UNINSURED SERVICES

 

PAY-PER-SERVICE OPTION

 

Below is a list of the most common uninsured services.  If you choose Pay-Per-Service, you will be asked to pay for uninsured services prior to receiving them according to the following fee schedule recommended by the B.C. Medical Association.

 

UNINSURED SERVICE                                                                                      AMC FEES

Routine Annual Complete Physical Examination 1                                      $225.00

Private counseling (i.e. – personal health counseling) per 30 min           $225.00

Pre-employment Physical Exam2                                                                   $225.00

Driver’s Medical Examination Form (yellow form) & Physical 2                 $190.00

Driver’s Medical Examination Form (blue form)                                          $115.00

Short note/forms (i.e. Daycare/Camp/Work/Cancellation, etc) 2              $25.00 & up

Disability Tax Credit2                                                                                        $75.00

CPP Disability Medical Report Form2                                                             $25.00 - $150.00

Prescription Renewal (by fax) 3                                                                       $40.00

Missed Appointment/ Late Cancellation (per every 10 mins booked)4    $40.00

Faxing & Photocopying (per page) 5                                                               $1.00

Transfer of Medical Records 9                                                                         $30.00

Referral Note for Chiropractor, Physiotherapy, Massage7                         $25.00

Wart Removal (per lesion/wart) 8                                                                    $50/10 minutes

Cosmetic Excision (including tray fee)                                                            $250.00

Skin Tag Removal (per session)                                                                       $100.00

Travel Advice9                                                                                                     $75.00

Private Injection (uninsured vaccines)                                                            $20.00

                                                            

 

Footnotes:

  1. Preventative services and screening tests not supported by evidence of medical effectiveness (for example, routine annual “complete” physical examinations, whole body CT scans, prostate specific antigen (PSA) tests).

  2. Forms and certificates are uninsured when they are provided at the request of the patient and are transmitted to a third party such as an employer, private insurer, and others.

  3. Telephone Advice and Prescription Renewals are uninsured when requested by the patient, and are not associated with an insured service, and no other insured service is provided.

  4. Missed Appointment charges will apply unless the patient provides 24 hours notice.

  5. Faxing & Photocopying is uninsured when it is provided for the patient’s personal use or for a third party.

  6. Transfer of Medical Records is uninsured when it is at the request of the patient.  Additional postage or faxing charges may apply.

  7. Referral Notes are uninsured when the note is requested by the patient to obtain services that are not medically necessary.

  8. Removal or treatment of warts is an insured service only for plantar warts (feet only), genital warts and all warts in immuno-compromised patients and children.

  9. Travel advice for one destination is $60. If two destinations, $100.  If three destinations, $125.  This fee is for up to two people, per visit.

 

 

EXTENDED COVERAGE

 

If you do not wish to pay for uninsured services one-by-one, sign up for the Extended Coverage plan that best suits your needs, and be covered for an entire year.

 

 

UNINSURED SERVICE                                                                                 EXTENDED COVERAGE

Driver’s Medical Examination Form                                                          Covered

Prescription Renewal (by fax)*                                                                  Covered

Referral Note for Chiropractor, Physiotherapy, Massage6                   Covered

Short note/forms (i.e. Daycare/Camp/Work/Cancellation, etc)2          Covered

Disability Tax Credit                                                                                     Covered

CPP Disability Medical Report Form                                                         Covered

Faxing & Photocopying                                                                               Covered

Transfer of Medical Records                                                                      Covered

Wart Removal (per lesion/wart)                                                                 Covered

Travel Advice (once per year)                                                                     Covered

Telephone Advice                                                                                         Covered

Private Injections (uninsured vaccines)                                                    Covered

 

*At the doctor’s discretion; when medically appropriate.  If your condition warrants an office visit, you will be required to come in.

 

Individual Plan                                                                                              $175.00/year

Family Plan (Includes spouse & dependent children under 19)      $300.00/year

 

The Extended Coverage plan covers all of the above uninsured services.  Please review the services included as there has been some changes since last year.

 

Note: The Extended Coverage plan includes the most common uninsured services.  For more information please ask us the next time you are in the office.  The College of Physicians and Surgeons of B.C. guidelines are available at www.cpsbc.ca.

 

 

 

 

 

 
 

Emergencies

Please dial 911 or visit your nearest hospital

© 2015

Ambleside Medical Centre