Dialogue Volume 13 Issue 4 2017 - Page 17

POLICY MATTERS Policy addresses “upselling”concerns Policy states expectations when insured and uninsured services are provided together A policy just approved by Council provides explicit expectations for physicians who bundle insured services with uninsured services or provide uninsured services as an alternative to insured services. In those instances when insured and uninsured services are being proposed or provided together or when uninsured services are being offered as an alternative to insured services, the College requires physicians to clearly indicate for which services the fee is being charged and to clearly and impartially describe the differences between insured and uninsured treatment options. The Uninsured Services: Billing and Block Fees policy’s direction to physicians is partially in response to concern about the practice in which some physicians “upsell” pa- tients on uninsured alternatives or who offer faster access to insured services when bundled with uninsured services. The College’s In- quiries, Complaints and Reports Committee stated that it has addressed several complaints in the past couple of years – most notably arising in cases involving cataract surgery and in the dermatology context. The policy states that when physicians propose or provide combined services to- gether, the situation “is ripe for confusion and EXTERNAL CONSULTATION DATES HELD: Feb. 28, 2017 to May 1, 2017 # OF RESPONDENTS: 118 BREAKDOWN OF RESPONDENTS: CHANGES MADE IN RESPONSE TO 70% PHYSICIANS FEEDBACK: 13% PUBLIC 10% PREFER NOT TO DISCLOSE 5% ORGANIZATIONS 2% OTHER HEALTH- CARE ORGANIZATIONS YES NO ISSUE 4, 2017 DIALOGUE 17