Physicians in Canada may charge patients for uninsured services (e.g., completion of forms, cosmetic procedures, some travel-related vaccines), but they may not charge extra for insured services or preferential access. Doing so violates the Canada Health Act, which mandates accessibility and universality of insured services.

Toronto Notes 2023 – ELOM, Health Care System:

“Physicians may charge for uninsured services but may not charge block fees for insured services, nor can they charge for expedited access to insured services.”

MCCQE1 Objectives – ELOM > Health Policy and System:

“Candidates must recognize practices that violate the principles of publicly funded health care, including charging for insured services or access premiums.”

Option A is not permitted under law. Options B, D, and E involve insured services (e.g., home visits, after-hours care) and cannot be billed directly to patients.

====================================================