ontario regulation 105/06
made under the
Health Insurance Act
Made: April 5, 2006
Filed: April 6, 2006
Published on e-Laws: April 7, 2006
Printed in The Ontario Gazette: April 22, 2006
Amending Reg. 552 of R.R.O. 1990
(General)
1. (1) Clause (d) of the definition of “schedule of dental benefits” in subsection 16 (8) of Regulation 552 of the Revised Regulations of Ontario, 1990 is revoked and the following substituted:
(d) the document published by the Ministry of Health and Long-Term Care titled “Schedule of Benefits — Dental Services under the Health Insurance Act (April 1, 2005)”, but does not include the “[Commentary…]” portions of the document, if the service is performed on or after April 1, 2005 and before April 1, 2006,
(e) the document published by the Ministry of Health and Long-Term Care titled “Schedule of Benefits — Dental Services under the Health Insurance Act (April 1, 2006)”, but does not include the “[Commentary…]” portions of the document, if the service is performed on or after April 1, 2006.
(2) Section 16 of the Regulation is amended by adding the following subsections:
(8.1) Despite subsection (1), the following services described by the following codes in the “Schedule of Benefits — Dental Services under the Health Insurance Act
(April 1, 2006) are prescribed services only if they are performed on or after March 1, 2007:
1. T456 — Excision, subtotal, parotid gland.
2. T457 — Excision, total, parotid gland.
3. T458 — Parotid biopsy.
(8.2) Despite subsection (5), the premiums described by the following codes in the “Schedule of Benefits — Dental Services under the Health Insurance Act
(April 1, 2006) are payable only if the prescribed services to which they relate are rendered on or after March 1, 2007:
1. T811 — Premium for consultation or visit between 5:00 p.m. and midnight, or on a Saturday, Sunday or holiday.
2. T812 — Premium for any consultation or visit to a patient in an intensive care facility.
3. T813 — Premium for a consultation or visit between midnight and 7:00 a.m.
