For Whom? – Children
Children whose parents are covered
by the public plan benefit from their
parents' coverage until their 18th birthday,
at which time the Régie de l'assurance maladie du
Québec automatically terminates
their coverage.
Children whose parents are covered by the public plan benefit from their parents' coverage, unless they are eligible for a private plan on their own.
Children are covered by the Régie until their 18th birthday if the father and mother are both eligible for the public plan, whether or not they share the same domicile.
Age 18 to 25
From age 18 to 25 inclusive,
children may remain covered by the public plan
through their parents if they meet
the following conditions:
- they are full-time students;
- they do not have a spouse;
- they are domiciled with their parents.
In such cases, the parents must contact the Régie and ask to have
their child's
coverage extended. The Régie checks to make sure the child
is indeed a full-time student.
The Régie may request proof of school attendance issued by an educational institution recognized by the ministère de l'Éducation, du Loisir et du Sport. Such proof must show the child's identity, indicate the period of studies and confirm that the studies are full-time.
If, between ages 18 and 25, the
child ceases to meet either of the
above conditions, the child or the child's
parents must notify the Régie so
that the child's coverage can be
terminated.
Exception to the rule
Full-time students age 18 to 25 who
do not have a spouse and who are
eligible for a private plan (for
example, through employment held
while attending school) may no
longer benefit from their parents'
public plan coverage. This is
because persons who become eligible
for a private plan must immediately
join that plan. In such cases, the
parents or the child must contact
the Régie to
cancel the child's
public plan registration.
Age 26
When children who are covered by their parents'
plan turn 26, the Régie
automatically terminates their
coverage.
Children who cease to be covered by
their parents' plan
(at age 18, age 26, or between these
ages)
Children who cease to be covered by
the public plan through their parents must determine
whether they are eligible for a
private plan. If they are, they must
join that plan. If they are not,
they themselves must
register for
the public plan, in which case they
will no longer be registered as a
child of an insured person, but
rather as an adult.