Health & Dental Insurance

Are you in need of a reliable way to protect your family against the unexpected of what bad health has to bring? Are self-employed or in a company that doesn’t provide insurance for its employees? Or do you just want to secure your family with a reliable and individual policy? We present to you the best of health insurance policies that care about your welfare.

Health insurance is an asset because it has cash value and benefits when you need them.

What is Health Insurance?

Health insurance provides medical and surgical expenses incurred by a given policyholder as defined by the chosen policy. Most employers include it in their packages with the premiums partially shared by both the employer and the employee.

Who should apply for Health Insurance?

  • Those who don’t have any form of insurance
  • Those who need to replace the previous coverage
  • Those whose group insurance has expired and they need individual insurance

What are the advantages of Health Insurance?

  • Provides insurance cover against medical expenses
  • Provides coverage against critical diseases
  • The benefit of cashless claim
  • Availability of extra protection above the normal policyholder’s cover
  • Availability of tax benefits

Types of Health Insurance Plans

Provides healthcare services through a franchise of healthcare providers and facilities. It is characterized by the freedom to choosing healthcare providers, less paperwork and primary care doctors. The policyholder should pay premiums, deductibles, and co-pay.

Only allowed to see doctors within the network

With PPO, the policyholder gets a controlled choice of the healthcare provider, higher out of pocket costs, and a lot of paperwork.

You can visit out of network doctors at extra costs.

The policyholder pays premiums, deductibles, and co-pay as well as incurred costs throughout the network doctors.

Paperwork determined by the type of network doctor.

The policyholder has controlled freedom to choose there, lacks coverage for out of the network providers, and pays extremely lower premiums.

The policyholder pays premiums, deductibles, and co-pay as well as incurred costs throughout the network doctors. There is almost zero paperwork.

Characterized by more freedom to choose healthcare providers, moderate amount of paperwork, and a primary doctor. Policyholder holders are allowed to see other doctors through references but out of the network, the doctor will overcharge.

Payments involved include premium, deductible, and co-pays.

Designed for under 30 policyholders with a plan that has lower premiums, 3 primary care visits before the onset of deductibles, and free preventive care.

You are allowed to see any doctor within the network and outside on your own expenses. The insurer pays premiums and deductibles.

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FAQs

Is there a national health insurance plan for the Canadians?

Canada does not have a single national health care plan for its citizens. The available national health insurance program is multifaceted and consists of thirteen interlocking provincial and territorial health insurance plans. All these plans are united by common characteristics that form the basis of basic standard coverage. The national health insurance program under the Canada Health Act has been designed to ensure the accessibility of medical services to all Canadians.

Who is eligible for health care in Canada?

Being a residence in any Canadian province or territory is the basic requirement for provincial/territorial health insurance coverage. Each province and territory determines their minimum residence requirements an individual has to meet in order to qualify for benefits under its health insurance plan. The Canada Health Act does not give direct conditions to be followed by territories apart from the limits on the waiting periods and entitlement to insured health services.

Do you need health insurance in Canada?

Canada’s healthcare system pays for a larger percentage of healthcare services, including basic medication, doctor visits, and emergency care. Every Canadian is qualified to receive this coverage through their province as a Canadian citizen or permanent resident. But this doesn’t mean that the government takes care of all your medical bills. Some of the medical expenses that you will have to take care of from your pocket include prescription medications, dental care, physiotherapy, ambulance services, and prescription eyeglasses. And this is why you need private health insurance.

What's the average cost of private health insurance?

According to a report that was compiled in 2017, Canadians pay $902 in out-of-pocket health and $756 in private health insurance per year on average to cover for their health. This works out to $75.17 and $63 per month, respectively.

The average Canadian household spends $2000 on health care costs and $4000 on private insurance premiums. 65% of Canadians have some form of private health insurance most often provided through their employers.

How many health insurance plans are there in Canada?

Canada’s health care system consists of 13 provincial and territorial health insurance plans that provide universal health care coverage to Canadian citizens, permanent residents, and certain temporary residents.

What should I do in the event that I change my address or lose my health card?

The federal government through the provinces and territories are responsible for all the administration duties involving health insurance plans. These duties include all the services that deal with issuing, canceling, or renewing of health cards. In the event that you require your health insurance plan details updated, it is advisable to communicate with your provincial/territorial Ministry of Health.

Are health insurance premiums tax-deductible in Canada?

Yes, premiums you pay to private health care are tax-deductible. For more information on this, talk to your health insurance provider.

What health care services are insured by the provinces and territories?

Yes, premiums you pay to private health care are tax-deductible. For more information on this, talk to your health inProvincial and territorial health insurance plans are required to provide health insurance services that cover hospital services for in-patients or/and out-patients should the services be a necessity in health maintenance, prevention of diseases or diagnosing or treating injury, illness, or disability. They are also responsible for providing cover for medically required physician services provided by medical practitioners.

Sometimes the provinces and territories provide “additional benefits” as per the stated health insurance plans which often target a specific population group. These groups can be comprised of children, seniors, or social assistance recipients, and the benefits may be partial or full. The services differ as per the provinces and territories and may include prescription drugs, dental care, optometric, chiropractic, and ambulance services.