Ontario Government Targets Clinics Charging for OHIP-Covered Services


A troubling case has arisen in Ottawa’s south end as the Ontario government and Ministry of Health have threatened to shut down any clinic charging for services covered under OHIP. Specifically under investigation is one establishment charging a $400 membership fee to access a nurse practitioner’s services.

Last week, it came to light that South Keys Health Center has been seeking membership contributions from clients, introducing an additional layer of cost to engage with a nurse practitioner. It is very clear that the Ontario government is taking this situation seriously.

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“We will not tolerate any clinic charging for OHIP funded services,” Health Minister Sylvia Jones declared at Queen’s Park. “On discovery of any such transgressions in the Ottawa region, we have instigated a thorough investigation. Should wrongdoing be uncovered, we stand ready to shut down the associated practices.”

Jones elaborated on the government’s stance. The message is unequivocal: if a service is funded by OHIP, no provider should, under any circumstances, charge for it.

Yet, despite the legal implications, South Keys Health Center stands by its practices. Its clinical director, Osman Nur, defends the annual $400 fee as not only legal but a vehicle for patients to receive “rapid access”. This fee allows patients to be seen by nurse practitioners, who have the authority to issue prescriptions, offer health information, and recommend specialists.

To navigate the intricacies of the provincial health laws, it’s key to note that while doctors are prohibited from charging for services covered by OHIP, nurse practitioners are not subject to the same rule. They may not bill OHIP directly, but they or their employers are permitted to charge for healthcare services.

These allegations have caused a ripple effect, raising concerns beyond the South Keys Health Center alone. The Ontario Liberals have called on the government for an outright end to the practice of charging any subscription or membership fees for access to doctors or nurses.

John Fraser, interim Liberal leader, aptly pointed out the potential risk at hand, remarking, “The ability to charge a subscription fee breeds exploitation. Our priority should be to ensure that primary care, irrespective of whether it’s rendered by a physician or a nurse practitioner, is adequately covered by OHIP.”

However, the problematic issue isn’t limited to primary care charges. Recently unearthed evidence suggests that the South Keys Health Center had listed bios of two Ottawa doctors on its website, doctors who had never worked at or established contact with the clinic. This baffling discovery has exacerbated concerns about the centre’s practices.

Amid these controversies, the Ministry of Health affirms its dedication to investigating all potential violations that are brought forward. As for South Keys Health Center, they have dismissed the need for further commentary, stating they’ve already declined all interview requests.

Overall, the unfolding situation brings into sharp focus the government’s responsibility to protect public health services, demonstrating its determination to confront and quash any illegal practices within our healthcare system.