BCMSP
British Columbia
Certificates and forms can be uninsured. Confirm the service is not paid by MSP or another insurer, disclose the fee and consider ability to pay.
Core fee rule reviewedRead local guidance
Canada, jurisdiction by jurisdiction
One country.
Different operating rules.
Review the local context. This is a planning and patient-information guide—not a claim that services are open in every province or territory.
All 13 jurisdictions in the planning guideNo patient bookings currently available
ABAHCIP
Alberta
Uninsured fees must reflect professional and administrative costs and ability to pay; disclose before providing the service. Do not charge for publicly funded care.
Core fee rule reviewedRead local guidance
SKMedical Services Branch
Saskatchewan
The approved September 2023 policy requires reasonable fees, physician discussion and consent, with consideration of publicly funded alternatives and ability to pay. Its September 2026 review date and current Payment Schedule require confirmation.
Partial reviewRead local guidance
MBManitoba Health
Manitoba
A genuinely uninsured service may carry a reasonable fee, with individual advance notice. An office notice alone is insufficient. Verify the provincial schedule and other payer before quoting.
Core fee rule reviewedRead local guidance
ONOHIP
Ontario
Fees for genuinely uninsured documents must be reasonable and disclosed in advance. Insured care and essential elements cannot be privately charged.
Core fee rule reviewedRead local guidance
QCRAMQ
Quebec
Physicians cannot charge for medical-record access, transcription, reproduction or transmission. Other fees require specific RAMQ-status, service, itemized-billing and language review; no Quebec patient-fee schedule is approved here.
Partial reviewRead local guidance
NBMedicare
New Brunswick
Regulation 84-20 excludes specified third-party certificates and examinations, with exceptions. Verify the exact purpose and any other statutory payer. Current physician fee rules and an individual price still require approval; insured care must remain separate.
Partial reviewRead local guidance
NSMSI
Nova Scotia
No charging for services paid by another source. Administrative fees must be disclosed, reasonable and time-based; explain insured alternatives.
Core fee rule reviewedRead local guidance
PEPEI Medicare
Prince Edward Island
Uninsured fees should be reasonable, reflect the service and ability to pay, and be directly disclosed. Explain charging above the recommended guide where applicable.
Core fee rule reviewedRead local guidance
NLMCP
Newfoundland and Labrador
Only charge where MCP or another payer does not cover the service. Reasonable fees, hardship consideration and direct advance notice are expected.
Core fee rule reviewedRead local guidance
YTYukon Health Care Insurance Plan
Yukon
Medically required services are insured under the territorial plan. The public coverage guide does not classify every document or establish an allowable fee; local document, other-payer and private-charge review remains necessary.
Partial reviewRead local guidance
NTNWT Health Care Plan
Northwest Territories
Specified third-party examinations are outside the territorial plan, but Workers’ Compensation and other statutory programs may pay. Confirm the actual document, responsible payer and allowable fee before any patient quote.
Partial reviewRead local guidance
NUNunavut Health Care Plan
Nunavut
Specified third-party examinations are outside the territorial plan; other statutory programs may fund them. This is not a general patient-fee authorization. Document classification, local billing and the other payer require approval.
Partial reviewRead local guidance