Reasonable and customary fees for health practitioners
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Fee Schedules
Reasonable and customary fees for health practitioners
This chart provides an updated listing of Manulife Financial's reasonable and customary fee schedules for 2008. These fee schedules are used when adjudicating group benefits claims for health practitioners submitted under Manulife Financial's Extended Health Care/Major Medical contracts that contain reasonable and customary fee provisions.
Manulife Financial's reasonable and customary fee schedules for health practitioners are established by using:
the published fee schedules from provincial/territorial associations;
typical reasonable and customary fees for provincial/territorial associations without published fee schedules, and/or
surveyed responses from practitioners within specific provinces/territories when information from associations is not available.
We have marked "not available at this time" (n/a) on the chart if we have been unable to establish reasonable and customary fees for health practitioners using any of these three methods. If we receive a claim for services provided by any of these practitioners, Manulife Financial will work with the appropriate association to establish a reasonable and customary fee at that time.
Health practitioner associations revise their fee schedules at different times each year. Because of this, we continually update our reasonable and customary fee schedules with current information and adjudicate claims using revised amounts. The 2007 fees remain valid unless a new 2008 fee is applicable.
Throughout the year, you can print the most recent reasonable and customary fee schedules from our website www.manulife.ca/groupbenefits.