HOSPITAL SERVICES ITEMS AND SERVICES NOT COVERED When purchasing additional out-of-province health If you have access to the internet, we encourage you to
OUTSIDE B.C. insurance you are advised to obtain insurance that will visit Health Insurance BC’s web site for forms and
Within Canada cover emergency transportation while you are away information.
If you are admitted to an acute care, extended care or
rehabilitation hospital in another Canadian
• prescription drugs
• services of a nurse practitioner or
and, if necessary, the cost of transportation back to B.C.
If you need further information about hospital services
within Canada contact:
province or territory, the Ministry of Health will pay • services of a nurse anesthetist WHAT TO DO IF YOUR BENEFITS END Out-of-Province Claims
the standard ward rate for inpatient care or the • massage therapy
Ministry of Health Do you know that your health
interprovincial rate for outpatient services. You will • naturopathy You are advised to be covered at all times. If you know
• chiropractic 2-1, 1515 Blanshard St
need to show your B.C. CareCard at the time of service. your B.C. benefits will end, be sure to obtain alternative Victoria, B.C. V8W 3C8
care benefits change when you
There are excluded services; contact Out-of-Province
coverage from the place where you’re staying, if leave B.C.? Read on...
Claims at the Ministry of Health for information. Victoria: 250 952-1334
• physiotherapy available, or from a private insurance company.
Rest of B.C.: 1 800 465-4911
Outside Canada If you plan to re-establish residency in B.C. after your
• home care services (nurse)
• acupuncture eligibility for B.C. benefits has ended, keep in mind that
Only emergency inpatient and daycare surgical you will need to complete a wait period before your COLLECTION AND USE OF PERSONAL
hospital benefits are provided outside Canada. These If you live in a town near the Alberta or Yukon Territory benefits can be renewed. That wait period will consist INFORMATION
benefits are available for admission to an approved border, please contact Health Insurance BC for of the balance of the month of your permanent return
acute care, extended care or rehabilitation hospital. information about exceptions. to B.C., plus two months. If absences from Canada Personal information is collected under the authority
Hospital benefits will not exceed $75 a day (Canadian exceed a total of 30 days during the wait period, of the Medicare Protection Act and is used to determine
funds) for adult or child inpatient or daycare services, Outside Canada eligibility for benefits may be affected. Application residency in British Columbia and determine
and $41 a day (Canadian funds) for a newborn infant. should be made to Health Insurance BC immediately eligibility for provincial health care benefits. This
These amounts may be thousands of dollars less per In addition to those services not covered outside B.C., after arrival rather than at the end of the wait period. information is protected from unauthorized use and
day than the amount charged in some countries. the following is a partial list of services not covered disclosure in accordance with the Freedom of
outside Canada: Information and Protection of Privacy Act and may be
Outpatient dialysis treatment is provided as a benefit • outpatient emergency room charges for use of GETTING FORMS AND MAKING CONTACT disclosed only as provided by that Act. Questions about
outside Canada, at the rate (payable in Canadian funds) facility and supplies the collection, use and disclosure of this information Health Insurance BC administers
currently in effect in British Columbia. Contact Health • drug and alcohol programs can be directed to Health Insurance BC at the address the Medical Services Plan (MSP)
Forms and information are available at:
Insurance BC for the amount. and telephone numbers listed. and PharmaCare on behalf of the
• admission to psychiatric hospital for chronic www.hibc.gov.bc.ca
Ministry of Health.
psychiatric care while on vacation
Making a Claim for Hospital Services
• dentistry LEGISLATION
If you need to advise Health Insurance BC of an absence
If you are hospitalized outside Canada, please or you need further information about physician and
complete and submit an Out-of-Country Claim Form as Ambulance Services hospital claims outside Canada, please have your This pamphlet provides a general outline only. All
soon as possible. Forms are available on the internet at CareCard ready and contact Health Insurance BC at: information is subject to change in accordance with the
If you require ambulance service while in another
www.hibc.gov.bc.ca or by calling Health Insurance BC. provisions of the Medicare Protection Act and
province or outside Canada, you will need to obtain Lower Mainland: 604 683-7151
Regulations, and the Hospital Insurance Act and
service from an ambulance company in that Rest of B.C.: 1 800 663-7100
Claims for hospital services must be submitted Regulations. If a discrepancy exists between this
jurisdiction and will be charged the fee established by
within six months of the date of discharge. Please pamphlet and the legislation, the legislation will prevail.
the out-of-province service provider. Fees range from Mailing Address:
retain copies for your records. several hundred to several thousand dollars. PO Box 9480 Stn Prov Govt
Victoria, B.C. V8W 9E7
Health Insurance BC administers the Medical Services You are advised to buy additional, private health IF YOU PLAN TO LEAVE TEMPORARILY Contacting Health Insurance BC about a • any additional premiums owing; Within Canada (Except Quebec)
Plan (MSP) and PharmaCare on behalf of the Ministry of insurance to supplement your basic coverage before Temporary Absence • your new mailing address, if available; and
Health. you leave the province. This is true regardless of Routine Absences If you present your valid B.C. CareCard, most physicians
• the name(s) and address(es) of any family members
whether you’ll be in another part of Canada or outside If you are unsure whether you will qualify for coverage in other Canadian provinces and territories (except
If you spend part of every year outside B.C., to remain not moving with you.
YOU MUST BE A RESIDENT OF BRITISH the country – even if you only plan to be away for a day. during an absence, or know that your eligibility will end, Quebec) will bill their provincial health care plan for the
COLUMBIA... If you have a pre-existing medical condition, you need eligible for benefits you must be physically present provide Health Insurance BC with the following: services. MSP will then reimburse the other plan.
You can send notice of your move and cancel your
to mention this when purchasing additional insurance in Canada at least six months in a calendar year and • the reason (e.g. vacation, work or education); coverage online at www.healthservices.gov.bc.ca/
...to qualify for B.C. health care benefits. Under the as most policies will not cover treatment of that continue to maintain your home in British Columbia. • names of any family members who may be Outside Canada and in Quebec
exforms/msp/7063.html. Do not use this service to
Medicare Protection Act “resident” means a person who: condition outside the province. Provided you remain eligible, you do not need to accompanying you; report a temporary absence.
contact Health Insurance BC about your absence. When travelling outside Canada or in Quebec, you
• is a citizen of Canada or is lawfully admitted to • your destination;
may be required to pay for insured services and seek
Canada for permanent residence, Some private insurance companies have a signed • dates of departure and expected return; Within Canada
Workers and Vacationers reimbursement from MSP.
• makes his or her home in B.C., agreement with the Ministry of Health. This permits
• a B.C. residential address and a mailing address
them to pay physician and hospital claims up front and Benefits will continue for the balance of the month
• is physically present in B.C. at least six months in a If you leave B.C. on vacation or for temporary for correspondence purposes; and Payment of physician services will not exceed the
then receive reimbursement from the Ministry of you leave the province, plus two months. If requested,
calendar year,* employment, in some circumstances benefits may be amount payable had you received the same care in
Health, eliminating the need for beneficiaries to handle • any other information you believe to be relevant. benefits may be extended up to three extra months
available for up to 24 months. Approval is limited to British Columbia. There can be a considerable difference
and includes a person who is deemed to be a their own claims. In all other cases, physician and to cover you while in transit. Upon arrival, you should
once in five years for absences that exceed six months between fees charged outside Canada and the amount
hospital claims must be submitted to Health Insurance If you will be an out-of-province worker or student, also immediately apply to the health plan of your new home
resident under the regulations to the Act, but does in a calendar year. payable by MSP. Any difference is payable by you,
BC before they are sent to a private insurance company provide: province or territory.
not include a tourist or visitor to B.C. unless you have additional coverage through a private
or extended health benefits plan. After Health If your employment requires you to routinely travel Worker insurance company and/or extended health benefits
This pamphlet pertains to Canadian citizens and Insurance BC has processed the claims, beneficiaries outside B.C. for more than six months in a calendar year, • the nature of your employment Outside Canada plan that will help with payment. Payment is made in
persons with permanent resident (landed immigrant) can apply to the private insurer or extended plan for contact Health Insurance BC with full details to • the name and address of your employer Canadian funds only.
status in Canada. additional payment. determine your eligibility. Benefits will continue for the balance of the month you
Student leave the province.
* A calendar year runs from January 1, to December 31. • your program of studies Making a Claim for Physician Services
Leaving Canada to Obtain Medical or Hospital Care Students • the name and address of your school or university.
If you make a claim, the following information is
If you plan to leave Canada specifically to obtain If you leave B.C. temporarily to attend school or WHAT YOU NEED TO KNOW ABOUT
WHAT YOU SHOULD KNOW BEFORE LEAVING required:
medical or hospital care, it is necessary for the specialist university, you may be eligible for MSP coverage for the SERVICES OUTSIDE B.C.
BRITISH COLUMBIA IF YOU PLAN TO LEAVE PERMANENTLY • an itemized account in English including the
looking after your care in B.C. to write to Health duration of your studies, provided you are in full-time
If you receive services outside B.C., this may result in dates and complete details of services
Health services provided outside Canada often cost Insurance BC before you leave the province, to request attendance at a recognized educational facility.
If you plan to leave B.C. permanently, you must your personal information being shared with the performed
more than the amount paid by the Ministry of Health. prior approval for payment of insured services. If
Beneficiaries who have been studying outside B.C. notify Health Insurance BC; otherwise, a premium out-of-province service provider for the purpose of • the original doctor’s bill, or the original receipt if
Sometimes the difference is substantial. approval is not received, all costs of such elective
must return to the province by the end of the month debt may accrue. Failure to pay premiums is not administering benefits (for example, processing the doctor’s bill has been paid.
services will be your responsibility. Travel costs and
Some items/services that may be a benefit in B.C. are accommodation are the responsibility of the patient. following the month in which studies are completed. If considered notification to cancel benefits. payment of claims) under the Medicare Protection Act.
not covered outside the province; for example, Further information is available on the internet at you do not plan to return to B.C. within that timeframe,
contact Health Insurance BC to discuss your situation. Claims for physician services must
prescription drugs and optometric services. www.health.gov.bc.ca/msp/infoben/leavingbc.html Before you leave, advise Health Insurance BC of your PHYSICIAN SERVICES be submitted within 90 days of the date
or by contacting Health Insurance BC. move and provide the following:
The Ministry of Health does not pay any portion of fees of service. Please retain copies for your
• the date of your departure from B.C.; MSP will help pay for unexpected insured services you
charged for ambulance service obtained outside B.C. records.
• the expected date of your arrival in your new place receive anywhere outside Canada and for any insured
of residence; services you receive elsewhere in Canada, provided
the services are medically required and performed by a
qualified medical doctor.