Each time you visit a medical institution or undertake medical treatment or testing at a publicly funded facility in the territory, you'll be required to produce a PEI Health Card. If you do not have a binding card, you'll be billed for physician and hospital services.
The card is valid for 5 years from the issue date. It contains your 8-digit PHN (Personal Health Number) and personal information such as an address, gender, birth date, name, and the card's expiry date.
A renewed provincial health care card PEI also contains your intention for tissue and organ donation and preferred language for health or medical services.
A pharmacist requires a PEI Health Card to record certain prescription medications in the PDIS (PEI Drug Information System). PEI Health Card does not cover prescription drugs generally.
Nonetheless, senior citizens that meet certain financial requirements or with certain diseases might be eligible for partial or full coverage. Here are some of the available drug programs;
Post-secondary international students can apply for a PEI Health Card by submitting the following documents;
Note: It is important to note that PEI Medicare doesn't authorise acceptance letters, student ID cards, or tuition cost forms
International student spouses might apply for PEI Health Card by submitting these documents;
Dependent children of international students might also be eligible by providing these documents;
Visitor permit or study permit
Note: PEI Medicare might request proof of residency if applicable for instance enrollment letter from the school, lease/rental agreement, etc.
If you temporarily leave the territory for one reason or another, the PEI Health Card will cover you for sudden illness or emergency health care services. It is strongly recommended to have additional private insurance for purposes of health coverage when outside Canada.
Take note of the following out-of-province situations that might apply to your case;
Applying for a PEI Health Card is a seamless process. The card is issued to all residents. You're considered a resident of Prince Edward Island if;
To apply for the PEI Health Plan, you need to be present physically in PEI.
To apply offline in person, you need to download, complete and submit the PEI Health Card application. The required documentation should be sent to any of these locations;
Online application just like offline, is a seamless process >> Apply for PEI Health Card online. If you have all the necessary supporting documents, it is possible to complete the online application form within 15 minutes. It all depends on the number of members in your household you want to include in the form.
Properly completed and accompanied applications are normally assessed within 2 weeks. Your application is processed immediately and it is accepted for coverage. Allow an extra three weeks for application processing.
When making an application for the PEI Health Card, you can register a spouse and up to 7 dependent children under 18 years and residing with you. For every individual you register, you'll need to complete all the necessary identification fields and either decline or accept with their consent to be a tissue and organ donor.
During the application process, you'll be required to upload copies of supporting forms and documentation for every individual listed on the application. Some of the forms and documentation needed include;
Note: 18 years is the age of majority in PEI.
The PEI Health Card is operational or valid for 5 years. Roughly two or so months before the card expires, you'll receive a notice of renewal that contains all the necessary validation information. The information will be mailed to the address you provided to PEI Medicare.
Note: Always ensure that PEI Medicare has your current contact and address information. In case of any changes in your contact or address, call 1-800-321-5492.
To renew your PEI Health Card, you need to complete and return a paper form included in your renewal letter if there's a major change of information on one or more cards that are registered to your household. For instance,
You can renew your PEI Health Card if you're reporting a minor change or no change of information such as;
To renew your PEI Health Card, you'll need the following;
If you're an international student and intend to renew your health card, you need to provide a copy of your present health card, a copy of existing proof of enrollment, and a copy of your new study permit, that is, if applicable. Be sure to note any changes in your phone number or address.
If you're a Work Permit holder and desire to renew your PEI Health Card, you need to submit a copy of the new Work Permit and current health card copy. Be sure to note any changes in your phone number or address.
If you don't want to do your renewal online, you can send all the necessary documents via mail:
Is your PEI Health Card stolen or lost? If yes, replacement, which is a breeze, is necessary. You have to part with a replacement fee of $10 per card. The household maximum is $50.
If you have changed your name or you received a card with incorrect information, you'll not be charged for the replacement card.
For card replacement, you need to download and print a Request for a Replacement Health Card. Once you've done that, send the completed form with a money order or cheque payable to Health PEI to the PEI Medicare.
Alternatively, you can request a replacement card and issue payment at any Access PEI Centre location.
Do you need to update your telephone number or address; you can do so by notifying PEI Medicare at 1-800-321-5492.
The PEI Health Card covers or caters to the cost of many medically necessary services. Some of the medical and hospital services that the card covers include;
If you aren't feeling well and can't wait for an appointment with a doctor or nurse practitioner, you can step into a walk-in clinic that provides non-urgent care after hours.
Generally, some examples of medical and hospital services not covered by the PEI Health Card include;
In general, ambulance services aren't covered. Nonetheless, they're subsidised for PEI residents in certain situations.