Costs billed (accessory costs)
Billing of costs related to covered services (also called accessory costs) is no longer allowed since January 26, 2017. The only exception concerns the transportation of biological samples.
Covered services and costs billed
The Régie pays for covered services (also called insured services), regardless of where they are rendered (e.g. in hospitals, CLSCs, medical clinics and pharmacies). Such services are always either medically required—including medical examinations, therapeutic procedures and surgeries—or pharmaceutically required. However, services not required medically, for instance esthetic surgeries and acupuncture, are not covered.
The following health professionals provide covered services:
- physicians participating in the public plan (general practitioners and medical specialists)
- oral and maxillofacial surgeons
These professionals are not allowed to bill you for covered services, nor to bill you for costs accessory to these services. The only exception is for the transportation of biological samples. As for pharmacists, the abolition of accessory costs applies, whether or not you are covered by the Régie’s Public Prescription Drug Insurance Plan or by a private plan (insurance company).
For further details, please visit Portail santé mieux-être. (French only)
Check your invoice
Medical clinics and specialized medical centres must post the following in their waiting room:
- the fees that their physicians are allowed to bill you
- the fees for the medical services they render that are not covered
Whenever your medical clinic or physician requires a payment, you must be presented with an invoice. Go over it carefully. Each supply or service that you received must appear on the invoice. Also, make sure that you are not being billed for a covered service or a service related to it.
If you believe that you were wrongfully charged, keep the invoice and proof of payment and submit them with your request for reimbursement to the Régie.