Reasonable & Customary Fees

The fees for certain health care services can vary from one provider to another, and even from one Canadian province to another.

Insurance companies monitor market fee trends to create a list of "reasonable" fees for each service that are representative of industry standards. You can find a list of these fees for each Canadian province in the document below.

To find out about the services covered by your plan, consult your Member Portal.

Reasonable and Customary Charges (PDF)

These amounts represent the maximum amount the insurance company will pay for a given service. In case your provider charges more than the established amounts, you will have to pay the difference.