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					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	
                                                                physician assistant
                                                                                                                       and, if necessary, the cost of transportation back to B.C.
                                                                                                                                                                                    If you need further information about hospital services
                                                                                                                                                                                    within Canada contact:
                                                                                                                                                                                                                                                                                    LEAVING B.C.
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
                                                           	 •	 podiatry
There are excluded services; contact Out-of-Province
                                                           	 •	 optometry
                                                                                                                       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
                                                           	 •	 orthodontia
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.

				
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posted:10/6/2012
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