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Health insurance · Updated October 21, 2026

What Provincial Health Insurance Covers, Province by Province

Every province covers doctors and hospitals. The differences are in the gaps: how long newcomers wait, what an ambulance costs, and who pays for prescriptions. Here are all 10 provinces side by side, from official sources.

10 provinces 2026 rules and fees Official sources

Quick answer

The same everywhere: under the Canada Health Act, every provincial plan covers medically necessary doctor visits, hospital stays, surgery, lab tests and imaging, with nothing to pay at the point of care.

Different in every province: the waiting period for newcomers (none in Ontario, up to three months in B.C. and Quebec), the ambulance fee ($45 in Ontario, $385 in Alberta), and public drug coverage for working-age adults without a workplace plan.

Not covered by any province for most adults: routine dental care, routine eye exams, glasses, and outpatient prescriptions without a deductible or premium. Most full-time employers cover these through extended health benefits.

Province-by-province comparison

ProvinceWait for newcomers from abroadGround ambulance (resident)Drug coverage for adults without a work plan
OntarioNone$45 co-paymentOHIP+ is free for ages 24 and under with no private plan. Trillium Drug Program for everyone else: deductible of about 4% of after-tax household income.
QuebecUp to 3 months (none for children under 18 and some other groups)$125 plus $1.75 per kmDrug insurance is mandatory. Without a private plan you join RAMQ's public plan: premium $0–$789 a year by income, then 30% co-insurance up to $1,263 a year (July 2026–June 2027 rates).
British ColumbiaRest of arrival month plus 2 months$80Fair PharmaCare: income-based deductible. Contraceptives and many diabetes drugs free since March 1, 2026 under national pharmacare.
AlbertaUsually none, from your residency date, if you apply within 3 months$385Alberta Blue Cross Non-Group Coverage: $63.50 a month single, $118 family; lower rates for low incomes.
SaskatchewanUp to the first day of the third month after arrival$245–$325 plus $2.30 per kmSpecial Support Program: deductible based on family income.
ManitobaNone in the regulation for arrivals from abroad (12+ month work permit holders qualify on arrival)Up to $250Manitoba Pharmacare: income-based deductible. Manitoba has also signed the federal pharmacare deal for contraceptives and diabetes drugs.
Nova ScotiaUsually none, from the date you become a resident$146.55Family Pharmacare: income-based deductible.
New BrunswickMay start on your arrival date (assessed case by case)$130.60New Brunswick Drug Plan: monthly premium by income (about $6 to $241 per adult; new rates November 1, 2026), plus 30% co-pay up to $36 per prescription.
Prince Edward IslandMust live on PEI 6 months and 1 day a year; ask Health PEI for your start dateFee charged (free for emergencies at 65+); amount not published onlineSeveral targeted programs. Many common heart, diabetes and mental-health drugs cost $5 per prescription under Prescription Care.
Newfoundland and LabradorNo fixed wait published; new PRs are covered for one year at a time at first$115NL Prescription Drug Program Assurance Plan for high drug costs relative to income.

Fees are for medically necessary ground ambulance for residents with a valid health card; seniors, low-income residents and inter-facility transfers often pay less or nothing. Saskatchewan's rates are from its 2024 fee brochure; Nova Scotia's from the provincial fee regulation. Sources are listed below and in the sidebar. Confirm with the province before you rely on a number.

Moving between provinces

If you already live in Canada and move to another province, most provinces make you wait until the first day of the third month after you arrive. Move on July 12 and Alberta, for example, covers you from October 1. Your old province keeps covering you in the meantime, so register in the new province as soon as you arrive and keep your old card until the new one starts. Ontario no longer has a waiting period.

See the checklist for moving to another province for the full list: health card, driver's licence, vehicle registration and taxes.

The gaps, and how people fill them

  • Dental: provinces cover only limited dental surgery in hospital. The federal Canadian Dental Care Plan covers residents of any age who have no dental insurance and an adjusted family net income under $90,000, if they filed a Canadian tax return. Newcomers usually qualify only after their first tax year.
  • Eye exams and glasses: routine exams for adults 19 to 64 are generally not covered. Children, seniors and people with medical eye conditions are covered in most provinces, but the rules vary.
  • Prescriptions: employer benefits usually pay 80% to 100%. Without them, use the provincial program in the table. Most programs require you to enrol separately from your health card.
  • The waiting period: if you land in B.C., Quebec or Saskatchewan, buy private visitor or newcomer insurance for the first three months. RAMQ recommends buying it within five days of arrival.
Moving from the US? See how these costs compare with your current premiums and deductible in Canada vs US health care and US vs Canada medical debt.

Frequently asked questions

What does provincial health insurance cover in Canada? ▼
Every provincial plan must cover medically necessary hospital and physician services at no charge at the point of care, under the Canada Health Act. Outpatient prescription drugs, adult dental care, routine adult eye exams, glasses and ground ambulance are not fully covered in any province; each province fills those gaps differently.
Which provinces have a waiting period for health insurance? ▼
For newcomers from outside Canada in 2026: Ontario has no waiting period. British Columbia covers you after the rest of your arrival month plus two months. Quebec's wait is up to three months, with exceptions such as children under 18. Saskatchewan coverage starts by the first day of the third month at the latest. Alberta, Manitoba, Nova Scotia and New Brunswick can usually cover eligible newcomers from the date they establish residency. People moving between provinces generally wait until the first day of the third month, while their old province keeps covering them.
How much does an ambulance cost in Canada? ▼
Residents with a provincial health card pay a fee in most provinces: about $45 in Ontario, $80 in British Columbia, $115 in Newfoundland and Labrador, $125 plus $1.75 per km in Quebec, $130.60 in New Brunswick, $146.55 in Nova Scotia, $250 in Manitoba, $245 to $325 plus $2.30 per km in Saskatchewan, and $385 in Alberta. Seniors and low-income residents often pay less. Non-residents pay much more.
Are prescription drugs covered by provincial health insurance? ▼
Not automatically for working-age adults. Most people get drug coverage through an employer plan. Without one, each province offers a fallback: Ontario's OHIP+ covers people 24 and under for free and Trillium covers high costs; Quebec requires everyone to have drug insurance and runs a public plan with a premium of up to $789 a year; B.C., Saskatchewan, Manitoba and Nova Scotia use income-based deductibles; Alberta and New Brunswick sell premium-based plans.
Is dental care covered in Canada? ▼
Provincial plans do not cover routine adult dental care. The federal Canadian Dental Care Plan covers eligible residents of all ages who have no access to dental insurance and an adjusted family net income under $90,000, if they filed a Canadian tax return. Most full-time employers also offer dental benefits.

See the full monthly cost, province by province

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This page summarizes provincial health insurance rules and fees as published by provincial governments as of October 21, 2026. Fees change, often each April or July, and eligibility depends on your immigration status. It is not medical, legal or insurance advice. Confirm your situation with the provincial plan before you move.