Let’s start by explaining what a public clinic is, which will help us better understand what a private clinic is.

Medical care provided by physicians in a public clinic are covered by public health insurance. You don’t have to pay for the physician’s work; rather, the physician submits and charges these fees to the RAMQ (Régie de l’Assurance-Maladie du Québec).

The Régie, however, allows public clinics to charge patients for some procedures that aren’t covered, such as cosmetic medicine. Also, a physician that does joint injections, for example, may charge the patient a reasonable amount for the medication and equipment used during the procedure. However, these costs exclude the medical procedure, which he remains covered by the public plan.

Conversely, in a private clinic, such Cliniques Médicales Lacroix, all medical activities, appointments, and others, are billed to the patient directly and cannot be reimbursed by the Régie. To this effect, the RAMQ requires that private clinics display a document indicating that the physicians in that clinic are non-RAMQ and that the any fees cannot be reimbursed by the public plan.

Moreover, the RAMQ does not allow joint practice, which means that a doctor must exclusively practice in one field or the other, either 100% in the private sector or 100% in the public sector. This goes for all clinics, whether public or private. As required by law, there can be no hybrid under any circumstances. Some clinics say they are private when they are public, which causes confusion for patients. The growing popularity of private medicine in Quebec contributes to this trend. A recent investigation by the RAMQ showed that a well-known Montréal clinic gave privileged access to public doctors for patients who had received a private check-up at that clinic. They had quicker access, more time with and greater attention from the doctor, and benefited from additional perks, such as a more spacious waiting room and other small advantages to which only those who had paid for their check-up had access. In this example, paying patients from the same clinic could obtain appointments more quickly as benefit from multiple perks when they met with public doctors in the clinic. The RAMQ ordered the full reimbursement of the fees collected by the private division since it was a total violation of the law. The RAMQ therefore recommends that anyone who notices this type of illegal practice should report it immediately.

Both the provincial and federal governments offer a non-refundable tax credit to taxpayers who have paid medical expenses for themselves, their spouses or dependents that exceed 3% of their net income.

Under certain conditions, some of the following expenses that you have spent within the Lacroix network could be subject to a tax deduction:

Health care and treatment provided by a doctor (specialist or family doctor);
Health care and treatment provided by a nurse;
Health care and treatments provided by a respiratory therapist;
Costs of laboratory tests or other investigations, interpretation costs (may require a medical prescription);
Travel expenses to obtain medical care;
And possibly other costs.

In this context, we suggest that you keep your invoices and receipts from the Lacroix network and give them to the person responsible for producing your annual tax returns, in order to see if you are eligible for these advantageous tax credits.

No. Under current Quebec law, a physician who wishes to practice privately must become a non-RAMQ participant, which prohibits him from practicing in the public system.

No, your right to consult in the private sector will not be affected in any way. Several of our members keep their family doctor in the public system.

Yes, and this is exactly what makes our network so strong. You can book an appointment in the network clinic of your choice, including those in Québec City, Levis, Boucherville, Laval, Rosemont and Gatineau.

Yes. We offer financing via the Crédit Médical and Medicard companies. Call us for more details.