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Personal Health Insurance

An affordable way to protect you and your loved ones from costs not covered by government MSP.

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Frequently Asked Questions about Personal Health Insurance

 

Supporting Members affected by wildfires - Frequently Asked Questions

 

  1. What is Extended Health Care coverage?

    Our provincial government health care plans, MSP and PharmaCare, cover only the basic medical needs such as a visit to your physician or hospital care. Extended health care coverage includes medical services and supplies NOT covered by our provincial health care plans.

  2. Why is it important for me to have Extended Health Care coverage?

    It is important for individuals and families to have access to extended health care over and above the provincial government plans. Pacific Blue Cross offers extended health coverage which provides coverage for prescription drugs, specialized health care, vision care, dental and much more.

  3. When should I buy this product?

    The ideal time to buy extended health care coverage is when you and/or your family are healthy. Since most extended health care plans exclude coverage for medical conditions you may already have, you need to obtain coverage prior to the occurrence of any future unforeseen accident or sickness.

  4. Who is eligible for this coverage?

    Our Individual Plans are available to all residents of British Columbia and the Yukon provided the resident is enrolled under the Medical Services Plan of BC, or the Health Care Insurance Plan of the Yukon. Coverage will be available for applicants who are awaiting provincial coverage to begin.

    Policyholders must be at least 19 years of age. For people under age 19 who want to apply for coverage under one of our plans, an adult must be designated as the policyholder.

  5. Where and how can I find more information on extended health coverage?

    Pacific Blue Cross has available coverage for health, dental and emergency medical travel. Contact Pacific Blue Cross for more information or to speak with one of our Service Representatives:

    Individual Plans Sales and Support
    Telephone: 604 419 2000
    Fax: 604 419 2199
    Email: inhealth@pac.bluecross.ca

    Toll-free Outside the Greater Vancouver Area:
    1 800 USE BLUE (1 800 873 2583)

    Mailing Address:
    Pacific Blue Cross
    Individual Plans
    PO Box 7000
    Vancouver, BC V6B 4E1

Our Personal Health Insurance Plans

Health & Dental

Save 10% on your health and prescription drug plans for living a healthy lifestyle

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Dental Only

Affordable coverage when all you need is dental insurance

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Group Conversion

Uninterrupted coverage when leaving an employer-sponsored group plan

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Guaranteed Acceptance

Automatic approval with no medical questionnaire required

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Retirement

Flexible retirement plans with the most choice, flexibility and coverage for British Columbians

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Not sure which plan is right for you? Use our Plan Finder to help you decide

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Looking for other types of coverage?

Travel Medical

Emergency medical coverage for British Columbians taking a trip outside of BC

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Trip Protection

Peace of mind coverage for travel costs related to unexpected cancellations, interruptions and delays

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Critical Illness

Financial support, should a critical illness strike, so you can focus on making a healthy recovery

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Personal Health Insurance - Health & Dental

Our plan consists of a core health plan with prescription drug and dental coverage options so you can choose the coverage you need.

Vision Care
Pacific Blue Cross covers the cost of prescription lenses, frames, contact lenses and laser eye surgery. This is an increasing benefit coverage up to a predetermined maximum.
Registered Therapists and Health Practitioners
Benefits are paid for visits to: naturopaths, massage therapists, physiotherapists, chiropractors, speech pathologists, chiropodists/podiatrists, psychologists, audiologists, acupuncturists, and nutritionists. This is an increasing benefit coverage up to a predetermined maximum.
Hospital Accommodation
Benefits cover the cost for semi-private or private hospital rooms (no age restrictions).
Hospital Daily Cash Benefit
If you are confined to a hospital, we will pay you $20 a day, for up to 90 days, from the 4th day of hospitalization, up to age 65.
Local Ambulance Private
Benefits cover the cost of ambulance fees in emergencies, including air ambulance and Treat No Transport.

Treat-No-Transport are charges for treatment when an ambulance is called to the scene of an accident or place of illness and transportation to hospital is not required.
Duty Care Nursing
Benefits cover the cost for private duty care nursing in your home, provided the nurse is a Registered Nurse(RN) and care begins immediately following the discharge of an acutely ill bed patient from a hospital, up to a predetermined maximum.
Out-Of-Province, In-Canada Travel
Benefits cover 100% of Out-of-Province and In-Canada medical emergency care.
Medical Services and Supplies
Benefits cover supplies and services not covered by PharmaCare up to a predetermined maximum.
Accidental Dental
Benefits cover up to $2,500 per person for accidental damage to natural teeth.
Accidental Death
Benefits cover the principal sum up to $25,000 (under the age of 70).
Final Expenses Benefit
Benefits cover up to $3,000 for each person.
Survivor Benefit
Benefits begin 12 months following approval of application.
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Personal Health Insurance - Group Conversion

Our plan consists of a core health plan with prescription drug and dental coverage options so you can choose the coverage you need.

Vision Care
Pacific Blue Cross covers the cost of prescription lenses, frames, contact lenses and laser eye surgery. This is an increasing benefit coverage up to a predetermined maximum.
Registered Therapists and Health Practitioners
Benefits are paid for visits to: naturopaths, massage therapists, physiotherapists, chiropractors, speech pathologists, chiropodists/podiatrists, psychologists, audiologists, acupuncturists, and nutritionists. This is an increasing benefit coverage up to a predetermined maximum.
Hospital Accommodation
Benefits cover the cost for semi-private or private hospital rooms (no age restrictions).
Local Ambulance Private
Benefits cover the cost of ambulance fees in emergencies, including air ambulance and Treat No Transport.

Treat-No-Transport are charges for treatment when an ambulance is called to the scene of an accident or place of illness and transportation to hospital is not required.
Duty Care Nursing
Benefits cover the cost for private duty care nursing in your home, provided the nurse is a Registered Nurse(RN) and care begins immediately following the discharge of an acutely ill bed patient from a hospital, up to a predetermined maximum.
Out-Of-Province, In-Canada Travel
Benefits cover 100% of Out-of-Province and In-Canada medical emergency care.
Medical Services and Supplies
Benefits cover supplies and services not covered by PharmaCare up to a predetermined maximum.
Accidental Dental
Benefits cover up to $2,500 per person for accidental damage to natural teeth.
Accidental Death
Benefits cover the principal sum up to $25,000 (under the age of 70).
Final Expenses Benefit
Benefits cover up to $3,000 for each person.
Survivor Benefit
Benefits begin 12 months following approval of application.
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Personal Health Insurance - Guaranteed Acceptance

Our plan consists of a core health plan with prescription drug and dental coverage options so you can choose the coverage you need.

Prescription Drugs
Covers up to a maximum of $500 per year.
Registered Therapists and Health Practitioners
Vision Care
Covers the cost of prescription lenses, frames, contact lenses and laser eye surgery up to $100 per person and $30 for Optometrist.
Registered Therapists and Health Practitioners
Covers visits to massage therapists, physiotherapists, chiropractors, naturopaths, chiropodists, podiatrists, osteopaths, speech pathologists, psychologists, registered dieticians and acupuncturists.
Hospital Accommodation
Covers the cost for a semi-private or private hospital room. (After 12 months on the plan.)
Local Ambulance
Coverage for the cost of ambulance. Includes air ambulance and payment for Treat No Transport charges (when an ambulance is called but transport to hospital is not required).
Nursing care
Private duty nursing care in your home with a Registered Nurse, following the discharge of an acutely ill patient from hospital.
Travel Emergency Medical Care
Covers 100% of out-of-province within Canada medical emergency care.
Medical Services and Supplies
Covers items like casts, crutches, oxygen and oxygen supplies, wheelchairs, hearing aids blood pressure monitors and more.
Accidental Dental
Up to $2,500 per person for accidental damage to natural teeth.
Accidental Death and dismemberment
Principal sum up to $25,000 (under the age of 70).
Final Expenses Benefit
Up to $3,000 for each covered person (after 24 months on the plan if death occurs naturally; immediate coverage for accidental death).
Survivor Benefit
No contributions payable by the beneficiary for 12 months (benefit available for the first 12 months following the approval of the application)
Dental
Covers 80% to a maximum of $400 per person per year including diagnostic expenses, preventive and basic restorative treatments, periodontal cleaning and prosthodontic services.
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Personal Health Insurance - Retirement

Step 1: Health

Step 1: Health

 BRONZE SILVER GOLD

Paramedicals

      
Physiotherapists, massage therapists, chiroproactors, chiropodist/podiatrists, naturopaths, acupuncturists, osteopaths $25/visit, 12 visits/yr $400 combined $600 combined
Speech therapists $45/visit, 10 visits/yr $45/visit, 10 visits/yr $45/visit, 10 visits/yr
Psychologists $65/visit, 10 visits/yr $65/visit, 10 visits/yr $65/visit, 10 visits/yr

Vision

      
Prescription eyewear $150 $250 $300
Eye exam $50 $50 $80

Medical equipment

      
Year 1 $1,500 $1,500 $2,500
Year 2+ $1,500 $2,500 $5,000
Hearing aid $300/5 yrs $400/5 yrs $600/5 yrs

Hospital accommodation

      
Hospitalization $125 $200 $250
Day limit 30 days 30 days 30 days

Step 2: Prescriptions

Step 1 Health Choice:

 BRONZE SILVER GOLD

Step 2: Prescriptions

 BRONZE BRONZE OR SILVER SILVER OR GOLD
Dispensing Fee — — $10* $10* $10*
Year 1 $500 $500 $1,000 $1,000 $1,500
Year 2 $500 $500 $2,000 $2,000 $2,500
Year 3+ $500 $500 $3,000 $3,000 $5,000
*Maximum follows BC PharmaCare

Step 3: Dental

Step 3: Dental (optional)

 BRONZE SILVER GOLD

Services

      
Basic 80% 80% 80%
Endodontics — 80% 80%
Major — — 60% after Year 1

Limits

      
Year 1 $500 $600 $1,000
Year 2 $500 $800 $1,250
Year 3+ $500 $1,000 $1,500

Usage

      
Recall Package** Every 9 months Every 9 months Twice per year
** Includes exam, polishing and flouride
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How to claim online

 

Online claiming is the fastest and easiest way to make a claim because you will be able to see right away if your claim has been approved and payment will usually be deposited into your bank account within 48 hours. No more mailing claim forms and waiting for the cheque in the mail.

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