Individual Sessions - Self Pay/Employee Extended Health Coverage
As psychological services are not currently covered under the Ontario Health Insurance Plan (OHIP), payment of $190.00 is required at time of service, and may be made by e-transfer (), cash, or credit card. However, many employment-related group health insurance plans (e.g., Manulife, Sunlife, Great West Life) offer coverage for psychological assessment or treatment. At the time of service, we will provide a receipt that can submitted to your insurance company for reimbursement. Please consult your benefits package or your Human Resources Department to determine your coverage for psychological services and whether your plan requires a physician’s note prior to approving treatment.
Workplace Safety and Insurance Board (WSIB)
Individuals who are injured in the course of their employment may be entitled to psychological services through the Community Mental Health Program or the Fee-for-Service Program at WSIB. These include operational stress injuries for police, fire, paramedicine, dispatch/911 operators, correctional services, and emergency medical personnel. We can provide assistance with diagnostic assessments required for WSIB entitlement, if required.
Canadian Forces/Veterans Affairs Canada
Regular Force and Reservists, Active or Post-Release, are often entitled to psychological treatment for operational stress injuries or other forms of emotional distress. Once approved, treatment is billed directly to Canadian Forces or Veterans Affairs.
Motor Vehicle Accidents
Under current automobile insurance legislation, an insured person may be entitled to psychological services after sustaining injury in a motor vehicle accident. The injured person’s spouse or children may also be eligible for psychological assessment and treatment if they suffer physical, emotional, or mental harm as a result of their family member’s injuries. The insured, or their family member, must complete an Application for Accident Benefits package to be forwarded directly to their automobile insurer before they can access rehabilitative services. This package may be obtained through your insurance adjuster or legal representative.
Each session of psychological treatment is billed to the insurer for 1.25 to 1.5 hours, to allow for the completion of session notes and other paperwork, consultation with other professionals, documentation review, and other indirect services. Psychological services are billed to the insurer at the FSCO established rates.
The current legislation dictates that extended health insurance coverage (e.g., Great West Life, Manulife) must be accessed prior to billing automobile insurers directly. We appreciate your providing extended health insurance information and signed claim forms at your first assessment appointment.
No-show and late cancellation policy
Missed appointments (“no-shows”) may be billed directly to you at a rate of $100.00. We appreciate 24-hours’ notice when canceling appointments, when possible, (prior to 8 am on the day of service). Such fees are not covered by insurers. Cancellation fees may be waived under exceptional circumstances.