Provincial Health Plans — OHIP, MSP & RAMQ
The three largest provinces each run their own health plans with distinct enrollment requirements. Understanding which province's plan covers you is the first step for any new arrival.
- Ontario — OHIP (Ontario Health Insurance Plan): 3-month waiting period for new residents; register at a ServiceOntario location with proof of status, identity, and Ontario residency
- BC — MSP (Medical Services Plan): 3-month waiting period; administered by Health Insurance BC; premiums eliminated since 2020 — no monthly fees
- Quebec — RAMQ (Régie de l'assurance maladie du Québec): temporary foreign workers may qualify immediately upon receiving a work permit; permanent residents wait 3 months; RAMQ drug insurance is mandatory
- Alberta: no waiting period for eligible temporary workers and PRs — coverage begins on the date you establish residency
- Manitoba and Saskatchewan: 3-month waiting period for new PRs; temporary workers may qualify immediately
- Register for your provincial plan within the first week of arrival; delays can extend the coverage gap
- During the waiting period, purchase private insurance immediately — medical emergencies without coverage can cost CAD 5,000–50,000+
