Room Options: FAQs
· Private (1 bed per room, private bathroom)
· Semi-Private (2 beds per room, shared bathroom for 2 patients)
· Standard Ward (4 beds per room, 2 shared bathrooms for 4 patients)
1. What does the government pay for?
Canada’s provincial and federal health insurance covers Standard Ward accommodation (four beds to a room) through Canada’s Medicare program. If you prefer to stay in a Private or Semi-Private room during your Hospital stay, a premium rate will be charged to you or your insurance company.
2. How much does a Private or Semi-Private room cost*?
Private room: $395.00 per day
Semi-Private room (two beds in a room): $280.00 per day
* Rates subject to change
3. How do I know if I am covered for a Private or Semi-Private room?
Please check with your insurance provider to find out what your plan covers in terms of room type (i.e. Private or Semi-private) and amount.
4. Will Mount Sinai Hospital bill my insurance provider on my behalf?
Mount Sinai bills directly to most major Extended Health Benefits Plans. Please check with a Mount Sinai Admitting representative or your insurance provider to confirm that Mount Sinai can bill your insurance company on your behalf. Please note that should your insurance company only cover a portion of the Private or Semi-Private cost, you will be required to pay the balance to the Hospital.
5. How do I request a Private or Semi-Private room?
During admission or pre-registration, our Admitting representatives will explain the Hospital accommodation options available. You will be asked to sign our Patient Financial Responsibility Form and to provide your insurance information. An imprint of your credit card will be requested for any balances not covered by your insurance.
6. Will I be able to reserve a room of my choice?
Your room choice is not guaranteed, but we will make every effort to provide you with the room type that you have requested. Hospital accommodation room assignments are based on bed availability and medical necessity.
7. What if you are unable to accommodate my request?
We will make every effort to provide you with the room type that you have requested. You or your insurance company will only be charged based on your room assignment. For example, if you have requested a Private room, but only a Semi-Private room is available when you are admitted, you or your insurance company will only be charged the Semi-Private room rate.
8. Why does Mount Sinai Hospital charge for Private and Semi-Private rooms?
Private and Semi-Private rooms exceed the baseline standard accommodation covered by the provincial and Ontario government. In accordance with Health Canada guidelines, acute-care or specialist facilities like Mount Sinai Hospital can provide the option of *Private or Semi-Private accommodations to those patients who are willing to pay, or who have coverage under their personal healthcare insurance.
*Private and Semi-Private rooms generate much needed revenue to support hospital programs, equipment upgrades and capital projects, so that Mount Sinai Hospital can continue to provide the best in patient care.
If you have any other questions or concerns about Hospital Accommodations, or your insurance coverage, please contact the Hospital Accommodations Coordinator at 416.586.4800 ext. 4782 or 4496. Or, speak to any one of the Admitting Representatives located on the main floor of the Hospital.