Fees, Extended Health Care Insurance, and OHIP

Fees, Extended Health Care Insurance, and OHIP

OHIP pays for mental health services when you are admitted to the hospital as an in-patient, or as an out-patient, or when you access services in a hospital emergency or out-patient clinic.

Unfortunately, psychotherapy services are not covered by OHIP, outside of the hospital setting. Psychotherapy services in private or public agencies are not an OHIP benefit and are considered non-insured benefit services (NIBS).

Your own extended health care benefits may partially reimburse you for some of these fees, and any portion not covered by your extended health care insurance or by OHIP, may be claimed on your income tax return.

As psychotherapists we are unable to accept assignment, this simply means that we are unable to bill your insurance company for you. You are directly responsible for payment of fees, and you will be reimbursed by your insurance company according to your benefit plan. Your insurance check will go directly to you and not to our office.

In Ontario psychotherapy is provided by a number of different professionals, including:

  • Psychologists
  • Social Workers (SW)
  • Registered Psychotherapists (RP)
  • Occupational Therapists (OT)
  • Nurses
  • Doctors

At, The Story Isn’t Over, we have a number of different professionals on staff, including: RPs, OTs, and SWs. A number of us are also supervised by a psychologist. This means that we are able to provide you with a therapist that meets the requirements of your insurance company. However, it is your responsibility to confirm the details of your insurance cover with your insurance provider, as benefit plans vary from employer to employer.

It is very important that you confirm with your insurance provider:

  1. What health professional your insurance company is willing to pay for, whether it is a Psychologist, Social Worker, Registered Psychotherapist, or Occupational Therapist.
  2. Whether you need a referral from your family doctor to access psychotherapy services (this is rarely required).
  3. How much your benefit provider is willing to pay, per session, and per year.
  4. When your benefit year, ends.

When you have confirmed this information with your benefit provider we will do our best to set you up with a therapist who meets the requirements of your insurance company. Please remember that employers may change benefit providers during the course of your treatment and that it is important to remain up to date with what the insurance company will pay for. Ultimately, you are responsible for ensuring that your services can be reimbursed with your benefit provider, due to the complexity, variability and everchanging nature of the insurance providers requirements.

Our office staff, and any of our therapists, will be pleased to answer any questions you may have about fees, and their payment.

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Bolton Office

30 Martha Street, Suite 303
Bolton, ON L7E 5V1

Brampton Office

4 Automatic Road, Unit 105
Brampton, ON L6S 6K9

Caledon East Office

15976 Airport Road
Caledon East, ON L7C 1E8

(416) 616-2207

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