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Normandin Beaudry

Rates for Health Care Professionals in 2012

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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. 

Methodology

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.

Highlights

  • Overall, since the summer of 2011, we observed an average fee increase of approximately 4% in the Montreal area, 2% in the Quebec City area and 4% in the Outaouais area, which represent a $2 to $3 increase per visit.
  • Overall, since 2005 (the year we started surveying the three areas) we observed an average yearly fee increase of 3% in the Montreal area and 4% in the Quebec City and Outaouais areas.
  • The results show that average fees for acupuncturists, audiologists and speech therapists, chiropractors, occupational therapists and physiotherapists are higher in the Montreal area.
  • The average fees per visit charged by dieticians in the Quebec City area are higher than the fees charged in the Montreal and Outaouais areas. However, we observed that the average fees charged by other professionals in the Quebec city area are, in general, lower than in the other areas. This is particularly observed with regards to homeopaths and naturopaths.
  • Again this year, with regards to psychologists and naturopaths, we observed a significantly higher fee per visit in the Outaouais area than in the other areas surveyed.

 


(1) The results are not disclosed by professional associations.
(2) Half-hour visit rate for Montreal area and 45 minutes visit rate for other areas.
(3) The survey sample size is too small to be reliable.

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.

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