastrophic Impairment | $151.00 | |
Insurance Certificate OCF-23 Treatment Confirmation | $256.00 |
Purchase a Plan
1. Complete the Online Registration Form
Our Block Fee Registration Form is located below. If you are experiencing any issues with the online form, please contact us at 416-800-6500.
2. Payment
After submitting the registration form, you will be prompted to select a payment option. We currently accept the following:
Online Payments (Recommended)
Secure credit card payments can be made instantly through our website.
Manual Payments
If you prefer not to pay online, we offer the following alternatives. Please note: your block fee plan will not be activated until payment is received.
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By Phone: Credit card payments can be made over the phone. Please call us at 416-800-6500.
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Interac e-Transfer: Send your payment to info@citrusmedical.ca. Be sure to include the patient’s name, date of birth, and purpose of payment in the message.
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In Office: We accept credit, debit, or cash (exact change only).
Block Fee Registration Form
Frequently Asked Questions
Why the Change?
Many medical services fall outside of OHIP, including sick notes, insurance forms, work absence forms, certain injections, and prescription renewals without a visit. These are known as Uninsured Services and are the patient’s responsibility. Until now, patients could only pay for uninsured services individually. Our new Block Fee Program lets you cover most of these services with one annual fee — no more worrying about individual charges.
What is a Block Fee?
A block fee is an optional flat-rate charge that covers a range of uninsured services for a 12 month period. Rather than paying separately for each service as needed, patients can opt to pay one upfront fee for the year to simplify payment and potentially reduce overall expenses. For added flexibility, you can enroll at any point during the year—including on the day you receive an uninsured service—allowing you to start coverage when it's most relevant to your needs.
For more information about Block Fees and Uninsured Services, click here to view the CPSO Patient Information Sheet.
Is the annual block fee mandatory?
No. The block fee is completely optional. You can still have access to all uninsured services at Citrus Medical without enrolling and continue paying per service. There will be no difference in the service provided whether paid through the block fee or per service.
Is the block fee refundable?
After payment is received, you will have 1 week (7 days) to request a full-refund. After 7 days, the fee is no longer refundable and will cover the 12-month period starting the date payment is received. If an uninsured service was covered during the first 7 days, payment for that service will be required prior to receiving the refund.
When does coverage begin and end?
Coverage begins on the date payment is received and lasts for 12 months. For example, if payment is received June 1, 2025, coverage will last from June 1, 2025 to May 31, 2026 inclusive.
What if I only need one form or note this year? Should I still pay the block fee?
If you expect to use only one uninsured service, it may be more cost-effective to pay per service. The annual block fee is ideal for patients or families who need multiple uninsured services each year.
Do all doctors at Citrus Medical participate in the block fee program?
All family doctors and urgent care doctors will have this program available. Specialists including allergists, hematologists, or hypertension specialists, do not have the annual block fee option.
Is the block fee covered by private insurance plans?
Some private insurance plans may cover block fees as part of the healthcare coverage, but it's crucial to check with your specific insurance provider.
Are doctors allowed to charge patients for services?
Yes. Not all services provided by doctors in Ontario are insured services covered under the Ontario Health Insurance Plan (OHIP). Please see The College of Physicians and Surgeons of Ontario Patient Information Sheet for additional details or contact information for the College’s Public Advisory Service.