Unfortunately, New Brunswickers feel like their healthcare needs aren’t met. The provincial health has many systemic challenges and numerous gaps that prevent it from improving the health of New Brunswick residents. According to a poll conducted by the NBMS (New Brunswick Medical Society), more than 44,000 residents don’t have a family doctor. Many of them who don’t have family doctors face lengthy wait times before being able to see one.
Right now, the government is working on a new system that would provide access to primary care to patients without a nurse practitioner or family doctor. Residents without a medical provider can register with Patient Connect NB. They will be assigned a provider on a first-come, first-serve basis.
Read on to learn more about NB Medicare Health Plan, the eligibility requirements, ways to obtain a health care card, and understand why additional health and dental coverage is important. If you are a permanent resident of New Brunswick, you should know how to take advantage of the provincial healthcare benefits.
New Brunswick’s provincial government health plan is called Medicare, and it is designed to provide coverage for its resident’s basic health care services. To be eligible to apply, you must be a citizen of Canada or legally entitled to remain in the country, and make the province of New Brunswick your home.
The Medicare provincial health care plan offers a handful of services and the New Brunswick government has been reducing the number of covered services each year. If you need health services that are not covered by the Medicare health plan, you are responsible for paying the bill. That could have a significant negative impact on your finances because health care costs are steadily increasing. In case of accidents or unexpected illnesses, this could have a disastrous impact on your financial security.
To get the financial protection you need, reduce your out-of-pocket expenses, and have your peace of mind, it is recommended that you opt for an additional health insurance from a private insurance company to cover medical services needed at low cost rates.
Every New Brunswicker is entitled to universal, basic and government-funded health care. Medicare health coverage covers most medically required services such as critical illness or emergencies, while many New Brunswick employers offer additional health coverage to their employees.
Once you become a registered New Brunswick health cardholder, the NB Medicare program will pay for the following health services:
The following medical costs are not covered by NB Medicare or hospital services:
The New Brunswick Prescription Drug Program (NBPDP) is commonly referred to as the New Brunswick Drug Plan. It is a drug coverage plan designed to provide help with prescription drug costs to eligible New Brunswickers. All the drugs that the program covers are listed in the New Brunswick Drug Plan covered drugs Form.
The beneficiary groups of the New Brunswick Drug Plan are:
If you have any questions regarding the NBPDP, you may call 1-855-540-7325. The toll-information line offers bilingual services and is open Monday to Friday between 8 a.m. and 5 p.m.
Canadian students get basic health benefits that are provided by the health plan of their province of permanent residence.
International students with valid student visas are eligible for NB Medicare coverage. For those awaiting or without Medicare coverage, basic health and hospital coverage is via insured plans administered by the University of New Brunswick.
International students with immigrant status qualify for Medicare benefits and have to register immediately upon arrival in the province. However, it is recommended that they get a basic personal insurance that covers dental insurance or pre-existing medical conditions that are not covered by Medicare.
Students get access to the Student Health Center if they:
When going to a health appointment, all students must bring a valid student ID card and a valid Medicare Card or Provincial Health Card. As for international students, they are required to complete a health insurance claim form each time they visit.
New Brunswickers can register for the NB Medicare provincial plan by either visiting an office or sending their application via email. You’ll be required to present your proof of citizenship or immigration status for the application process.
If you are returning or new to New Brunswick, you can apply to obtain your health coverage by submitting a signed original Application for Registration form. Completed forms must be delivered in person or mailed to Medicare.
Applications are assessed on an individual basis. To verify your eligibility, you may be asked to provide other documents. Once your eligibility is established, you will receive a letter indicating the exact start date of your NB Medicare health coverage as well as a NB Medicare health card.
NB Medicare Provincial Plan Eligibility
To be eligible for Medicare benefits, you must be:
Who is not eligible for Medicare health benefits?
If you’ve moved to New Brunswick from another Canadian province, you may be eligible for Medicare health coverage on the first day of the third month following the month you’ve established permanent residence in NB. For example, if you moved to NB on May 18, then May will count as the first month. In this case, your Medicare coverage would start August 1.
In case you require services from health professionals in any other Canadian province (except Quebec), just show your valid NB Medicare Health Card to the physician. There is an agreement with all Canadian provinces (except Quebec) thanks to which physicians can bill the NB Medicare for treatment of sickness or injury to New Brunswick residents.
Note that physicians in other provinces may bill New Brunswickers for medical services that are excluded from the agreements. In that case, reimbursement is not guaranteed.
Medicare Health Plan only covers:
In case of out-of-Canada medical services, the Medicare Health Plan only provides coverage according to rates paid by NB Medicare. The costs of medical services outside of Canada are often considerably higher, so paying the difference will be your responsibility. All travellers are strongly recommended to get additional travel from a private insurance company to cover the unexpected charges.
To start your Medicare application, you must complete an Application for Registration. Download the form here, print it, and fill it out with required information. Double check to see if you filled out everything correctly, and remember to provide your contact telephone number in case someone needs to get in touch with you directly.
For every child 19 years of age or older, you will need to fill out a separate application for registration. You must provide a copy of Power of Attorney documents if you are completing the form on behalf of an individual.
Besides doing it in person, you can also mail your application for registration directly via mail. Download the form, print and complete it, and be sure to provide your contact phone number. For any child 19 years of age or older, be sure to complete a separate application. Provide a copy of Power of Attorney documents if completing the form on behalf of another individual.
Remember to check whether your Canadian immigration documents are acceptable for eligibility requirements.
The completed application form, along with photocopies of all supporting documents, should be mailed to Medicare P.O. Box 5100 Fredericton, N.B. E3B 5G8.
New Brunswickers cannot apply online for their Medicare Health Card currently but we will be looking for any change and will update this article to give detailed information on how to proceed when online applications are available.
For Canadian citizens:
Documents that may be accepted as proof of identity include:
Documents that may be accepted as proof of residency include:
The same document can be used to satisfy no more than one requirement. Remember not to send original documents when applying because their return is not guaranteed.
Upon its expiration, the New Brunswick Medicare office will automatically renew your health card and mail it to your address. Your Medicare health card is usually valid for 5 years. Check the expiry date on your Medicare card. It is valid until the last day of the month indicated.
If your valid Medicare card gets lost, damaged or stolen, you should replace it. To do it, you need to visit your local Service New Brunswick office in person. The other way is to download, print and complete a Medicare Change Request, Replacement and/or Renewal form. Sign and date the document, and mail it to New Brunswick Medicare.
The Medicare card replacement fee is $10.00. Along with the completed form, you should send a money order or cheque made payable to the Minister of Finance. Those exempted from the fee are:
If you’ve changed your address, you need to complete and send a Change Request, Replacement and/or Renewal form or call Service New Brunswick at 1-888-762-8600. In case you fail to notify NBM of your address change, your Medicare coverage may end up terminated.
You can receive your new, valid Medicare card one month before it expires, but you have to be eligible, inform the NBM of your current address, destroy your old card, and start using the new one immediately.
All permanent residents of New Brunswick have access to provincial, universal, government-funded health coverage. Keep reading to find out more about what’s covered and what isn’t covered by the NB Medicare Health Plan, as well as about extended health care, drug plan, coverage for those traveling in and out of Canada.
The NB Medicare Health Plan only covers certain surgical dental services provided in a hospital. It doesn’t cover regular dental care work and extractions.
The Health Services Dental Program is designed to help clients in the Social Development department older than 19 years of age with coverage for specific dental benefits and individuals with special needs. These benefits are those often not covered by private health insurance plans and other agencies, and are negotiated with the New Brunswick Denturists Society and the New Brunswick Dental Society.
The program doesn’t cover:
Those eligible for the Health Services Dental Program are entitled to a maximum of $1000 a year (excluding prosthetic and emergency services). For dentures and denture repairs, clients are usually charged up to a 10% participation fee. The participation fee may be required before dental health services are provided and is paid directly to the dental professional.
The Health Services Dental Program can’t reimburse you for dental services that you paid for yourself. There is no cost to eligible clients for other dental services, with the exception of certain types of fillings.
The New Brunswick Prescription Drug Program (NBPDP) is designed to help those who require assistance with specialty medications, with no other type of health insurance, and Seniors of 65 and older who receive the Federal GIS (Guaranteed Income Supplement). The drugs covered by the program are listed in this formulary, including drugs for treatment of:
Every New Brunswicker who meets the eligibility criteria can enroll in the Drug Plan voluntarily and their premiums depend on their income. The maximum premium is $166.67 per month ($2,000 annually). Those 18 years of age and younger will not pay premiums, but one parent must enroll in the plan.
With this plan, you pay a premium (the amount is based on your yearly income and a 30 percent co-payment up to $30 per prescription.
Drugs and medicines without a Drug Plan or outside of a hospital are not covered by the NB Medicare provincial health plan.
Residents of New Brunswick must inform the NB Medicare if they are leaving the province as a result of the following circumstances:
Prior to your departure, you must inform New Brunswick Medicare by visiting their local SNB office or by calling SNB (Service New Brunswick) at 1-888-762-8600.
If leaving New Brunswick, you are advised to obtain additional insurance coverage to cover the difference that Medicare won't reimburse for.
All eligible students who are in full-time attendance at a recognized University or other educational institution outside the province or country, but normally reside in New Brunswick, receive 12-months of health coverage. They are covered only if they:
New students that come from another Canadian province to New Brunswick and attend school are not eligible for Medicare health coverage.
International students who meet eligibility criteria are eligible to obtain a NB Medicare Health Card. International students who are not eligible for a NB Medicare card are:
Eligible medical institutions where students can receive health care include post-secondary institutions such as community college, university, and private institutions determined by the Department of Post-Secondary Education, Training and Labor.
|X-Rays and Exams||If deemed necessary in a hospital setting.|
|Laser Eye Surgery||No.|
|Breast Reduction||Yes, if deemed necessary by a doctor for medical reasons and with an approval from Medicare.|
|Birth Control (including IUD)||No.|
|Fertility Treatment||Yes, if the services associated with fertility treatment are deemed reasonable and necessary.|
|Podiatrist and Foot Care||No|
|Allergist and Allergy Testing||Yes|
|Sleep Physician and CPAP Machines||Yes|
New Brunswick’s provincial Medicare Health Plan provides New Brunswickers access to basic medical services at no cost. But when it comes to specific services, pre-existing medical conditions, hearing aids, disability insurance and more, the provincial health plan requires additional insurance.
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