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BC’s physicians, including locums, are compensated in a number of ways, including fee-for-service. Doctors of BC’s goal is to support physicians in having compensation options for operating their practices in a way that best suits the patient care that they provide. A strong fee-for-service model system model helps to ensure choice, and Doctors of BC, BC Family Doctors, and the Ministry of Health are working to simplify and modernize fee-for-service to ensure that it remains a viable compensation model.
Similar to the LFP Payment Model, the Medical Services Commission (MSC) approves a list of fees, published as the MSC Payment Schedule, payable to enrolled physicians for insured medical services. To receive payment from BC's Medical Services Plan (MSP) for insured services provided to eligible patients, physicians must first enrol with MSP to receive a billing number. For more information, please see the BC Ministry of Health's website.
Doctors of BC maintains and publishes the Fee Guide on behalf of its members. The Fee Guide lists the services insured by the Medical Services Plan (MSP) and provides recommended private fees for non-MSP insured services. Members can access the entire Fee Guide, or search by a specific section (login required). For questions about fee-for-service, contact economics@doctorsofbc.ca.
BC Family Doctors publishes useful tools and resources to simplify your billing and compensation options (login required). The resources include a Simplified Fee Guide, Billing Question Library, and additional billing support.
Other locum supports
There is a Rural Locums Initiative that provides information and support for physicians interested in locuming. More information can be found on the Rural Coordination Centre of British Columbia website. Locums for Rural BC administers the Rural Locum Programs on behalf of the Ministry of Health and Doctors of BC.
BC Family Doctors also has a webpage dedicated to locum resources (login required).