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Health Insurance by Province: What’s Covered in Canada

Written by: Jasmine Kanter
Insurance Writer
Edited by: Kathleen Flear
Director of Content Marketing
Updated
August 31, 2025
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This page is from a series that covers key information about health insurance across different provinces within Canada.

  1. Alberta
  2. British Columbia
  3. Manitoba
  4. Newfoundland & Labrador
  5. New Brunswick
  6. Nova Scotia
  7. Ontario
  8. Quebec
  9. Saskatchewan
Key Takeaways
  • Canadian public health insurance covers the cost of hospital and physician services if you’re a legal resident of a province or territory with a valid health card.
  • Among other things, Canadian public health insurance doesn’t provide dental, prescription drug or vision coverage.
  • Private health insurance can supplement and fill the gaps in your public health insurance coverage, saving you money on both routine and emergency services.
  • The average Canadian can save nearly $2,000 per year with a private health and dental plan from PolicyMe.

How does universal health insurance work in Canada?

The Canada Health Act splits the responsibility for providing public health care between the federal Government of Canada and the provincial and territorial governments. The federal government provides funding and upholds 5 standards for provincial and territorial healthcare systems: 

  • Accessibility, ensuring all Canadians have reasonable access to medically necessary services
  • Comprehensiveness, so Canadians can receive the help and treatments they need
  • Portability, so Canadians can access emergency healthcare when travelling outside the country
  • Public administration, ensuring Canadians are involved in their healthcare and make decisions on a non-profit basis
  • Universality, ensuring all eligible residents receive coverage

The federal government also administers and provides medical coverage for veterans, refugees, inmates, and First Nations and Inuit people living on reserves, as well as members of the Canadian Armed Forces and their families.  

Provincial and territorial governments, on the other hand, decide which health services are medically necessary and create their own public insurance plans. They also run public hospitals, fund ambulance services, and deliver public health programs like flu shots.

Assuming you don’t receive health insurance coverage from the Government of Canada, all you need to access your province or territory’s health care system is a valid health insurance card.

Make sure you have the health, dental, and vision coverage you need.

Who is eligible for public health insurance in Canada?

In order to access public health care in Canada, you must have a valid health card. Health card requirements vary by province and territory, but in general, you must prove:

  • You have a legal right to be in Canada, either as an Indigenous person, citizen, refugee, permanent resident, temporary resident or a visitor with a valid work permit or visa
  • Your permanent and primary residence is located in Canada
  • You are physically present in Canada for at least 150-183 days out of any 12-month period

Once you’ve successfully registered for a health card, it’s your responsibility to renew it every 5 years or so. 

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Keep in mind

Some provinces and territories enforce a waiting period of up to 3 months before your public health insurance coverage starts.

What does public health insurance cover?

By law, provincial and territorial public health insurance must cover all medically necessary health services in Canada. While each regional government decides what’s “medically necessary,” these four services are always covered:

  • Hospital services, including nursing, administering drugs, performing diagnostics, performing surgery, and providing standard meals and accommodations
  • Physician services, including consultations, examinations, diagnostics, treatments and psychiatric treatments
  • Dental, psychological, and vision services performed in a hospital, including eye trauma treatment, jaw surgery, and crisis counselling

Public health insurance also covers the cost of emergency hospital services outside of Canada, but reimbursement is limited to public coverage. In other words, if a foreign hospital or physician bills more than what you’d pay in your home province or territory, it’s up to you to make up the difference. 

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Keep in mind

Public health insurance covers the cost of medical treatment in another province, territory, or country only if the services you need are unavailable in your home province or territory.

What doesn’t public health insurance cover? 

As you’ve noticed, public health insurance is limited to doctor visits and medical treatments performed in a hospital. It leaves out several important types of coverage, including the big three: dental insurance, prescription drug insurance, and vision insurance.

Even with a provincial or territorial health card, you’ll have to pay for the following out of pocket:

  • Ambulance services by land or air
  • Dental services performed in a private practice, including exams, cleaning, fillings and emergency dental work
  • Vision services, such as eye exams, prescription lenses and corrective laser eye surgery
  • Home care services, including assisted living and private-duty nursing
  • Medical equipment, such as blood pressure monitoring equipment, orthotics and prostheses
  • Mental health services, including visits to a registered psychologist, psychotherapist or social worker in a private practice
  • Paramedical services, including visits to an acupuncturist, chiropodist, chiropractor, dietitian, massage therapist, naturopath, osteopath, physiotherapist or speech therapist
  • Private or semi-private hospital room fees
  • Prescription drugs
  • Travel health services, including emergency ambulance services, non-emergency treatment and return transportation from outside Canada

That’s not to say you’re completely on your own. Children, seniors, low-income Canadians, and other vulnerable populations may qualify for financial assistance and extended health benefits through public health insurance and other programs.

Get a quote for the least expensive health plan with drugs, dental, and vision in Canada.

Public health insurance coverage by province

Canadian public health insurance covers most medically necessary treatments and interventions that you can access through a hospital or a general practitioner. Unless you qualify for extended health benefits, most provinces and territories ask you to pay for ambulance services, travel health coverage, medical specialist treatments, and more out-of-pocket.

✅ Full coverage ❌ No coverage C Conditional coverage E External programs available 

P Partial coverage (with no condition other than need) S Subsidized  

Coverage
ON
QC
BC
AB
MN
SK
NS
NB
NF
Hospital services
Physician services
Dental services
C
C
C
C/P
C
C
C
C
C
Prescription drugs
C
C
C/P
C
C
C
C
C
C
Vision services
C
C
C
C
C
C
C
C
C
Home care services
C
C
P
P
P
P
P
P
P
Mental health
E
E
E
E
E
E
E
E
E
Paramedical services
Private/semi-private hospital accommodations
Ambulance services
S
S
S
S
S
S
S
S
S
Emergency travel health services
Non-emergency travel health services

Click the drop-downs below for an overview of what’s covered in each province and where to find coverage. 

Public health insurance in Ontario

What’s covered? Public health insurance in Ontario covers all medically necessary hospital and physician services, plus dental and vision services performed in a hospital, under the Ontario Health Insurance Plan (OHIP).

    Where can I get more coverage?


  • Ambulance services: Ontario subsidizes ground and air ambulance services, capping fees at $45 per resident. Out-of-province Canadian residents pay $240 for ground ambulance services and the full cost of air transport.
  • Dental work: Seniors may apply to the Ontario Seniors Dental Care Program (OSDCP).
  • Home care: The Long-Term Care Rate Reduction Program provides financial assistance with home care expenses to eligible Ontario residents.
  • Indigenous health: Ontario offers various mental health supports for Indigenous communities.
  • Mental health: Visits to private practices aren’t covered, but you can access short-term and crisis mental health support in-person, online, or by telephone.
  • Out-of-country health services: OHIP pays for emergency hospital and doctor services abroad at the same rates as in-province care.
  • Prescription drugs: OHIP+, the Ontario Drug Benefit, and the Trillium Drug Program provide coverage for Ontario residents under 24 and households with high prescription drug costs, respectively.
  • Vision services: OHIP covers eye-health services for Ontario residents 19 and under, and those with an eligible medical condition.

See OHIP’s health care services and Ontario Health’s clinical programs directory for more.  

What to look for in a private health insurance plan: Ontario residents ages 25+ and those with moderate to high incomes need dental, prescription, vision, and paramedical insurance so they don’t miss essential preventative, and in some cases, essential services.

Public health insurance in British Columbia

What’s covered? Public health insurance in British Columbia covers all medically necessary hospital and physician services, plus dental and vision services performed in a hospital, under the Medical Services Plan (MSP). All BC residents are automatically covered for the cost of many contraceptives, opioid use disorder treatments, and a few other medications under PharmaCare Plan Z.

    Where can I get more coverage?


  • Ambulance services: British Columbia subsidizes ground and air ambulance services, capping fees at $80 per resident. Out-of-province Canadian residents pay $848 for transport by land and $4,394 for transport by air.
  • Dental work: Dental and orthodontic services are available for eligible residents, including recipients of income, disability, and hardship assistance.
  • Home care: BC residents must undergo an assessment and agree to pay the resulting rate in order to receive home support services.
  • Indigenous health: Indigenous Health and the First Nations Health Authority offer health programs tailored to Indigenous people in BC.
  • Mental health: BC’s mental health supports and resources can be accessed by phone or through regional health authorities.
  • Out-of-country health services: MSP pays for emergency hospital and doctor services abroad at the same rates as in-province care.
  • Prescription drugs: Clients of the BC Employment and Assistance Program qualify for PharmaCare Plan C, which covers prescription drugs and medical supplies.
  • Vision services: Optical services are available to recipients of income, disability, and hardship assistance.

See Child Health BC, Healthy Kids, Supplementary Benefits, Supplements and ProgramsFamily and Social Supports, and SeniorsBC.ca for more. 

What to look for in a private health insurance plan: The average BC household pays the highest amount out-of-pocket for dental services in Canada, making good dental insurance a must. The same goes for paramedical services such as acupuncture, massage therapy, and physiotherapy.

Public health insurance in Alberta

What’s covered? Public health insurance in Alberta covers all medically necessary hospital and physician services, plus dental and vision services performed in a hospital, under the Alberta Health Care Insurance Plan (AHCIP). Certain dental surgeries are covered under the Oral and Maxillofacial Surgery Benefits program, while the Continuing Care System provides all Albertans with financial assistance with home and community care.

    Where can I get more coverage?


  • Ambulance services: Alberta subsidizes ground ambulance services, capping fees at $385 per resident. Out-of-province Canadian residents pay $585, and air ambulance costs aren’t covered.
  • Dental work and vision services: The Alberta government offers Dental and Optical Assistance for Seniors.
  • Indigenous health: The Indigenous Wellness Core enables Albertans to search for health programs and services by zone.
  • Mental health: Alberta’s addiction and mental health supports include information programs, helplines, and children’s and youth mental health resources.
  • Out-of-country health services: AHCIP pays for emergency and non-emergency hospital and doctor services abroad at the same rates as in-province care.
  • Prescription drugs: The Alberta Drug Benefit covers over 5,000 products as part of the province’s supplementary benefit plan for seniors, low-income, and other vulnerable populations.

See Alberta Child Health Benefit, Children’s Mental Health, Health Services and Benefits and Seniors Health Benefits pages for more.  

What to look for in a private health insurance plan: The AHCIP covers a large range of dental surgeries and consultations, but it still doesn’t cover routine cleanings, fillings and other essential oral health services. With a comprehensive health plan, you can fill the gaps in the province’s public dental, prescription drug, and vision coverage. 

Public health insurance in Manitoba

What’s covered? Public health insurance in Manitoba covers all medically necessary hospital and physician services, plus dental and vision services performed in a hospital, under the Manitoba Health Services Insurance Plan (MHSIP)

    Where can I get more coverage?


  • Ambulance services: Manitoba subsidizes ground ambulance services, capping fees at $250 per resident. Out-of-province Canadian residents and air ambulance services aren’t covered.
  • Dental work, prescription drugs, and vision services: Manitobans who have received Employment and Income Assistance (EIA) for 3-6 months are eligible for dental, prescription drug, and vision coverage.
  • Home care: The MSP subsidizes the fees of 124 licensed personal care homes throughout the province, and insures most of their services.
  • Indigenous health: Indigenous Wellbeing Supports are available in-person, online, and by phone, as well as through Indigenous Health Patient Services in Winnipeg.
  • Mental health: Manitoba provides mental health services through regional health authorities, the Selkirk Mental Health Centre, and self-help and family support organizations. You can also use the Mental Health & Wellness Resource Finder.
  • Out-of-country health services: Manitoba pays for emergency hospital and doctor services abroad at the same rates as in-province care.
  • Prescription drugs: The Manitoba Pharmacare Program provides coverage to families who spend a large proportion of their income on prescription drugs.
  • Vision services: The Seniors’ Eyeglass Program, Infant Contact Lens Program, Prosthetic Eye Program, and Children’s Opti-Care Program provide vision and eye care to Manitobans in need.

See Health Coverage, Disability and Health Supports Unit, and Financial Benefits and Assistance for more.  

What to look for in a private health insurance plan: Besides the usual dental, prescription drug, and vision insurance, Manitobans need coverage for health care supplies and equipment. The average Manitoban household paid over $1,000 out-of-pocket in this category alone in 2023. PolicyMe’s private health insurance covers up to $4,000 worth of home care, prostheses, and durable medical equipment per year.

Public health insurance in Saskatchewan

What’s covered? Public health insurance in Saskatchewan covers all medically necessary hospital and physician services, plus dental and vision services performed in a hospital, under Saskatchewan Health coverage

    Where can I get more coverage?


  • Ambulance services: Saskatchewan subsidizes ground and air ambulance services, charging $325 and $465 per resident, respectively. Out-of-province Canadian residents pay $460 for ground ambulance transportation; air transport isn’t covered.
  • Dental work, prescription drugs, and vision services: Saskatchewan’s Supplementary Health Benefits program provides extended medical supplies, drugs, hearing, dental, and emergency benefits to vulnerable residents.
  • Home care: Saskatchewan Aids to Independent Living (SAIL) provides coverage for disability-related equipment and supplies with a referral from an authorized health care professional.
  • Indigenous health: First Nations and Metis Health Services can be accessed through the Indigenous Health page of the Saskatchewan Health Authority.
  • Mental health: The Saskatchewan Health Authority provides various supports for mental health and addictions.
  • Out-of-country health services: Saskatchewan pays for emergency hospital and doctor services abroad at the same rates as in-province care.
  • Prescription drugs: The Children’s and Seniors’ Drug Plans provide drug benefits to Saskatchewan residents in need.

See the A-Z Directory of Health Topics and Services; Infant, Child & Teen Health; Seniors’ Services and Health Services in Your Area for more.

What to look for in a private health insurance plan: Saskatchewan pays the second-highest average amount per household for eye care, and health care supplies and equipment in the country. Opting for a private health insurance plan can save you an average of $1,300 per year on both expenses. 

Public health insurance in Nova Scotia

What’s covered? Public health insurance in Nova Scotia covers all medically necessary hospital and physician services, plus dental and vision services performed in a hospital, under Medical Service Insurance (MSI)

    Where can I get more coverage?


  • Ambulance services: Nova Scotia subsidizes ground services, capping fees at $147 per resident. Out-of-province Canadian residents pay $733; air transportation isn’t covered.
  • Dental work: The province of Nova Scotia provides dental coverage to residents in need through 6 dental programs.
  • Home care: Nova Scotia’s Continuing Care program provides long- and short-term home care to eligible residents of various groups.
  • Indigenous health: First Nations and Indigenous health resources are available in-person, online, and over the phone.
  • Mental health: The Mental Health and Addictions page provides links to services, locations, topics, and partners.
  • Out-of-country health services: Nova Scotia pays for emergency and non-emergency hospital services abroad at the same rates as in-province care.
  • Prescription drugs: Nova Scotia manages 6 Pharmacare Programs for seniors, families, cancer patients, palliative care patients, and other residents.
  • Vision services: Children under 10 and seniors aged 65+ can access vision care through two MSI optometry programs.

See the Health and Wellness Initiatives, Programs and Services for more.

What to look for in a private health insurance plan: Moderate and high-income Nova Scotians between the ages of 18-64 don’t receive dental, prescription drug, or vision coverage. PolicyMe offers the least expensive private health insurance plan with all three in the country.

Public health insurance in New Brunswick

What’s covered? Public health insurance in New Brunswick covers all medically necessary hospital and physician services, plus dental and vision services performed in a hospital, under Medicare

    Where can I get more coverage?


  • Ambulance services: New Brunswick subsidizes ground ambulance services, capping fees at $130 per resident, and air transportation is free. Out-of-province Canadian residents pay $650 for ground ambulance and $6,500 for air ambulance services.
  • Dental work: The Health Services Dental Program provides financial assistance to clients of the Social Development office over the age of 19.
  • Home care: NB residents can get financial assistance for Home Support based on their needs.
  • Indigenous health: Horizon NB provides Indigenous Health resources to Mi’gmaq, Wolastoqey, and Peskotomuhkati communities around the province.
  • Mental health: New Brunswick offers crisis resources, mental health locations, and a list of services on its mental health support page.
  • Out-of-country health services: New Brunswick pays for emergency hospital and doctor services abroad at the same rates as in-province care.
  • Prescription drugs: There are 11 NB Drug Plans providing coverage to seniors, children, nursing home residents, and other populations in the province.
  • Vision services: The Health Services Vision Program is available to Social Development clients and individuals with special health needs in New Brunswick.

See the Accessing Health Care and Health and Wellness pages for more.  

What to look for in a private health insurance plan: New Brunswick’s public health insurance plan has no major coverage gaps aside from the usual. A private health insurance plan with dental, prescription drug, and vision coverage can help you save an average of 80% of your out-of-pocket health expenses.

Public health insurance in Newfoundland and Labrador

What’s covered? Public health insurance in Newfoundland and Labrador covers all medically necessary hospital and physician services, plus dental and vision services performed in a hospital, under the Medical Care Plan (MCP)

    Where can I get more coverage?


  • Ambulance services: Newfoundland and Labrador subsidizes ground ambulance services, capping fees at $115 per resident. Air ambulance services are free of charge. Out-of-province Canadian residents pay the full cost of emergency transportation.
  • Dental work: The MCP provides dental services coverage to children and low-income youth, and adults.
  • Home care: The Provincial Home Support Program provides personal care, homemaking, respite care, and behavioural support services to residents in need.
  • Indigenous health: Aboriginal persons can access a range of health, and community services through the government website.
  • Mental health: A number of external agencies offer counselling, helplines and treatment centres as part of NF’s mental health and addictions system.
  • Out-of-country health services: Newfoundland and Labrador pays for emergency and non-emergency hospital and doctor services abroad at the same rates as in-province care.
  • Prescription drugs: The Newfoundland and Labrador Prescription Drug Program (NLPDP) provides coverage to vulnerable residents in the province.
  • Vision services: The Eye See Eye Learn Program provides a free eye examination and one pair of prescription eyeglasses to children in need.

See Health and Community Services for more.  

What to look for in a private health insurance plan: Newfoundland and Labrador’s public health insurance plan has no major coverage gaps aside from the usual. A private health insurance plan with dental, prescription drug, and vision coverage can help ensure your family receives important health care services and supplies. 

Public health insurance in Québec

What’s covered? Public health insurance in Québec covers all medically necessary hospital and physician services, plus dental and vision services performed in a hospital, under the Régis d’Assurance Maladie du Québec (RAMQ)

See the RAMQ's page for Aid Programs and Programs and Services for Seniors for more.  

What to look for in a private health insurance plan: Prescription drug insurance is compulsory for Quebec residents 18 and over. PolicyMe’s private health insurance plans offer $500-$2,600 of prescription drug coverage (plus a ton of other perks).

Do I need private health insurance in Canada?

Canadian public health insurance has several major coverage gaps that you can address with group health insurance or private health insurance. You can get group health insurance through your employer or organization, or buy the private health insurance coverage you need online.

To see if you need a private plan, add up the cost of every health-related product and service you paid for last year. Unless you qualified for conditional coverage under a provincial or territorial health program, you likely spent thousands of dollars per year on uninsured products and services:

Coverage
Average annual cost*
Public health insurance
Private health insurance
Hospital services
$0
Physician services
$0
Dental
$564
Prescription drugs
$522
Vision
$315
Health care services, including paramedical services
$325
Non-prescription medication, health care supplies, and equipment
$695
TOTAL COST
$2,421
$2,421
$470

* Figures reflect the average amount paid out-of-pocket for select health products and services per Canadian household in 2023, adjusted for 2025 using the Bank of Canada inflation calculator.

How much does private health insurance cost in Canada?

The cost of private health insurance varies by province, product, and age group. 

Fortunately, the best health insurance in Canada is also the least expensive. PolicyMe’s comprehensive health insurance includes dental, prescription drug, vision coverage, and more, starting at $71.26 per month for a Canadian resident age 21-44:

Province
Economic plan
Classic plan
Advanced plan
Saskatchewan
$71.26
$82.44
$99.73
Nova Scotia
$92.04
$108.76
$136.52
Manitoba
$95.79
$112.12
$139.13
Newfoundland and Labrador
$101.13
$108.88
$139.10
New Brunswick
$101.46
$119.17
$148.60
British Columbia
$106.22
$116.49
$151.55
Alberta
$107.54
$120.34
$155.89
Quebec
$112.11
$134.07
$177.08
Ontario
$121.86
$147.33
$192.49

How much can private health insurance save you?

While your exact savings will depend on your healthcare expenses and which private health insurance plan you choose, our research suggests you can save nearly $2,000 per year.

We compared the healthcare expenses of the average Canadian household in every province to the coverage included in PolicyMe’s three comprehensive health insurance plans. Assuming every expense qualified for coverage, the amount saved ranged from $1,083 - $1,951 per year:

Province
Average healthcare expenses*
Economic plan savings
Classic plan savings
Advanced plan savings
Alberta
$2,459
46.7%
73.5%
89.4%
British Columbia
$2,370
49.4%
76.0%
79.1%
Manitoba
$2,382
40.7%
65.1%
67.1%
Ontario
$2,316
45.6%
72.6%
90.4%
Saskatchewan
$2,289
41.7%
66.7%
90.0%
Québec
$1,883
58.5%
82.8%
66.9%
New Brunswick
$1,823
47.9%
79.8%
82.0%
Newfoundland and Labrador
$1,723
46.6%
79.8%
52.7%
Nova Scotia
$1,679
53.6%
84.7%
86.9%

* Figures represent the average total amount spent on selected health-related products and services per Canadian household in 2023. 

For this article, we consulted only the official Canadian national, provincial, and territorial websites for public health insurance information and resources. Always consult your province or territory’s health system directly for up-to-date coverage and program details.
Statistics Canada provided the data on healthcare-related spending per household in 2023. While calculating the amount saved with private health insurance, we assumed every expense qualified for coverage and incorporated PolicyMe’s health plan maximums. 
The resulting calculations are presented for illustrative purposes only. 

FAQs: Health Insurance by Canadian Provinces

Jasmine specializes in converting complex insurance data into actionable guidance. Her background includes auto, life, and health insurance and financial planning. Lately, she’s leveraging AI to extract insights from the numbers and help Canadians make better decisions.

Jasmine specializes in converting complex insurance data into actionable guidance. Her background includes auto, life, and health insurance and financial planning. Lately, she’s leveraging AI to extract insights from the numbers and help Canadians make better decisions.