Bulletin Number
    Amended April 27, 2001 (April 30, 1989)
Direct inquiries to

         Ministry of Health
         Processing Office

(address below)
       Physicians, Hospitals, Clinics, Laboratories


In the Schedule of Benefits, Physicians Services, Section B-10 of the Preamble deals with procedures that may be performed in the office on behalf of the physicians by a person in his/her employ while under the physician’s direct supervision and claimed as an insured benefit of OHIP.

The Plan interprets the wording to mean:

  1. The procedures are performed in an office owned or leased by the physician.  As a general rule, the procedures will be carried out in the office wherein the physician provides all medical services within the scope of his/her specialty.  Any exceptions to this rule will be subject to the written approval of the Plan.

  2. The person is an employee as evidenced by payments made to the employee and usual deductions for tax, Canada Pension, and Unemployment Insurance, as dictated by Revenue Canada, are being made.  According to Revenue Canada, “Every Employer is required by law to deduct Canada Pension Plan Contributions and Unemployment Insurance Premiums from the pensionable and insurable wages, salaries, and other remuneration, including any taxable benefit they pay or provide their employees as the case may be.  They must remit their amounts to Revenue Canada, Taxation, along with their employer contribution and premiums on behalf of their employees.”

 For clarification, Section B-10 is restated with salient points underlined :

"...when procedure(s) are carried out by a physician’s employee(s) under the direct supervision of the physician in his/her office, the usual claims may be made for procedure(s) which are generally and historically accepted as those which may be carried out by the nurse or other medical assistant in the employ of the physician. "


Office locations
30 Poyntz St.
L4M 3P2
119 King St. W
P.O. Box 2280, Stn. A
L8N 4C8
220-808 Robertson St.
P9N 1X9
1055 Princess St.
P.O. Box 9000
K7L 5A9
1400 Weber St. E. Unit B2
N2A 3Z8
217 York St., 5th FloorP.O. Box 5700 Terminal A
N6A 1B7
201 City Centre Dr.
P.O. Box 7020, Stn. A
L5A 3M1
North Bay
101-447 McKeown St.
P1B 9S9
Exec. Tower, Oshawa Centre. 419 King St. W.
P.O. Box 635 L1H 8L4
Fuller Building
75 Albert Street
K1P 5Y9
Owen Sound
981 2nd Avenue E.
N4K 2H5
550 Lansdowne St. W.
K9J 8J8
St. Catharines
59 Church St 3rd Floor
L2R 3C3
452 Christina St. N.
N7T 5W4
Sault Ste. Marie
Roberta Bondar Place
70 Foster Dr., Ste. 100
P6A 6V4
199 Larch St.,
Suite 801
P3E 5R1
Thunder Bay
435 James St. S.,
Suite 113
P7E 6T1
38 Pine St. N., Ste. 110
P4N 6K6
2195 Yonge St.
P.O Box 1700 Stn. A
M5W 1G9
1427 Ouellette Ave.
N8X 1K1
Head Office
P.O. Box 48
Kingston, ON
K7L 5J3