Coverage and Eligibility: Who is Covered and What’s Included?

Canadian healthcare covers permanent residents and citizens. Temporary residents, like visitors on visas, generally aren’t covered, though some exceptions exist depending on their visa type and the length of their stay. Provinces and territories administer their own healthcare plans, so specific details vary slightly.

What Services are Covered?

The system covers medically necessary services, including doctor visits, hospital stays, and many surgeries. Diagnostic tests, like X-rays and blood work, are also included. Prescription drugs are a significant exception; coverage varies considerably by province and territory, often requiring supplementary insurance.

Who Isn’t Fully Covered?

While the core services are covered, some things fall outside the public system. Dental care, vision care, and many prescription drugs are frequently not fully covered. Physiotherapy and other types of rehabilitation might have limited coverage, often requiring additional private insurance. To determine your exact coverage level, consult your provincial or territorial health insurance plan website.

Obtaining Coverage:

Canadian citizens receive coverage automatically. Permanent residents must apply for provincial or territorial health insurance once they become permanent residents. Proof of residency is typically required; processing times vary depending on the province/territory.