Manitoba physicians are eligible to be paid a fee differential for all insured medical services provided outside Winnipeg and within the Province of Manitoba. The physician is entitled to be paid an additional percentage for each medical service provided in a particular location in addition to the amount set out in a tariff. The Physician’s Manual sets out the fee differentials as follows:

Remote Communities (NEW) 35% (see eligible community list)
Northern Manitoba 25% (North of the 53rd parallel)
Rural Manitoba 5%
Brandon 5%

Note: The basis for determining whether a physician may claim a fee differential for a medical service is where the service was provided and not the physician’s or patient’s residence. Therefore, a physician who resides in Winnipeg but provides medical services in rural Manitoba is eligible to claim the rural Manitoba fee differential of (5%) five percent. Conversely, a physician living in rural Manitoba but providing medical services in the City of Winnipeg may not claim any fee differential.

Note: For virtual care see our billing article on Rural/​Remote Virtual Service Premiums

Note: Remote communities shall be defined as those places in Manitoba north of the 53rd parallel, excluding Thompson, Flin Flon, and the Pas or Communities south of the 53rd parallel which do not have access to reliable, year round road access. For further clarity, the communities deemed eligible include, but is not limited to:

Berens River Nelson House
Bloodvein Norway House
Brochet Pauingassi
Broken Head Poplar River
Chemawawin Pukatawagan
Garden Hill Red Sucker Lake
Grand Rapids South Indian Lake
Hodgson Ste. Theresa Point
Lac Brochet Tadoule
Little Grand Rapids Wasagamach
Moose Lake York Landing
Last updated
July 17, 2024