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Temporary Absence from British Columbia
You may be eligible to receive coverage for up to 24 months during a temporary absence from B.C. Approval is limited to once in five years for absences that exceed six months in a calendar year.
Residents who spend part of every year outside B.C. must be physically present in Canada at least six months in a calendar year and continue to maintain their home in B.C. in order to retain coverage. If you are unsure whether you will qualify for coverage during an absence or know your eligibility will end, contact MSP with details.
When you stay outside B.C. longer than the period for which you are entitled to coverage, you will be required to fulfill a waiting period upon return to the province before coverage can be renewed.
You should be aware that your provincial coverage may not pay for all the health care costs you may incur outside the province, and the difference can be substantial. For example, B.C. pays $75 (Cdn) a day for emergency in-patient hospital care, while the average cost in the U.S. often exceeds $1000 (US) a day, and can be as high as $10,000 (US) a day in intensive care. For this reason, you are strongly advised to purchase additional health insurance from a private insurer before you leave the province, whether you are going to another part of Canada or outside the country - even if you plan to be away for only a day. See Medical Care Outside B.C. for more information.
Medical Care Outside British Columbia
If you are eligible for coverage while temporarily absent from B.C. (see Temporary Absence from B.C.), MSP will help pay for unexpected medical services you receive anywhere in the world, provided the services are medically required, rendered by a licensed physician and normally insured by MSP. Reimbursement is made in Canadian funds and does not exceed the amount payable had the same services been performed in B.C. Any excess cost is the responsibility of the beneficiary.
MSP does not cover the services of health care providers other than physicians (e.g. chiropractors or physical therapists) outside the province. Similarly, PharmaCare does not provide coverage for prescription drugs or medical supplies when obtained outside B.C. (see PharmaCare Plans and What is not covered by PharmaCare?).
It is also important to be aware that the Ministry of Health does not subsidize fees charged for ambulance service obtained outside B.C. If you require ambulance service while in another province or outside Canada, you will charged the fees established by the out-of-province ambulance service provider. Fees range from several hundred to several thousand dollars. When purchasing additional out-of-province insurance, you are advised to obtain insurance that will cover emergency transportation while you are away and, if necessary, the cost of transportation back to B.C.
Out of Province Emergency Medical Care
Most physicians in other Canadian provinces and territories (except Quebec) will bill their own provincial health plan for services provided if you present your valid B.C. CareCard. The provinces recover the funding monthly between each other.
When travelling in Quebec or outside of Canada, you will probably be required to pay for your medical services and seek reimbursement later from MSP (use an Out of Country Claim Form).
B.C. residents are strongly advised to purchase additional health insurance when travelling to other Canadian provinces to cover the cost of services not included in the reciprocal agreement between provinces.
Out of Country Emergency Medical Care
The cost of medical care outside Canada can be much higher than the amounts payable by MSP and extended health care plans. For complete protection, additional medical insurance should be purchased from a private insurance company, even if you only plan to leave the country for a day. Check the exclusions and limitations of your private insurance policy carefully to ensure that the policy meets your personal needs.
If you have extended health benefits through your employer you should contact them to determine the policy provisions prior to purchasing additional medical insurance.
When you receive medical services outside Canada (or in some instances outside B.C.), you will need to claim reimbursement from MSP using an Out of Country Claim Form (if you cannot print this form, see MSP Forms for other ways to obtain one). The completed form should be returned with:
an itemized account, including the dates of service and details of services performed, and
either the unpaid bills or the original receipts if the bills have been paid.
Note: Out of Country claims must be submitted within 90 days of the date of service. In-patient hospital claims (and any associated medical claims) must be submitted within six months of discharge.
Payment for physician services will be issued in Canadian funds only and will be paid at the same rate that would have been paid if the services were received in B.C.
Seeking Elective (Non-Emergency) Medical Care Outside Canada
If you leave Canada specifically to obtain medical or hospital care (and you would like to have your provincial coverage help pay for it), the medical specialist looking after your care in B.C. must write to MSP and provide information regarding the medical necessity for a referral outside of Canada. The specialist needs to provide information about what other treatment options have been explored elsewhere in B.C. and/or Canada. In cases where cancer is the diagnosis or treatment involves radiation or chemotherapy, MSP requires a recommendation from the B.C. Cancer Agency.
Treatment which is considered to be experimental or still in the developmental (research) stage is not eligible for coverage.
Note: If you do not obtain MSP approval for elective out of country medical care, all costs for services received outside Canada will be your personal responsibility. Travel and accommodation costs are not eligible for coverage.
For additional information see MSP's Out of Province and Out of Country Medical Care Guidelines for Funding Approval (PDF 66Kb).
https://www.healthservices.gov.bc.ca/msp/infoben/leavingbc.html