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26 Jul 2021
UPDATE: Payment Policy for RAMQ patients

Dear patient,

The ByWard FHT would like to thank all of our patients for the comments and feedback regarding the recent change in the billing policy for RAMQ patients as it pertains to visits with their primary care provider.

We recognize that service fees ranging in price from $55 to $120 at every visit, compounded by a possible three month delay for reimbursement by RAMQ, is not feasible for some of our patients.

Effective August 1, 2021, the ByWard FHT is temporarily amending its recent policy in that RAMQ patients registered to a primary care provider will only be charged a $25 administrative fee. This is an out-of-pocket non-refundable expense for health-care services provided by your primary care provider, at the campus clinic, as well as by most specialists. Non registered patients will be required to pay a $35 fee for services provided by most BWFHT health care providers.

For in person appointments, patients will be asked to pay the administrative fee and sign the Out of Province claim form at the time of their visit. For virtual appointments, patients will be required to pay the fee at the time of booking. A patient signature for out of Province Claim forms is not required for virtual visits at this time.

Patients, who are on the social assistance program or the social solidarity program, may apply for payment exemption of the administrative fee, applicable for visits with their primary care provider. Patients must complete and return the ByWard FHT RAMQ Patient Application for Fee Exemption Form, available on our website at, with the required documentation.

Although the reversal of the RAMQ billing policy will address the concerns voiced by RAMQ patients, it will not resolve the remuneration issues mentioned in the previous communication which led to the change in policy. We will continue to explore possible solutions that hopefully will address those of our RAMQ patients and that of our providers. To that end, the ByWard FHT reserves the right to make changes to this policy at any time and without notice.

We thank you for your understanding and patience during this process.


The ByWard Family Health Team

Note: Patients who already have an appointment booked after August 1, will be reimbursed the pre-paid amount minus the administrative fee. Please allow 1-2 weeks for processing.


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