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Normandin Beaudry

Rates for Health Care Professionals in 2008

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There, in black and white

Bulletin NB Vol. 11 N. 13, October 2008

During the summer, Normandin Beaudry conducted its 11th annual survey of fees charged by health care professionals in Quebec. Since health care services provided by these specialists are generally covered by group insurance plans, we believe that the results of our survey will be of great interest to you.

The average fees per visit could be useful in establishing the maximum amounts payable under your group insurance plans. Moreover, the average fee per visit increase compared to that for 2007 allows you to validate the inflation assumption used by your insurer in renewing your health premium rates.

Methodology

We first consulted professional associations for each specialty. These associations recommend price levels but do not set mandatory fee schedules. Some associations, however, compile data based on the fee schedules of their members. These recommendations and statistics are presented in the table below.

We surveyed a sample of private clinics in the Montreal, Quebec City and Outaouais areas. Our results are presented on an average fee per visit basis rather than an hourly rate basis since group insurance plans usually establish their maximum reimbursements on a per visit basis. Also, please note that a number of specialists charge additional fees for the initial assessment. These additional fees are not included in our survey results.

Highlights

  • Overall, we observed an average fee increase of approximately 2% in the Montreal and Quebec City areas and of 3.6% in the Outaouais area since the summer of 2007, which represents a $1 to $2 increase per visit.
  • The results obtained show that average fees are similar or lower in Quebec City than in Montreal, with the exception of fees charged by dietitians, occupational therapists and massage therapists. We also observed a significant increase in the fee per visit charged by occupational therapists in the Montreal area. Fees charged are, in fact, getting closer to those recommended by the professional association.
  • We observed a significant difference in the fee per visit charged by dietitians in the Quebec City area and the fee per visit charged by dieticians in the other areas. On average, the fee charged is $30 higher in the Quebec City area. This is explained by the average duration of the visit in this region, which is much longer than the average duration for the Montreal and Outaouais areas.
  • The average fees per visit in Outaouais are similar or slightly lower than those observed in the Montreal area, with the exception of fees charged by dietitians, homeopaths, massage therapists and psychologists.

Comparative Table of Average Fees per Visit (Summer 2008)


SpecialtyProfessional
Associations
Private Clinics
   
   MontrealQuebec CityOutaouais

  • Acupuncturist
$50 to $65$55$45$50
  • Audiologist and
    Speech Therapist
$90 to $100(1)$90$85$85
  • Chiropractor
$40 to $65$45$35$35
  • Dietitian
$70(1)$35$65$40
  • Occupational Therapist
$60 to $105$60$65$55
  • Homeopath
$60 to $100$65$50$70
  • Masseur and
    Massage Therapist
$60 à $80$55$60$70
  • Naturopath
$60 to $100$75$65$75
  • Osteopath
$80 to $100$75$70$70
  • Physiotherapist
n/a$55$50$55
  • Podiatrist
$55 to $80$65$45 n/a(2)
  • Psychologist
$80$90$80$105

(1) 2007 data because 2008 data is not available.
(2) The results for podiatrists in the Outaouais area are not presented because the number of specialists working in private clinics is too limited.


The schedules of reasonable and customary fees used by insurers for claims handling in Quebec are slightly higher than the average expenses
per visit observed for the majority of surveyed specialists.

 

Please feel free to contact us for additional information.

514.285.1122
 
630, René-Lévesque Blvd. West, 30th floor
Montreal, Quebec, H3B 1S6