Yes. We currently do direct billing with these insurers: Pacific Blue Cross Greenshield Medavie RCMP ICBC MSP Chambers of Commerce Group Insurance Plan Cowan Desjardins Insurance Canada Life GroupHEALTH GroupSource Industrial Alliance Financial Group Johnson Johnston Group Manion Manulife Maximum Benefit Standard Life Sun Life Financial If there is a gap, you can pay the reminder with your card. If your insurance is not on the list, you can pay up front and then we will email you an invoice which you can submit to your healthcare provider.