2023 reasonable and customary fees – paramedical services
We regularly review and adjust the reasonable and customary fee limits to ensure that all allowable amounts are representative of industry standard fees. The new reasonable and customary fees will take effect on January 1, 2023.
What are reasonable and customary fees?
The cost for a paramedical service varies from one provider to another. Reasonable and customary fees correspond to the maximum acceptable amounts established for certain services, according to their average cost in any given region.
What are the impacts of reasonable and customary fees on claims?
A limit applies to a claim for a paramedical service if the provider charges more than the reasonable and customary fee. The plan member must pay the difference. According to plan specifications, limits are also subject to any deductibles and reimbursement percentages.
Where to find the updated list of reasonable and customary fees?
It will be available in My Client Space, under Guides and Resources, in the left-hand menu, as of January 2023.
For further information regarding your coverage with respect to reasonable and customary fees for paramedical services, please refer to your booklet or contact our Customer Service.
If you have any questions, please contact your advisor or your iA Financial Group Account Executive.