Check your province or territory’s website for precise details. Each plan varies slightly.
Coverage: Generally, your provincial/territorial plan covers medically necessary hospital and physician services. This includes doctor visits, hospital stays, and some diagnostic tests. Specific services vary between provinces. Prescription drugs are usually not fully covered; check your provincial formulary for details on covered medications.
Eligibility: You typically need to be a Canadian citizen or permanent resident to qualify. Some provinces also cover temporary residents under certain circumstances. Proof of residency and identification are required for enrollment. Consult your province’s health authority for precise eligibility requirements.
Premiums: Some provinces require monthly premiums, while others offer coverage at no cost. Premium amounts vary based on income in certain jurisdictions. Check with your provincial health insurance plan for current rates and payment options.
Health Cards: You’ll receive a health card upon enrollment, serving as proof of coverage. Keep your health card with you at all times when seeking medical care.
Out-of-Province Coverage: Your provincial plan typically covers medically necessary services while you’re temporarily out of province. However, you might need to follow specific procedures, such as obtaining a referral form. It’s best to contact your provincial plan before travelling extensively.
Appeals Process: If a claim is denied, you have the right to appeal the decision. Your province’s health insurance plan will outline the appeals process on its website. Follow this process diligently to ensure your rights are protected.
Contact Information: Find contact information for your provincial or territorial health insurance plan on their respective websites. They can answer any questions regarding your coverage and eligibility.
