Before We Start

  
  
  

Health and Dental Plan

Our Health and Dental plan protects you from expenses not covered by your government health plan.
Step 1: Health
Your coverage defined
Learn more about benefits included in your health plan.
Select coverage will vary based on the plan level selected.

Your options
Choose from Bronze, Silver, or Gold.
Step 1: Health
Lifetime maximum $375,000 $500,000 Unlimited
Health co-insurance 80%
Prescription drugs $5,000 Limited
70% or 80%*
$5 dispensing fee
$10,000 Limited
70% or 90%*
$10 dispensing fee
Unlimited
80% or 90%*
$10 dispensing fee
Practitioner services $30/visit
$400 per
practitioner/year
$40/visit
$600 per practitioner/year
$50/visit
$800 per practitioner/year
Mental wellness $750 combined $750 combined $1,500 combined
Vision care
6 month waiting period
$250 / person every 2 years
$60 eye exam
$300 / person every 2 years
$80 eye exam
$400 / person every 2 years
$80 eye exam
Hearing aids
3 month waiting period
$300
Every 4 years
$400
Every 4 years
$600
Every 4 years
Family Planning Benefit
1 year waiting period
N/A N/A $5,000**/family/year - fertility drugs
$5,000**/family/year - fertility treatment & adoption
* Maximum coverage limits apply at Preferred Pharmacy Network (PPN) providers only. For a list of PPN providers visit pac.bluecross.ca/PPN.
** If per your agreement infertility is deemed to be a pre-existing condition then this benefit will reduce to a combined lifetime maximum of $2,000 for fertility drugs, fertility treatment and adoption.

Step 2: Dental
Boost your personal health plan by adding optional dental coverage.

Boost your personal health plan by adding dental coverage.

Boost your personal health plan by adding dental coverage.

Learn more about the benefits included in your dental plan. Your coverage will vary based on the plan level selected.

Your options
Add on optional Bronze dental.
To upgrade to Silver or Gold dental, select a Silver or Gold health plan.
Step 2: Dental

BASIC AND ROUTINE SERVICES

Waiting period 3 months
Recall 9 months
Year 1 70%, $500
Year 2 80%, $700
Year 3+ 80%, $900

MAJOR SERVICES DENTURES and ORTHODONTICS

Waiting period X
Year 1 X
Year 2 X
Year 3+ X
1Combined annual maximum for all dental services.
2$2,000 orthodontic lifetime maximum/person. Gold orthodontics coverage is for children and adults.
Value adds
All of our Personal Health and Dental plans also include the following:

Before beginning your application

For BlueChoice, You will require the following information for each person to be included on the application:

  • Care Card number
  • Doctor's and / or Practitioner’s name and contact information
  • Height, weight and date of birth
  • Name and dosage of any prescription drugs being taken currently or in the recent past
  • Medical conditions or injuries under active treatment currently or in the recent past
  • Credit card or bank information for premium payment

Please allow sufficient time to complete the application. You cannot stop part way and return to it at a later time. Average completion time is 20-30 minutes.

If any of the following is true, you cannot proceed with an online submission:

  • You require coverage to begin later than the first of the month following submission
  • You require coverage for a dependent who is physically or mentally handicapped

Instead, please submit a paper application


Medical Declaration

All questions must be completed in full. Based on your family’s history coverage may be declined or modified to exclude certain conditions or may be given a higher premium. Expenses incurred as a result of current or past conditions may not be covered unless specified in the agreement letter. Additional information may be requested to underwrite your application.

Review and Confirm your Application

Who will be covered

Name Care Card Age Gender Ht Wt
undefined undefined 0 cm in kg

Mailing Address





Phone and Email




Beneficiaries for undefined undefined

No beneficiaries specified. Applicable benefits will be paid to estate in the event of death.

Medical Declaration

You have declared that you and your dependents to be covered on this plan have no physical impairments, disease or disorders

Payment Options

Please select your payment method below. Following approval of your application, your coverage premiums will be withdrawn per the payment method option you select below.

Who will be paying for this?


Thank You

Thank you for applying for coverage with Pacific Blue Cross. You will receive a confirmation email shortly.

Plan Purchased:
Confirmation Number
Effective Date of Coverage
(Effective Date is subject to change following Medical Underwriting review)
Get copy of submitted application*
*This will not be included in the confirmation email.
You cannot access this information again once you leave this page.

What happens next?

Your application will be reviewed by our team. Depending on the type of Personal Health Insurance Plan you applied for, your application will proceed as follows:

  • Your application will be enrolled without any additional information, or
  • You will receive a Personal Health Insurance Plan Offer Agreement letter outlining any underwriting decisions that relate to your coverage. This letter needs to be signed and returned to our office within 30 days of receipt in order to complete the enrolment process. Please allow 5-7 business days for mail delivery and processing.

Once enrolment is complete, payment will be processed, and your Welcome Package containing your Pacific Blue Cross Identification Cards, Contract Letter and detailed Contract Booklet will be mailed to you.

We encourage you to review the information to ensure accuracy and understanding. Please call our customer service team if you require further assistance.

Business Hours Monday to Friday,
8:00am - 4:30pm (Pacific)
Local: 604 419-2000
Toll Free (within BC only): 1 877 PAC-BLUE (1 877 722-2583)
Email inhealth@pac.bluecross.ca

Thank you,

Pacific Blue Cross
Individual Plans Department