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Preventive care bonus calculator 2026
Work out your cumulative preventive care bonus from your Target Population/Service Report. Pick your payment model, enter the patients in each category, and the calculator gives your coverage level, the tier code to claim and the bonus.
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Bonus tiers by category
Influenza
Target population: Enrolled patients aged 65 or older on December 31 of the fiscal year. Covered: vaccinated for that flu season by January 31. Who can claim: FHO, FHN, FHG, CCM and other enrolment models.
| Code | Coverage | Bonus |
|---|---|---|
| Q100A | 60% | $220 |
| Q101A | 65% | $440 |
| Q102A | 70% | $770 |
| Q103A | 75% | $1,100 |
| Q104A | 80% | $2,200 |
Cervical cancer screening
Target population: Enrolled patients with a cervix aged 25 to 69 on March 31 (sexually active patients only). Covered: screened in the 66 months before March 31. Who can claim: FHG, CCM and other enrolment models (not FHO or FHN).
| Code | Coverage | Bonus |
|---|---|---|
| Q105A | 60% | $220 |
| Q106A | 65% | $440 |
| Q107A | 70% | $660 |
| Q108A | 75% | $1,320 |
| Q109A | 80% | $2,200 |
Mammography
Target population: Enrolled female, trans and non-binary patients aged 50 to 74 on March 31. Covered: mammogram in the 30 months before March 31. Who can claim: FHG, CCM and other enrolment models (not FHO or FHN).
| Code | Coverage | Bonus |
|---|---|---|
| Q110A | 55% | $220 |
| Q111A | 60% | $440 |
| Q112A | 65% | $770 |
| Q113A | 70% | $1,320 |
| Q114A | 75% | $2,200 |
Childhood immunizations
Target population: Enrolled children aged 30 to 42 months on March 31. Covered: all Ministry-supplied immunizations recommended by NACI, given by 30 months of age. Who can claim: FHO, FHN, FHG, CCM and other enrolment models.
| Code | Coverage | Bonus |
|---|---|---|
| Q115A | 85% | $440 |
| Q116A | 90% | $1,100 |
| Q117A | 95% | $2,200 |
Colorectal cancer screening
Target population: Enrolled patients aged 45 to 74 on March 31 (50 to 74 before the September 2026 reports). Covered: FOBT or FIT in the 30 months before March 31 (or a colonoscopy within the look-back). Who can claim: FHG, CCM and other enrolment models (not FHO or FHN).
| Code | Coverage | Bonus |
|---|---|---|
| Q118A | 15% | $220 |
| Q119A | 20% | $440 |
| Q120A | 40% | $1,100 |
| Q121A | 50% | $2,200 |
| Q122A | 60% | $3,300 |
| Q123A | 70% | $4,000 |
How the bonus is worked out
Coverage. Covered patients ÷ (patients on the report − excluded patients) × 100, rounded to two significant digits, as the Ministry's procedures document sets out.
One code per category. Claim the code for the highest tier you reached, billed at $0.00. The bonuses are not added together within a category.
FHO and FHN. Only the influenza (Q100A–Q104A) and childhood immunization (Q115A–Q117A) bonuses can be claimed since 2024–25. With fewer than 1,000 enrolled patients on March 31, each bonus is prorated: enrolled patients ÷ 1,000 × the bonus.
FHG and CCM. All five categories, with at least 650 enrolled patients on March 31 (450 for a new graduate in their first year in an FHG or CCM). Below that, no bonus is paid.
Other enrolment models. RNPGA, BSM, GHC, SJHC and WAHA physicians can claim all five categories with no minimum roster.
Questions
Can FHO physicians still claim the preventive care bonus?
Yes, but only for influenza (Q100A–Q104A) and childhood immunizations (Q115A–Q117A), since fiscal 2024–25. Cervical, mammography and colorectal claims from FHO and FHN physicians reject with EPA.
How is the bonus prorated for a small roster?
FHO and FHN physicians with fewer than 1,000 enrolled patients on March 31 get enrolled patients ÷ 1,000 × the bonus. For example, 575 patients at the 75% influenza tier (Q103A, $1,100) is $632.50.
What is the minimum roster for FHG and CCM?
650 enrolled patients on March 31 of the bonus year, or 450 for a new graduate in their first year in an FHG or CCM.
How do I bill the preventive care bonus?
Bill the tier code for each category at $0.00, one claim per category for the highest tier you reached, after the March 31 report and before the June claims cut-off. OHIP pays the bonus amount.
Sources
- OHIP INFOBulletin 240503: Changes to the preventive care bonus for FHN/FHO physicians
- OHIP INFOBulletin 260401: 2025–2026 preventive care bonus information
- OHIP INFOBulletin 260805: Preventive care bonus projected reports (September)
- Ministry of Health: Information and procedures for claiming the cumulative preventive care bonus
Ontario preventive care bonus 2026 · Q100A influenza bonus · Q115A childhood immunization bonus · FHO+ calculator
Updated October 26, 2026.