Most medical visits and medically necessary care provided at West Carleton Family Health Team are covered by the Ontario Health Insurance Plan (OHIP). However, there are some services that are not covered by OHIP (including prescription renewals without a visit, see below) and may require payment by the patient. These are commonly referred to as uninsured services and can include things such as certain forms and letters, sick notes, insurance documentation, copies or transfers of medical records, and prescription renewals requested outside of an appointment. The College of Physicians and Surgeons has a developed policy regarding uninsured services and block fees and it is available here.

We understand that fees for medical services can sometimes be confusing. Our goal is to be transparent about these fees and to provide patients with options for how they would like to manage them.

Below is our current list of common uninsured services. The list shows the individual Pay-As-You-Go fee as well as whether the service is included in the Annual Block Fee Program.

CLICK HERE TO VIEW/DOWNLOAD OUR 2026 COMMON UNINSURED SERVICES FEE GUIDE

Some uninsured services are not included in the Annual Block Fee because of their complexity, the amount of work involved, or third-party requirements.

​Fees may also vary where a service requires substantially more physician time or complexity than usual. When applicable, we will advise you of the expected fee before the service is completed.

Two Options for Uninsured Services

Patients can choose to pay for uninsured services individually when they use them or enrol in our Annual Block Fee Program.  Participation in the Annual Block Fee Program is entirely optional.  Choosing not to participate will not affect your access to medical care, appointment availability, or your relationship with your physician or healthcare team in any way

Option 1: Annual Block Fee Program

The Annual Block Fee provides coverage for a broad range of commonly requested uninsured services for one annual payment.

Coverage Period: November 1, 2026 to October 31, 2027
Patients may enrol after November 1; however, the annual fee is not prorated and coverage will still end on October 31, 2027.

Enrol in the Annual Block Fee Program
Click the payment link below located in the right colum for the option that applies to you or your household. You will be directed to our secure online payment system, through Stripe, to complete your enrolment.
Pay special attention to the box in the image below as the names of all of those included in the block fee based on the option you selected (individual, couple, or family) need to be listed here.

Once payment has been completed, we will record your participation in the Annual Block Fee Program.

Coverage Type	Cost	Payment Link
Individual	$140	CLICK HERE FOR INDIVIDUAL PAYMENT
Couple	$210	CLICK HERE FOR COUPLE PAYMENT
Family ​Includes dependent children aged 18 and younger ​living at the same address.	$265	CLICK HERE FOR FAMILY PAYMENT
Senior Individual ​Patient must be aged 65 or older.	$110	CLICK HERE FOR SENIOR INDIVIDUAL PAYMENT
Senior Couple Both patients must be aged 65 or older.	$180	CLICK HERE FOR SENIOR COUPLE PAYMENT

​Option 2: Pay-As-You-Go

You do not need to enrol in the Annual Block Fee Program.
If you prefer, you can simply pay for uninsured services individually if and when you use them. There is no upfront payment and no action is required if you choose this option.
For patients who rarely require uninsured services, paying individually may make more sense. Other patients may prefer the convenience and predictability of the Annual Block Fee. The choice is entirely yours.

Uninsured Services and Fees

Below is our current list of common uninsured services. The list shows the individual Pay-As-You-Go fee as well as whether the service is included in the Annual Block Fee Program.

CLICK HERE TO VIEW/DOWNLOAD OUR 2026 COMMON UNINSURED SERVICES FEE GUIDE​

Some uninsured services are not included in the Annual Block Fee because of their complexity, the amount of work involved, or third-party requirements.
Fees may also vary where a service requires substantially more physician time or complexity than usual. When applicable, we will advise you of the expected fee before the service is completed.

​Prescription Renewals Outside of Appointments

Beginning November 1, 2026, a $25 fee will apply to certain prescription renewals requested outside of an appointment.

Prescription renewals without a visit are included in the Annual Block Fee Program.

Importantly, this is not a fee for prescriptions generally. Most prescribing and medication management will continue to be provided as part of your medical care without an additional charge.

Why can there be a fee for a prescription renewal?
A prescription renewal received outside of an appointment can involve considerably more work than simply clicking “renew.”

Depending on the medication and your medical history, your healthcare provider may need to:

• Review your medication list and relevant medical history
• Confirm that the medication, dose and duration remain appropriate
• Review recent appointments, bloodwork, investigations or specialist recommendations
• Determine whether monitoring or follow-up is required to continue the medication safely
• Update and document information in your medical record
• Communicate with your pharmacy or other members of your healthcare team
• Arrange additional testing or follow-up when required

Much of this work occurs outside of scheduled appointments and is not covered by OHIP.

Prescription renewals can also result in duplicate work when medications could have been reviewed and renewed during a recent appointment or prescribed in sufficient quantities to last until the next planned follow-up.
By planning medication renewals during appointments whenever possible, we can reduce repeated requests, pharmacy communications and duplicate chart review. This allows our physicians and healthcare team to spend more time providing direct patient care and helps preserve appointment capacity for patients who need to be seen.

When will the prescription renewal fee NOT generally apply?
There will generally be no additional fee for:

• Prescriptions issued or renewed during a scheduled appointment
• New prescriptions resulting from a clinical assessment or visit
• Medication dose changes or adjustments
• Renewals directly related to monitoring medication effectiveness, side effects or ongoing treatment decisions
• Renewals requested by your physician or healthcare provider as part of planned follow-up
• Prescriptions initiated through our nurse triage process for an acute medical concern

In other words, when prescribing or renewing a medication is part of the medical care we are providing to you, there is generally no separate prescription renewal fee.

When may the $25 fee apply?
The fee may apply to:

• Requests to renew stable medications outside of an appointment when no clinical reassessment is required
• Administrative refill requests received by phone, fax, patient portal or directly from a pharmacy and completed outside of an insured medical visit

Whenever possible, we encourage patients to discuss prescription renewal needs during scheduled appointments so medications can be reviewed and renewed together.

Transition Period
We recognize that this is a change from how prescription renewals have previously been handled at our clinic, and we want to give patients time to adjust.

For the remainder of 2026, we will waive the prescription renewal fee once for each patient.

When appropriate, our team will use that opportunity to explain the new process and help patients plan future medication renewals during appointments whenever possible.

As always, if delaying a medication renewal could create a health risk, please let our team know so we can support you appropriately.

Questions or Financial Concerns
We recognize that every patient's circumstances are different. If cost is a concern or there are circumstances you would like us to consider, please speak with our team or email us at [email protected] .

Our priority remains providing high-quality, patient-centred care. Whether or not you participate in the Annual Block Fee Program will not affect the medical care you receive at West Carleton Family Health Team.

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