Healthcare in Canada
Canada's universal healthcare system (Medicare) provides coverage for medically necessary services. However, the system is provincial, has limitations, and newcomers face a waiting period.
How It Works
- Healthcare is provincial - each province has its own plan (OHIP in Ontario, MSP in BC, etc.)
- Covers: doctor visits, hospital stays, surgeries, diagnostic tests, maternity care
- Does NOT cover: prescriptions, dental, vision, physiotherapy, ambulance (varies)
- No direct costs at point of service for covered care
The Waiting Period
Most provinces have a 0-3 month waiting period before coverage begins:
- Ontario: No waiting period (suspended since 2020)
- Nova Scotia: No waiting period
- BC: Up to 3 months (remainder of arrival month + 2 months)
- Alberta: Up to 3 months
- Other provinces: Typically up to 3 months
Critical: Get private health insurance for the waiting period. A simple ER visit can cost thousands without coverage.
Private Health Insurance
For the waiting period and uncovered services:
- Bridge insurance: $100-300/month during waiting period
- Extended health benefits (employer): Covers prescriptions, dental, vision
- Individual plans: $50-200/month for prescriptions and dental
What to Expect
Positives:
- No bills for covered services
- Equal access regardless of income
- Good quality care overall
Challenges:
- Wait times for specialists (weeks to months)
- ER wait times can be very long
- Finding a family doctor can be difficult (shortage)
- Walk-in clinics fill the gap but lack continuity
2026 Changes
The Canada Health Act now requires provinces to cover care from nurse practitioners, pharmacists, and midwives. New investments ($10.5B) target wait times and mental health access.
Registering for Provincial Coverage
- Apply as soon as you arrive with:
- Proof of immigration status (PR card, work permit)
- Proof of address
- Identification
- Some provinces allow applications online
- Health card typically arrives by mail in 2-4 weeks
For Different Immigration Status
- Permanent Residents: Full provincial coverage (after waiting period)
- Work Permit Holders: Usually eligible if permit is 6+ months
- Students: Varies by province - some covered, some require private insurance
- Visitors: No provincial coverage - must have private insurance
Pro Tips
- •Get private insurance immediately on arrival for the waiting period
- •Ontario has no waiting period - coverage starts immediately
- •Extended health benefits through employer are valuable - negotiate if possible
- •Register for provincial health plan on day one
- •Walk-in clinics are an option if you can't find a family doctor
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