Health Insurance BC: Summary of Benefits
Important: as of January 1, 2018, premium rates are reduced to 50% of their previous amounts. In addition, families with a net adjusted income of $26K or less will not have to pay any premiums.
The following is a brief summary of Health Insurance BC (the name of the B.C. provincial healthcare plan) coverage and benefits.
Health Insurance BC administers the provincial health insurance plan which consists of:
Medical Services Plan
Residents pay a monthly premium (based on family size and income) which pays for part of their healthcare costs.
MSI offers coverage for the following health and medical benefits:
Any services that are not considered medically necessary (e.g. cosmetic surgery).
Routine and restorative dental services (e.g. cleanings, fillings, extractions and exams).
Physical examinations if not medically necessary (e.g. tests for driving a vehicle, life insurance, immigration, etc.).
Routine eye examinations for patients aged 19-64.
Ambulance services (although in-province ambulance transportation is subsidized, thereby decreasing cost to BC residents). For ambulance fees click here.
Eye glasses, contact lenses, hearing aids and other medical equipment.
Counsellors and psychologists.
Pharmaceutical drugs (unless you qualify for assistance via one of the Drug Programs, see below).
Paramedicals such as chiropractors, physical therapy, acupuncture, massage therapists, naturopathy, etc. (unless you are receiving premium assistance).
BC Pharmacare offers some of the most comprehensive drug programs in Canada (most of these plans require active enrolment in MSP).
If you do not qualify for any of the programs below then you do not qualify for prescription drug coverage.
These drug plans are as follows:
Fair Pharmacare: the largest plan which is subsidized and based on family net income. Depending on your income status, a deductible is determined; once that amount has been met Pharmacare assists with paying eligible drug costs. Lowest income families are not required to pay a deductible and get immediate assistance.
Plan B: Permanent Residents of Licensed Residential Care Facilities. Covers the cost of eligible prescription drugs and certain medical supplies for permanent residents of licensed residential care facilities.
Plan C: Recipients of B.C. Income Assistance. Full coverage of eligible prescription costs for residents who are receiving income assistance via the Ministry of Social Development and Poverty Reduction.
Plan D: Cystic Fibrosis. Coverage of digestive enzymes and other products in the Cystic Fibrosis Formulary.
Plan F: Children in the At Home Program. Community-based care for severely handicapped children who would otherwise have to get institutional care.
Plan G: Psychiatric Medications. Coverage for some psychiatric medications for low-income residents.
Plan P: BC Palliative Care Drug Program. Coverage for medications, medical supplies and other equipment used for palliative care in the resident’s home.
Plan W: First Nations Health Benefits. Coverage for prescription drugs, medical supplies, etc. Funded by the First Nations Health Authority.
BC Smoking Cessation Program. Nicotine replacement therapy plan for residents who want to quit smoking. For full details on what is covered go here.
BC Center for Excellence in HIV/AIDS: a government resource that tries to improve the health of British Columbians with HIV via the development, monitoring and dissemination of HIV-related research and treatment programs.
MSP Monthly Premiums
BC residents pay monthly premiums that pay for a portion of their healthcare costs. These premiums are based on family size and income.
Invoices are sent out for the next month’s premiums, and payment can be made via credit card, pre-authorized debit or by going to your financial institution.
For the full rate tables go here.