Other Canadian province health insurance or federal insurance
A resident of another province with valid provincial insurance or a resident with valid federal insurance (Canadian Armed Forces, Workers Safety Insurance Board, refugee with Interim Federal Health Program or student covered by UHIP) must provide valid health insurance information to be entitled to health care paid for by their respective plan.
These plans pay for a wide range of medically necessary services.They do not pay for services that are not medically necessary such as cosmetic surgery and limited coverage on preferred accommodation. GRH will bill the appropriate provincial or federal insurance plan. Any claims rejected by the health care plan will be billed to the patient. In some cases, physician and other services will have to be paid upfront by the patient and then a submission can be made to the plan for reimbursement by the patient.
Hospital fees for residents with provincial or federal health insurance plans
If your complete provincial health or federal insurance plan information is not provided at the time of registration, it is your responsibility to call our finance department as soon as possible with the correct insurance information at 519-749-4300 ext. 2604.Otherwise, you will receive a bill from us in the mail for payment.
Also, if you have private insurance for hospital costs, this must be provided at time of registration. Please note it is your responsibility to understand the coverage provided by any private insurance company. You will be billed for amounts not paid by private insurance. The hospital cannot cancel charges if a mistake is made in coverage.
If you live in Canada without a valid provincial health card (uninsured resident of canada) or you live in another country (non-resident of Canada):
Canadian residents without valid provincial health insurance plan, considered uninsured resident of Canada, or non-residents of Canada are responsible for all hospital fees. Hospital fees are in addition to attending physician fees as billed by physician.
For uninsured residents and non-residents, hospital outpatient fees are applicable for each and every emergency visit, outpatient clinic visit (ambulatory care, childbirth visits and clinics, day surgery, rehabilitation, orthopedic services, etc). Hospital outpatient fees are in additional to public and private ambulance charges, rehabilitation and mobility devices, orthopedic casting, diagnostic imaging (X-ray, CT scan, MRI, ultrasound, etc.) and laboratory fees and physician service fees.
For uninsured residents or non-residents admitted as inpatients, hospital fees include room accommodation (ward, semi-private or private room, intensive care unit (ICU) bed). Hospital inpatient accommodation fees are in additional to public and private ambulance charges, rehabilitation and mobility devices, orthopedic casting, diagnostic imaging (X-ray, CT scan, MRI, ultrasound, etc.) and Laboratory fees and Physician service fees.
Additional inpatient charges will apply for newborn delivery and newborn ward care. Physicians will also bill for delivery and care charges in addition to hospital charges.
GRH will directly bill private insurance plans for inpatient room accommodation for Canadian insurers only. Private insurance plan information must be provided at the time of registration. Please note it is your responsibility to understand the coverage provided by any private insurance company. You will be billed for amounts not paid by private insurance. The Hospital cannot cancel charges if a mistake is made in coverage.
GRH will not accept private insurance for non-resident patients with out of country insurance companies. Non-resident patients must provide a credit card at the time of registration and pay for their hospital charges directly. Out of country patients can then forward a claim to their private health insurer.
If you have any other questions or concerns about hospital accommodations, or your insurance coverage, please contact the bed allocation department at 519-749-4300 ext. 4434. Or, speak to any one of the inpatient admitting representatives located on the main floor of the Hospital.