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-   -   Canada health system (https://britishexpats.com/forum/canada-56/canada-health-system-805930/)

energysolutions Aug 13th 2013 7:33 pm

Canada health system
 
Apologies if this has been asked a million times before but I cannot get my head around the Canadian health system and what level of cover it offers

I am Edmonton bound very soon and I have been advised by my employer that until I have worked for 350 hours my companies health benefits package will not kick in and as such it would be prudent to have healthcare insurance until this happens

So after 350 hours when my healthcare kicks in it will it be NHS (ie all encompassing) level cover? I`m pretty sure that the company benefits only cover me so where does this leave my wife who (initially at least) wont be working (and as such cant get over the 350 hour threshold)?

I need to get whatever I need soon but it would help if I had some grasp of how the system works

Thanks in advance

YoshiPal2010 Aug 13th 2013 7:41 pm

Re: Canada health system
 

Originally Posted by energysolutions (Post 10849249)
Apologies if this has been asked a million times before but I cannot get my head around the Canadian health system and what level of cover it offers

I am Edmonton bound very soon and I have been advised by my employer that until I have worked for 350 hours my companies health benefits package will not kick in and as such it would be prudent to have healthcare insurance until this happens

So after 350 hours when my healthcare kicks in it will it be NHS (ie all encompassing) level cover? I`m pretty sure that the company benefits only cover me so where does this leave my wife who (initially at least) wont be working (and as such cant get over the 350 hour threshold)?

I need to get whatever I need soon but it would help if I had some grasp of how the system works

Thanks in advance

In Alberta, you are covered for public health care on the day you arrive (or least from the time you register for it). However, it doesn't seem to be so all-encompassing as the NHS in Britain e.g. it does not cover prescription medicines. Others will no doubt be along shortly, to give you more information. Your health benefits package covers things like eye exams, dental and things that the public system doesn't cover. Seems a bit shitty, though, that you wont be covered until 350 hours have been worked. Both my wife and I have been covered from day one at our employers (oil and gas, local education board and the Calgary Stampede).

dbd33 Aug 13th 2013 7:43 pm

Re: Canada health system
 
There's no Canada health system. There are provincial systems that conform to federally set standards, the employer's scheme is on top of the provinical system and will cover drugs and dental (to some degree), items not covered by the provincial plan. The provincial plan will cover essentials but it too may have a waiting period. I expect this is all covered in the wiki.

energysolutions Aug 13th 2013 7:53 pm

Re: Canada health system
 
Thanks for that, it pretty much confirms what I have just read on the Wiki articles about the Alberta health care system

So, essentially, both of us can register with the Alberta health care insurance plan (which is free of charge) from day one and it (pretty much) offers the same level of cover as I have been used to with the NHS (ie no dental etc)?

Regarding dental, is it better to pay for insurance that covers it or (like the UK) can you simply "pay as you go" depending on what is required at each appointment? Whats the general consensus?

energysolutions Aug 13th 2013 7:56 pm

Re: Canada health system
 

Originally Posted by dbd33 (Post 10849261)
There's no Canada health system. There are provincial systems that conform to federally set standards, the employer's scheme is on top of the provinical system and will cover drugs and dental (to some degree), items not covered by the provincial plan. The provincial plan will cover essentials but it too may have a waiting period. I expect this is all covered in the wiki.

Not in Alberta it seems (thankfully!)

International relocation

If you arrive from outside of Canada and take up residence in Alberta, you and your dependants are eligible for enrollment with the Alberta Health Care Insurance Plan from Day 1.

In order to qualify, you have to be:

legally entitled to reside in Canada (e.g., Canadian citizen, permanent resident, work permit holder, study permit holder)

a resident of Alberta

physically present in Alberta for 183 days of each year (some exceptions are permitted, e.g., when people's work requires extensive out-of-province travel)
a bona fide resident and not a visitor

scrubbedexpat091 Aug 13th 2013 8:58 pm

Re: Canada health system
 

Originally Posted by energysolutions (Post 10849273)
Thanks for that, it pretty much confirms what I have just read on the Wiki articles about the Alberta health care system

So, essentially, both of us can register with the Alberta health care insurance plan (which is free of charge) from day one and it (pretty much) offers the same level of cover as I have been used to with the NHS (ie no dental etc)?

Regarding dental, is it better to pay for insurance that covers it or (like the UK) can you simply "pay as you go" depending on what is required at each appointment? Whats the general consensus?

Prices for dental vary greatly across Canada, Alberta has some of the highest prices. There is no government imposed pricing controls on dental work. Many Canadians without good dental insurance, just go without dental care on a regular basis.

Insurance varies from really crappy and not worth it, to not bad, all depends on your individual policy.

JonboyE Aug 13th 2013 9:08 pm

Re: Canada health system
 

Originally Posted by energysolutions (Post 10849273)
Thanks for that, it pretty much confirms what I have just read on the Wiki articles about the Alberta health care system

So, essentially, both of us can register with the Alberta health care insurance plan (which is free of charge) from day one and it (pretty much) offers the same level of cover as I have been used to with the NHS (ie no dental etc)?

Regarding dental, is it better to pay for insurance that covers it or (like the UK) can you simply "pay as you go" depending on what is required at each appointment? Whats the general consensus?

Pay as you go is very common. If it is just to cover the period until the employer's scheme kicks in this is the way to go.

Long-term, if you don't have an employer's scheme you will be better off self-insuring for dental. Insured schemes cover a limited amount of treatment and the insurers are in it to make a profit. They aim to pay out around 65% of what you pay in premiums. It is only worthwhile as part of an employer's group scheme as the employer will be paying, at a minimum, 50% of the premiums.

When I became self-employed 5 years ago I decided to put $150 month in a savings account. This was 2/3rds of the cheapest private extended health insurer I could find. Al our medical and dental expenses are paid from this account. It currently has a balance of over $6,000.

energysolutions Aug 13th 2013 9:25 pm

Re: Canada health system
 

Originally Posted by JonboyE (Post 10849410)
Pay as you go is very common. If it is just to cover the period until the employer's scheme kicks in this is the way to go.

Long-term, if you don't have an employer's scheme you will be better off self-insuring for dental. Insured schemes cover a limited amount of treatment and the insurers are in it to make a profit. They aim to pay out around 65% of what you pay in premiums. It is only worthwhile as part of an employer's group scheme as the employer will be paying, at a minimum, 50% of the premiums.

When I became self-employed 5 years ago I decided to put $150 month in a savings account. This was 2/3rds of the cheapest private extended health insurer I could find. Al our medical and dental expenses are paid from this account. It currently has a balance of over $6,000.

Cheers Jon

Interesting advice, my scenario is a bit unusual in that I will be covered (albeit after an initial deferral period) by my employer so I`m good but my wife isnt included in such a plan (I intend to double check that when landed) so we need a strategy in place for her and your PAYG idea is what I was leaning towards

I might take a leaf out of your book and tuck a little away into a separate account each month for when the time comes

JonboyE Aug 13th 2013 9:47 pm

Re: Canada health system
 

Originally Posted by energysolutions (Post 10849435)
(I intend to double check that when landed)

Definitly worth checking as most scheme cover spouse and dependents.

Almost Canadian Aug 13th 2013 9:58 pm

Re: Canada health system
 

Originally Posted by JonboyE (Post 10849410)
When I became self-employed 5 years ago I decided to put $150 month in a savings account. This was 2/3rds of the cheapest private extended health insurer I could find. Al our medical and dental expenses are paid from this account. It currently has a balance of over $6,000.

No kiddies?:p

JonboyE Aug 13th 2013 10:19 pm

Re: Canada health system
 
All the expensive work was done beforehand.

MillieF Aug 13th 2013 11:24 pm

Re: Canada health system
 

Originally Posted by energysolutions (Post 10849435)
Cheers Jon

Interesting advice, my scenario is a bit unusual in that I will be covered (albeit after an initial deferral period) by my employer so I`m good but my wife isnt included in such a plan (I intend to double check that when landed) so we need a strategy in place for her and your PAYG idea is what I was leaning towards

I might take a leaf out of your book and tuck a little away into a separate account each month for when the time comes

Will your company let you pay from your salary to cover your wife too? I asked my company and they now deduct coverage from my salary for my husband and son, this is with Blue Cross.

energysolutions Aug 13th 2013 11:34 pm

Re: Canada health system
 

Originally Posted by MillieF (Post 10849539)
Will your company let you pay from your salary to cover your wife too? I asked my company and they now deduct coverage from my salary for my husband and son, this is with Blue Cross.

If the cover isn't automatically included for my wife I will ask, they've been pretty helpful so far

shunter1977 Aug 14th 2013 12:19 am

Re: Canada health system
 
The NHS I believe will give you up to three months of prescription drugs to cover you when you leave the UK they certainly did for us. As has been said in Alberta you will be covered by Alberta health care from the minute you land check out the link http://http://www.health.alberta.ca/...s-covered.html . The insurance plan I am in at work covers myself my wife and the two kids, I started paying it immediately but couldn't use it for the first three months. I believe this is relatively standard we foolishly paid for an insurance policy from the UK before we came not realizing we didn't need it.

Atlantic Xpat Aug 14th 2013 1:15 am

Re: Canada health system
 

Originally Posted by JonboyE (Post 10849460)
Definitly worth checking as most scheme cover spouse and dependents.

+1 on that. I've had coverage through employers from Blue Cross, Great West Life & Manulife and all offer coverage for spouse and dependents.


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