A valid Ontario Health Insurance Plan (OHIP) card covers most hospital services, but there are a few things that are not covered: Ambulance charge of $45 (OHIP covers the remainder of the cost) Medical equipment such as crutches, casts, knee immobilizers Charges for a semi-private or private room if requested by the patient Transportation home from the hospital Sick Notes; physician-directed fee If you are not covered by OHIP or your OHIP card has expired, you will be charged for your hospital visit as well as a physician fee. If you receive any of these services, you will be required to make payment before you leave the hospital.