Rates for Health Care Professionals in 2012LinkedIn
There, in black and white
NB Bulletin Vol. 15 N. 12, September 2012
During the summer, Normandin Beaudry conducted its 15th 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 plan. Moreover, the average fee per visit increase compared to that of 2011 allows you to validate the inflation assumption used by your insurer in renewing your health premium rates.
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, note that a number of specialists charge additional fees for the initial assessment. These additional fees are not included in our survey results.
We also consulted professional associations for each specialty. These associations recommend price levels but do not set mandatory fee schedules. Some of them compile data using their members’ fee schedules. Professional associations’ recommendations and private clinics statistics are presented in the table below.
For your information, the schedules of reasonable and customary fees used by insurers for claims adjudication in Quebec are generally slightly higher than the average fees per visit observed for most of surveyed specialists.
Please feel free to contact us for additional information.
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