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Private Plans

The Costs – Premium

Persons insured under a private plan must pay a premium, whether or not they purchase prescription drugs. In most cases, they pay the premium in the form of regular payroll deductions throughout the year.

The amount of the premium is negotiated between the policyholder and the insurer, and the group plan sponsor chooses the insurer.

About income tax returns

When doing their income tax return, taxpayers must indicate whether they were covered during the year by a private plan or by the public plan.

Persons under age 65 who were covered by a private plan during the entire year don't pay the public plan premium. However, those who were covered by a private plan during part of the year must pay the public plan premium for the rest of the year by completing Attachment K of their Québec income tax return.

Persons age 65 or over who are covered by a private plan must pay particular attention when completing their income tax return. Those who have basic coverage (at least equal to public plan coverage) are not required to pay the public plan premium. However, those who have only supplemental coverage are required to have the basic coverage of the public plan and must therefore pay the premium applicable to their situation by completing Attachment K of their Québec income tax return.

Please note

Persons who are eligible for a private plan must join that plan. Those who don't must pay the public plan premium, without being entitled to any of its benefits. Because they are supposed to be covered by the private plan for which they are eligible, they are not allowed to register for the public plan. Similarly, persons who don't register for the public plan even though they are eligible for it must nevertheless pay the public plan premium. In other words, these persons pay a premium but have no coverage. How can they avoid this situation? By registering without delay for the plan for which they are eligible!

 
 
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