Health Insurance Plans

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Learn About Prince Edward Island Health Insurance Plan

Prince Edward Island is the least populated province in Canada and also the smallest by land area. It has a population of about 142,907 residents according to the 2016 population estimate. The island became a British Colony in the 1700s and then a province in 1873, making it the seventh province in Canada. It is actually one of Canada’s older settlements, reflecting older immigrations.

Prince Edward Islanders are primarily farmers. The island produces up to 25% of the potatoes in Canada. It also has luxuriant agricultural lands and pastoral scenery; these features have earned it the name “Garden of the Gulf”.

Health statistics in Prince Edward Island (PEI) show that 11.9% of the residents have repeat hospital stays for mental illness as compared to 12.1% for the rest of Canada.

To learn more about healthcare in Prince Edward Island, click here.

What Does the Provincial Plan Not Cover?

With the Health PEI, residents of PEI could obtain basic and medically necessary health insurance services in any of the hospitals in the province. The services include medical services, home care services, hospital services, and drug program. However, some services are not covered by the plan, these include:

  • Immunizations and examinations required by third parties.
  • Services not considered as medical necessities such as cosmetic surgeries.
  • Services of professionals such as acupuncturists, massage therapists, osteopaths, dieticians, homeopaths, audiologists, chiropractors, podiatrists, naturopaths, etc.
  • Private and semi-private hospital rooms;

To learn more about supplemental health insurance companies and products in Prince Edward Island, click here.

Optometric Services Not Covered by the Provincial Plan

Health PEI does not cover services rendered by optometrists. It also does not cover eye glasses and lenses.

To get vision care quote, click here

Prescription Drugs Not Covered by Provincial Plan

Health PEI has a very comprehensive drug program. You are eligible for either partial or full coverage in PEI drug program if you are a senior, meet the financial criteria, and/or have a specific disease as described by the program. You may not qualify for the program if you already have a private drug insurance.

To get a prescription drug quote click here.

Dental Coverage Not Covered by Provincial Plan

Medically required dental services are covered by Health PEI. It is also required for the procedure to be carried out in a hospital and prior approval is needed. The following dental services are not covered under the provincial plan.

  • Dental extractions unless the patient is required to be in a hospital and there is prior approval.
  • Routine dental services such as extractions, cleanings, examinations, and fillings; unless they are medically necessary and carried out in a hospital.

To get dental coverage quote click here.

Prince Edward Island News on Health Issue

 

As a result of the outage at the telecommunications center, there is a temporary disruption of the 8-1-1 telehealth service. However, Health PEI is working to ensure that the telehealth service will be reestablished as soon as possible.

Also, residents with urgent medical needs are advised to call 9-1-1 or visit the nearest emergency department for health issues like unusual shortness of breath, discomfort or tightness, abdominal pain, etc.

To learn more about health issues in Prince Edward Island, click here.

Health Statistics in PEI

Prince Edward Island has a high cost of a standard hospital stay when compared to Canada in general. A statistics on the cost of a standard hospital stay in 2016-2017 showed $6,356 for PEI and $5992 for the rest of Canada.

For more about the statistics on Prince Edward Island, click here

Health PEI FAQ

How long does it take to process my Health PEI application?

It can take up to two or three weeks to process your application.

How long is the Health PEI Card valid?

The Health PEI card is valid for 5 years. This means that you will be required to renew your health card every five years. The renewal notification will be mailed to your address about two months before the expiry date.

What happens if I leave PEI permanently?

It is required that you notify Health PEI before you leave the province permanently. To avoid coverage interruption, ensure that you register in your new province within 30 days. However, if you moved to a new Canadian province, your coverage will still be valid up to the last day of the second month you arrived at the new province.

Is there any fee for card replacement?

Yes. If you lose or damage your card, you will be required to pay $10 for each replacement card and up to a maximum of $50 for a household.

What supporting documents do I need to register for Health PEI?

You need to upload documents showing you are a Canada citizen, a permanent resident, an international student or a working visa.

To learn more about Health PEI, click here.

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