Alternative Payments (AP) represent the remuneration provided to physicians who deliver services through methods other than fee-for-service. AP models in British Columbia consist of Service Contracts, Sessions and Salary agreements. Approximately 30% of physicians in British Columbia receive remuneration through AP models. 

Alternative Payments Update

Physicians should now be receiving payments at the appropriate 2017/18 rates and it may take Health Authorities up to two months to implement the 2018/19 adjustments. Physicians should also have received all outstanding retroactive payments from 2011/12, 2012/13 and 2013/14, except where the physician is involved in the Practice Category Dispute. If you have not received your retroactive payments please contact your Health Authority’s Physician Compensation Department or the Doctors of BC Negotiations Department.

Consensus Decisions (2010-2018):

2017 Allocation Committee Consensus Decision (Residual) – February 25, 2019

2017 Allocation Committee Consensus Decision – April  30, 2018
(Range Adjustments for 2018/19)

2016 Allocation Committee Consensus Decision (Residual) – February 5, 2018
(Range Adjustments for 2017/18)

2016 Allocation Committee Consensus Decision - April 1, 2017
(Range Adjustments for 2017/18)

2015 Allocation Committee Consensus Decision - April 28, 2016
(Range Adjustments for 2016/17)

Alternative Payments Committee Consensus Decision – May 22, 2014 
(Range adjustments for 2012/13 and 2013/14)

Alternative Payments Committee Consensus Decision – December 9, 2010 
(Range adjustments for 2010/11 and 2011/12)

2010 - 2019 Service Contract and Salary Agreement Payment Ranges

Service Contract Ranges and Salary Agreement Ranges from 2010/11 to 2018/19 are found below. 

February 1, 2019 Service C​o​n​t​r​a​ct Ranges​
February 1, 2019 Salary A​g​r​e​e​m​e​n​t Ranges​

2018/19 Service Contract Ranges 
2018/19 Salary Agreement Ranges 

February 1, 2018 Service Contract Ranges
February 1, 2018 Salary Agreement Ranges

2017/18 Service Contract Ranges 
2017/18 Salary Agreement Ranges 

2016/17 Service Contract Ranges 
2016/17 Salary Agreement Ranges 

2015/16 Service Contract Ranges 
2015/16 Salary Agreement Ranges 

2014/15 Service Contract Ranges 
2014/15 Salary Agreement Ranges 

2013/14 Service Contract Ranges 
2013/14 Salary Agreement Ranges 

2012/13 Service Contract Ranges 
2012/13 Salary Agreement Ranges 

2011/12 Service Contract Ranges 
2011/12 Salary Agreement Ranges 

2010/11 Service Contract Ranges 
2010/11 Salary Agreement Ranges

Sessional Rates

The following document summarizes updates to Sessional rates effective February 1, 2019.

2019 Sessional Rate Increases


The 2019 Alternative Payments Subsidiary Agreement (APSA) is negotiated between Doctors of BC and Government. Part of the Physician Master Agreement (PMA), APSA details the employment conditions, contract standards and remuneration rates for all non-fee-for-service physician compensation. 

Service Contract

A service contract is between a physician as independent contractor and an Agency or the Government. A service contract will detail specific deliverables and working conditions, a level of service (usually expressed in hours per year) and a rate of remuneration based on FTE designation and range placement. 

2019 PMA – ​Service Template Contract (Individual)
2019 PMA –​ Service Template Contract (Group)

Sessional Contract

A session is defined as 3.5 hours of service. Sessions can consist of clinical or administrative work, or a combination of both. Rates of remuneration for sessions are negotiation between Doctors of BC and the Government, and are listed in APSA. 

2019 PMA – Sessional Contract Template (Individual)
2019 PMA – Sessional Contract Template (Group)


Salaried physicians are considered employees of the organization with which they enter into a Salary agreement. As such, these physicians receive regular scheduled remuneration along with any benefits or special employment arrangements provided by the employer.

2019 PMA – Standard Terms and Conditions Under Salary Agreements


Staff Contact

Tod MacPherson
Director of Negotiations
Telephone: 604 638 2885 or 1 800 665 2262
Fax: 604 638 2921