Auxiliary fees at the doctor's office will be banned, Quebec health minister says

Health MinisterGatan Barrette has announced an end to auxiliary feespatients payat thedoctor's office.

The announcement came during a Wednesday afternoon news conference, but more details are expected Sept. 28. The changes are scheduled to come into effect mid-January 2017.

"This illustrates our commitment to the accessibility of our healthcare network," Barrette said.

"Insured services that are offered to Quebecers will not lead to supplementary fees passed on to the people who already pay for them as citizens," he said.

• Extra medical fees could be rolled into doctors' salaries

Barrette said in future, the only extra fee that the doctors' office will be allowed to charge will be for thetransport of biological samplesfrom a private clinic or specialist, to a maximum of $15 for a blood sampleand $5 for all other kinds of samples.

Will it be enforced?

ThePointeSaint-Charles Community Clinic has been pressuring the government for years to end extra fees, and its spokesman,Stphane Defoy, is calling today's announcement "not a big win, but good news."

• Medical overbilling registry launched by Pointe St-Charles clinic

Defoysaid he's eager to find out if it's just a theoretical end to extra billingor something more tangible.

"Will it be enforced?" Defoy asked.

"They have the power to end fees now, and don't."

Paul Brunet from the Council for the Protection of Patients is also skeptical about doctors "submitting to the law of the land."

"We will believe it when we see it," Brunet said.

Defoy addedthat even iffees are no longer charged for items such asmedication and anesthesia, patients will still have to pay for doctors to fill out and sign forms.

"People shouldn't think that once this is put through, you can show up with your health card and not pay," Defoy said.

What will be paid for, what won't

Defoy said that a patient who needs a doctor to fill out and sign a form for example, for the SAAQ,the province'sautomobile insurance board, or for a future employer would still be expected to pay $40 to $80.

He said Quebec's health insurance board pays the doctor for a medicalexam, but not for that doctor's time to fill out and sign the paperwork.

Some examples of fees which are expected to be abolished include:

• Eye drops: $20 to $300.
• Inserting an IUD: $125 to $200.
• Instruments and medicationfor a colonoscopy: $500.

Defoysaidhe's looking forward to reading the complete document outlining what the ban on auxiliary fees will coverwhen it is released onSept. 28.

• Gatan Barrette tables bill to overhaul Quebec's health care system