Navigating Health Insurance: A Comprehensive Guide for Canadians

1. Understanding Health Insurance Coverage

The Meyers’ Situation:

  • Covered by Nova Scotia’s health care plan for necessary medical services within provincial limits.
  • Gigi’s hospital stay in Seattle not covered unless she had travel insurance.
  • Marni needs an extended health care plan that suits their family’s needs.
  • Meyers considering private health insurance to cover additional costs not covered by the province.

Emergency Travel Health Insurance:

  • Marni’s provincial health plan does not cover 100% of emergency medical costs in Nepal.

Travel Insurance Coverage:

  • Revolutionary laser eye treatment in Nepal likely not covered.

2. Health Insurance for Travelers

Connie and Marty’s Situation:

  • Not required to visit doctors for health insurance or passport renewal.
  • Advice from heart specialist over the phone.
  • Connie wants to live near grandchildren.
  • Marty and Connie automatically covered by new province’s health care plan after three months of residency.

Health Insurance Plans:

  • Some people opt out of provincial plans for private health insurance.
  • Critical care provision provides a lump-sum cash payment.
  • Coverage for anesthesia costs.

Marty’s Concerns:

  • Understanding how different health insurance plans work together.
  • Bewildered by the array of health insurance plan options.
  • Ensuring competent care in case of a heart condition recurrence in Florida.

Ivor’s Medical Expenses:

  • Presented itemized receipts for medical expenses in Florida.
  • May be eligible for reimbursement of painkiller costs.

3. Health Insurance and Taxes

Marty’s Tax Return:

  • Premiums for provincial health care plan not eligible for federal tax credit.

4. Government Health Care

Canada Health Act Principles:

  • Accountability is not a principle of the Canada Health Act.

Residency Requirements:

  • Clients moving between provinces should register immediately with the new province’s health care plan.

5. Financing Medical Procedures

Jackie’s Facelift:

  • Using personal savings is the most suitable financing method.

6. Medical Expense Tax Credit

Misha’s Tax Return:

  • Premiums paid to government health insurance plans are not eligible for the federal medical expense tax credit.

7. Travel for Medical Treatment

Jed’s Surgery:

  • Can only claim travel costs to the U.S. if the treatment is not available elsewhere in Canada.

8. Long-Term Care Insurance

Bruce’s Eligibility:

  • Frequent and serious memory loss qualifies him for benefits.