Q&A - Doctor's Fee for DMER
Q: Why is there such a discrepancy in price for a medical exam for people turning 80 years old? My doctor quoted $80 before he retired and when I went to a walk in clinic to get the test recently it was $200. That seems quite unfair to me.
A: That's a question that you will have to ask the folks at the College of Physicians and Surgeons of BC. Their guidance to doctors concerning charging for uninsured services, which driver exams fall under, is explained in this practice standard.
I was able to find the following advice:
The Road Safety BC Driver’s Medical Examination Report (DMER) “for any driver with a known or possible medical condition” is billable to Medical Services Plan (MSP) as a $75 fee using billing number 96220.
NOTE TO DRIVER AND PHYSICIAN OR NURSE PRACTITIONER: The Superintendent of Motor Vehicles (RoadSafetyBC) has arranged that physicians may bill the Ministry of Health, through the Teleplan billing system, $75 to complete this form. RoadSafetyBC will reimburse Teleplan for such charges. RoadSafetyBC has no authority to set the fee physicians or nurse practitioners charge. Physicians are entitled to set their own fee and to bill patients directly for either their full fee or any portion of the fee that exceeds the $75 the physician may bill through Teleplan. RoadSafetyBC will accept a DMER completed by any qualified medical practitioner in British Columbia.
In the comments below, we find that there are two types of DMER, a blue and a yellow form. The yellow form is used for routine exams at and after age 80. RoadSafetyBC does not reimburse the doctor for this so they bill the patient for the full amount.