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U961 – Travel Premium - Hospital Out-Patient - Weekdays Daytime (07:00-17:00) with Sacrifice of Office Hours

OHIP General Preamble Code — GENERAL PREAMBLE · Schedule of Benefits

Billed by time of day

Special visit: Hospital Out-Patient Department, travel premium. By when the visit starts. Schedule of Benefits GP71.. Toronto time.

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Special visit: Hospital Out-Patient Department, travel premium by time period
Weekday daytimeMon–Fri 07:00–17:00
  • U960$37.40
  • U961(this code)with sacrifice of office hours$37.40
Weekday eveningMon–Fri 17:00–24:00
NightEvery day 00:00–07:00
Weekend or holidaySat, Sun & holidays 07:00–24:00
A travel premium for a non-elective special visit to a hospital out-patient department, for visits that commence on a weekday between 07:00 and 17:00 with sacrifice of office hours. Fee $37.40 (max. 2 per time period). Schedule of Benefits Special Visit Premium Table II, Hospital Out-Patient Department (). The time the special visit takes place must be documented in the medical record (). Bill with the appropriate A-prefix assessment from the General Listings.
The time at which the special visit takes place must be documented on the medical record.
Usage limits
[2, "other", "per_physician", "Maximum of 2 per weekday daytime period (07:00-17:00) with sacrifice of office hours. Only one travel premium is payable per trip, regardless of the number of patients seen."]

Sacrifice of office hours means an insured service rendered when the demands of the patient and/or the patient's condition are such that the physician makes a previously unscheduled non-elective visit to the patient at a time when the physician had an office visit booked with one or more patients but, because of the previously unscheduled non-elective visit, any such office visit was delayed or cancelled.

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