Special Payments for Physician Services
On this page
Current legal reference synchronized from Ontario e-Laws. Open a Learning Centre walkthrough if you need the steps and form numbers. The statute text below is the legal wording.
Who this affects. Anyone who needs the official wording of this legal text. Use a Learning Centre guide if you are starting or answering a process.
Guides on this site.
- How to request your health records in Ontario
- Consent to treatment in Ontario
- How to raise a PHIPA privacy concern
- How to ask for your health records in Ontario
Government text current to 2026-10-29.
Confirm a critical date on the official source after you read this page.
Public legal information, not legal advice. For advice, contact a lawyer or licensed paralegal who works in this area.
O. Reg. 43/09: SPECIAL PAYMENTS FOR PHYSICIAN SERVICES, Under: Health Insurance Act, R.S.O. 1990, c. H.6
Health Insurance Act
Loi sur l’assurance-santé
ONTARIO REGULATION 43/09
SPECIAL PAYMENTS FOR PHYSICIAN SERVICES
Consolidation Period: From February 2, 2009 to the e-Laws currency date.
No amendments.
This Regulation is made in English only.
Definition
1. In this Regulation,
“physician schedule of benefits” means the schedule of benefits as defined in subsection 1 (1) of Regulation 552 of the Revised Regulations of Ontario, 1990 (General) made under the Act, but also includes Appendix F of the document referred to in that definition. O. Reg. 43/09, s. 1.
Special payment
2. (1) A special payment is payable by the Plan to every physician who renders services in Ontario on and after October 1, 2008 but before October 1, 2009. O. Reg. 43/09, s. 2 (1).
(2) The amount of the special payment is three per cent of the amount calculated by adding the following:
1. The total amount payable to the physician by the Plan for the period mentioned in subsection (1) with respect to insured services rendered in Ontario that are listed in the physician schedule of benefits, other than the services listed in the physician schedule of benefits that are headed by a column listed “H” or “T” or with the phrase “technical component” listed opposite the service.
2. The total amount of any premiums listed in the physician schedule of benefits payable to the physician by the Plan for the period mentioned in subsection (1) with respect to the insured services provided for in paragraph 1.
3. The total amount payable to the physician for the period mentioned in subsection (1) with respect to services rendered in Ontario that are described in Appendix F of the physician schedule of benefits. O. Reg. 43/09, s. 2 (2).
3. Omitted (provides for coming into force of provisions of this Regulation). O. Reg. 43/09, s. 3.