Navigating Labour and Delivery in Canada as a Non-Canadian Patient: What You Need to Know Without an OHIP Card

Update on Hospital Payment System – Effective September 29, 2025

Beginning September 29, 2025, the hospital has introduced a new payment system for all private non-insured patients delivering in Canada. Below are the key details explained in a question-and-answer format.

Frequently Asked Questions (FAQ)

❓ What is the new hospital deposit?

The hospital now requires a $20,000 CAD deposit (previously $9,000).

• This is not an increase in overall cost — it is simply a higher deposit required upfront.

• All hospital costs (room, delivery, anesthesia, paediatrics, surgical assist, triage visits, etc.) are deducted from this amount.

• Any unused portion is refunded after delivery (for example, if you have a vaginal delivery without epidural and a short hospital stay).

❓ What are the clinic fees?

• Antenatal Care Fee: $4,000 CAD – Cash Only (lump sum)

  
  

  • Covers all antenatal appointments and postpartum follow-up visits.

  • An official receipt for tax and insurance purposes will be provided

  
  

• Initial Booking Fee: $200 CAD (as per usual)

  
  

  • Paid before booking your first appointment via credit card/online payment.

  
  

❓ What happens at my first visit?

1. You will attend your first appointment at the clinic.

2. Within a few days, you must go to the hospital to register and pay the $20,000 deposit.

❓ Do I still have to pay separately for other services?

No. With this new system, you will not need to pay separately for:

• Anesthesia

• Pediatrics

• Surgical assistance

• Triage visits

• Hospital fees

All of these are included in the hospital deposit.

❓ What if I do not agree with this payment structure?

• You are free to consider other hospitals in the area or elsewhere in Canada.

• If the $4,000 cash-only antenatal care fee does not suit your needs, you may explore care with other physicians who charge on a per-visit basis.

  
  

📌 For questions or further details, please contact our office. dr.shehata.office@mackenziehealth.ca

💳 Payment Breakdown (Effective Sept 29, 2025)

Payment	Amount	Notes
Hospital Deposit	$20,000 CAD	Covers room, delivery, anesthesia, pediatrics, surgical assist, triage visits, hospital fees. Unused portion refunded after delivery.
Antenatal Care Fee	$4,000 CAD	Cash only (lump sum). Covers antenatal + postpartum visits. Official receipt provided for tax/insurance.
Booking Fee	$200 CAD	Paid at booking.

✅ No separate payments needed for anesthesia, paediatrics, surgical assistance, triage visits, or hospital fees.

✅ Refunds available if hospital costs are less than the deposit.

✅ Flexibility: If this payment structure does not suit your needs, you may consider other hospitals or physicians.

Please check the following PDF created by the hospital for the new system

_KM Private Pay Process for Uninsured Woman Child Patients - Final.pdf

Download PDF • 220KB

Dr. Fady Shehata MBBCh./M.Sc./FRCSC

General Obstetrician, Gynecologist, and UrogynecologistFemale Pelvic Medicine & Reconstructive Surgeon

Address: 204-2640 Rutherford Road, Vaughan, Ontario L4K 0H1

Tel: 647-250-7322        Fax: 1-855-955-3905

Email: dr.shehata.office@mackenziehealth.ca