Insured Services
The majority of medical services in Alberta are covered by the Alberta Health Care Insurance Plan (AHCIP). Our clinic is accredited with AHCIP and patients with this coverage are seen at no cost for most of their medical services.
We are also additionally able to directly bill the following third party insurers.
- Government of Canada
- Federal Health Interim Health Benefits Plan (Refugee insurance)
- Social Services/Alberta Works.
Uninsured Services
The Alberta Health Care Insurance Plan pays for many of the services a patient may receive from his or her doctor.
The following uninsured services are NOT covered by the AHCIP:
- • Transfer of medical records
- • Telephone prescription renewals
- • Travel advice and immunizations
- • Some de-insured procedures (e.g., circumcision, wart removal)
- • Forms, reports or letters*
Patients must be informed of the fee before the uninsured service is provided. Payment is expected when you receive the service.
*You or a third party – such as an employer, insurance company, lawyer or school – may request your physician to complete a form, report, letter, etc. Provision of these types of uninsured services requires the time, expertise (and office materials) of your doctor and her/his staff. In some cases, a physical examination may also be required. You (or the third party) will be charged a fee to cover these costs.
Prices Effective 1 July 2018
CLINICAL SERVICES/MEDICALS
Non-resident of Canada Doctor Visit: $ 150/15min
Removal of warts, etc., not medically required:: $ 55
INSURANCE FORMS/REPORTS
Blue Cross Special Authorization: $ 55
Insurance – Eligibility: $ 275
Insurance – Attending Physicians Statement: $ 185
Insurance – Disability Benefit Report: $ 65 ($ 155 if exam required)
WORK/SCHOOL REPORT
Doctor’s Note: $ 55
Pre-employment Medical: $ 160
Pregnancy and EI Forms: $ 60
OTHER MEDICAL FITNESS FORMS/REPORTS
Seniors Residence Medical Report: $ 55
Disabled Parking/Handicap Placard: $ 60
Drivers Medical – for patients <74.5yrs: $ 120
Veteran Affairs Forms: $ 65
Note for summer camp, daycare, travel, etc: $ 55 ($145 if exam required)
ALBERTA HUMAN SERVICES
AISH Form $ 175
Medical report to determine ability to work: $ 175
Medical report adoptive/foster parents: $ 215
GOVERNMENT OF CANADA
CRA Disability Tax Credit: $ 60
CPP Disability – Initial Medical Report: $ 85
CPP- Reassessment Medical Report: $ 25
OTHER
No Show – Fee: $ 50
No Show – Medical: $ 100
Transfer of Chart: $ 40
Other Services not listed: $TBD – Fee based on time and complexity. Discuss with your doctor prior to completion.
PAYMENT
Fees are due at time of service completion.
We accept Debit/Credit Cards, Cash & Cheque.
Please discuss with your physician should you need to make payment arrangements. They will be happy to assist you.
Our fees on 100% based on the guidelines of the Alberta Medical Association.
Shale Clinic has opted to use the lowest price in the recommended price range.