Fees For Uninsured Services
In British Columbia, the Medical Services Plan (MSP) covers a wide range of medically necessary services. However, there are some services that fall outside the scope of MSP coverage—these are known as uninsured services or uninsured fees. Patients are responsible for the cost of these services, and they are billed directly to the individual or their private insurance provider.
Why do uninsured fees exist?
The BC government funds medically necessary care to ensure equitable access for all residents. Services considered non-essential are not publicly funded. As a result, these services are not covered by MSP and require direct payment at the time of the visit.
The following uninsured services may be accessed individually, outside of our Alpha program plans. These services are fully included as part of the Platinum Plan, unless otherwise specified.
Fees shown reflect the individual service value, and where relevant are based on the fee guidelines set by ‘Doctors of BC’.
Fees effective 01 April, 2024.
Uninsured Fee List
| Consultations, Examinations & Tests | ||
| Service | Fee | Included in Platinum Plan |
|---|---|---|
| Physician Exploratory Consultation - Uninsured services | $199.00 | ✓ |
| Physician New Patient Consultation - Uninsured services | $500.00 | ✓ |
| Physician Follow-Up Consultation - Uninsured services | $330.00 | ✓ |
| Physician Consultation - Uninsured services (per 20-30 mins) | $330.00 | ✓ |
| Nurse Practitioner Consultation - Uninsured services (per 20-30 mins) | $150.00 | ✓ |
| Registered Nurse Consultation - Uninsured services (per 20-30 mins) | $105.00 | ✓ |
| Registered Dietician Consultation - Uninsured services (per 20-30 mins) | $105.00 | ✓ |
| Exercise Physiologist/ Kinesiologist Consultation - Uninsured services (per 20-30 mins) | $95.00 | ✓ |
| Diagnostic/ Screening Consultation - Uninsured services (per 20-30 mins) | $50.00 | ✓ |
| Telephone prescription renewal | $45.00 | ✓ |
| Email advice (RN/NP) | $60.00 | ✓ |
| Telephone advice (RN/ NP) | $60.00 | ✓ |
| Lifestyle consultation with assessment and report | $440.00 | ✓ |
| Exercise consultation with functional movement assesment | $500.00 | ✓ |
| Genetics consultation | $500.00 | ✓ |
| Mental Health Screening, assesment, treatment planning and coordination | $500.00 | ✓ |
| Treadmill Test | $175.00 | ✓ |
| VO2 Max Test | $250.00 | ✓ |
| Body Compostion Scan - InBody | $75.00 | ✓ |
| Audiometry | $85.00 | ✓ |
| Spirometry | $85.00 | ✓ |
| Tonometry | $25.00 | ✓ |
| Physical fitness examination and form for school, camp, etc | $89.40 | ✓ |
| Industrial First Aid - limited exam | $180.00 | ✓ |
| Insurance and Industrial Examination, including CPP, pilots and air traffic controllers | $255.00 | ✓ |
| Driver’s License Examination - full exam (Yellow Stripe Form) | $248.00 | ✓ |
| Driver’s Medical Examination Report (Blue Stripe Form) | $248.00 | ✓ |
| Diabetic Driver Report - stand alone (no Driver’s Medical Examination Report) | $248.00 | ✓ |
| Diabetic Driver Report in addition to Driver’s Medical Examination Report - combined fee | $310.00 | ✓ |
| Procedures & Immunisations | ||
| Service | Fee | Included in Platinum Plan |
| Liquid Nitrogen | $110.00 | ✓ |
| Excision (no sutures) | $219.70 | ✓ |
| Excision (with sutures) | $261.70 | ✓ |
| Excision (with sutures) - facial | $320.70 | ✓ |
| Immunizations for individuals 19 years or older, per injection (not covered by MSP) | $74.50 | ✓ |
| Immunizations for individuals less than 2 years of age (not covered by MSP) | $118.80 | ✓ |
| Immunizations for individuals 2-18 years of age (not covered by MSP) | $109.10 | ✓ |
| Forms, Reports and Letters | ||
| Service | Fee | Included in Platinum Plan |
| Brief certificate/form, including school/work time off, medical certificate for government employment insurance, SPARC-BC parking application, HandyDART & HandyCard application | $52.90 | ✓ |
| Special Authority Form - billable only when requested by a 3rd party insurer | $91.40 | ✓ |
| Insurance Company Short Form - disability/ travel/ time-off | $180.00 | ✓ |
| Insurance Company Long Form - disability/ travel/ time-off | $236.00 | ✓ |
| Income Tax Disability - short form | $180.00 | ✓ |
| Income Tax Disability - long term | $236.00 | ✓ |
| Long Term Care Registration/ Administration | $184.00 | ✓ |
| Employer’s Occupational Fitness Assessment form - extra to examination | $205.00 | ✓ |
| Brief letter/ note, including insurance note for physiotherapy/ massage therapy | $52.90 | ✓ |
| Medical Advice by letter | $180.00 | ✓ |
| Medical leave or off work letter | $205.00 | ✓ |
| Insurance Company Letter - short (1/2 page) | $205.00 | ✓ |
| Insurance Company Letter - long (1-2 page) | $434.00 | ✓ |
| Medical - legal letter | $434.00 | ✓ |
| Other | ||
| Service | Fee | Included in Platinum Plan |
| Transfer of Records - basic fee | $43.25 | ✓ |
| Physician Review of Records for medical/ legal purposes or transfer of patient records (per 15 min) | $122.00 | ✓ |
| Transfer of Records - photocopying - per page (first 10) | $2.20 | ✓ |
| Transfer of Records - photocopying - per page (subsequent pages) | $0.30 | ✓ |
Fees listed exclude applicable taxes.
Fees are for uninsured physician services as defined in British Columbia for residents with active provincial healthcare coverage.
Note: Fees charged for The Alpha Clinic consultations and Platinum programs are exclusively for uninsured components of care, including non-physician services. Insured physician visits, after-hours care, prescribed tests, and other publicly insured services will be billed directly to the provincial health insurance plan by The Alpha Clinic or its physicians. Provincial health insurance plans consistently provide essential physician services in prevention and disease management.
Subscription to The Alpha Clinic is not a requirement for accessing insured physician services.