All my Dr's and my T and my dietician charge for missed appointments.

As for being struck of the list for not being in in a year - I disagree with that, if you're healthy and don't need to see the Dr. that's a good thing. My Dr. does send out a form each year, explaining the list of services not covered by public insurance and what each costs. You have the option of prepaying a set amount that then covers you for all fee services, which is a good deal for people with families, or you can choose to pay as you go. They do ask that you return the form, even if you're choosing pay as you go, as it helps them keep their patient database up to date, but there have been years where I've forgotten to send it back, and I've never had a problem.

I think one of the main differences up here is called duty of care. Dr's can just drop patients, unless they retire / move/ close their practice. They have an obligation to refer you to another Dr. that is accepting patients, which is so much hassle it's just easier to keep inactive patients. For example when my pdoc left the hospital and the city, it became the hospital's responsibility to assign me another pdoc.

--splitimage