Crescent Medical Centre Uninsured Services

Alberta Health Care Plan covers many of the services patients receive from their doctors. However, several services are not covered by the government plan. These are uninsured services, some are billed to lawyers, government agencies or others. Some are billed to the patient. Following are some of the uninsured services billed to the patient with approx. cost for guidance. Contact Clinic for further details

The Alberta Health Care Insurance Does Not Cover certain Uninsured Services. Some are billed to Lawyers, Government Agencies or You directly.

Services Cost
Note of Illness (e.g., Fit to Work/Return to Work/Work Absence, Illness of Certificate)
$25
Note (e.g., Massage Therapy/Acupuncture/Chiropractic)
$25
Medical Certificate
$50
Senior’s Residence Medical Report
$100
Disabled Parking Form
$100

Certification of Fitness for Summer Camp, Daycare, Air Travel etc.

Services Cost
Form Completion Only
$50
Examination and Form Completion
$125

General Insurance Eligibility

Services Cost
Blue Cross Special Authorization Forms * Any Drug Authorization Form
$50
Driver’s Medical Exam
$135
Other Simple Forms (Employment Insurance, Pregnancy Leave)
$100
Examination and Form Completion (e.g., AISH, Pre-Employment, Pre-Op Medical)
$125 – $275
Third-Party Requested Letters on Patient Attended
$275
Attending Physician’s Statement (For Insurance Only)
$275
Medical Legal Report
$175 – $275
Services Cost
Prescription renewals requested outside of an office visit (e.g. by phone, fax, online)
$50
Note of fitness for school, daycare, camps – note only
$50
Note of fitness for school, daycare, camps – examination and note
$125
Sick note
$25
Without valid Health Care Coverage
$50
Complete Physical (Without Valid Health Care Coverage)
$100
Non Resident of Canada Patient Medical Assessment
$125
Seniors’ residence medical report
$50
Disabled parking authorization
$50
Driver’s medical
$125
Pre-employment medical examination and report
$125
Pregnancy leave and Employment Insurance forms
$50
AISH application
$100
Blue Cross Special Authorization forms
$50
General insurance eligibility
$275
Attending physician’s statement (for insurance company)
$275
Disability benefit report
$125
Third-party requested letters on patient attended
$275
Canada Revenue Agency disability tax credit
$75
Medical legal report
$300 / hr
Chart Copies
$275
Removal of warts, moles, etc., not medically required (uncomplicated) Surgical treatment
$125
Non-surgical treatment (i.e., removal via liquid nitrogen, chemicals, etc.)
$50
Uninsured Injection (Gardasil or Tetnus for Travel)
$20
Photocopy Fee/ Copy of results
$5 + 0.25 / Page
Record Transfer
$50
No Show/ Cancellation 24 Hours – regular appointment
$50
No Show/ Cancellation < 24 Hours – longer than 15 minutes appointment
$125
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