You don't need to pay for the clinic visit. The assistant will copy your health card every visit. They'll charge the fee from QC government every certain period. You should keep your family doctor in Ottawa. it is very hard to find one in QC. But keep in mind, if you need to see a specialist or any medication facility which is available in QC, you should look it in QC. Otherwise you might end it up to pay by your own. Once I had an imaging which was referred by my family DR. in Ottawa, I had to pay by my own. At that time I had QC health card. The staff in QC health department told me that this facility is available in Gatineau.