Eligibility
Those persons who may be insured under the plan are determined by the Health Insurance Act
and the Regulation respecting eligibility and registration of persons in respect of the Régie de l'assurance maladie du Québec.
Since November 1, 1970, coverage under the Health Insurance Plan has been compulsory for every resident or temporary resident of Québec who fulfills the conditions provided for by law.
Persons taking up residence in Québec
If you are arriving from another province to take up residence in Québec, you become eligible for the Québec Health Insurance Plan when you cease to be covered by the plan of your province of origin. For as long as you remain covered by the health insurance plan of your former province, you must present your health insurance card of that province when receiving healthcare from a doctor in Québec. The health insurance plan of your former province will cover the cost. However, if the Québec doctor does not accept that card, you will have to pay the doctor's fee and then apply for a refund with the organization administering the health insurance plan of your province of origin. Usually, coverage under the Québec plan begins on the first day of the third month following the month of arrival in Québec.
Generally speaking, if you arrive in Québec from outside Canada, even if you are a Canadian citizen, you will be eligible for the Québec Health Insurance Plan after a waiting period of up to 3 months following your registration. Apart from certain exceptions, the Régie does not reimburse the cost of the healthcare received during the waiting period.
Persons in Québec temporarily
Depending on the document that authorizes them to be in Québec and the duration of their stay, persons from outside Canada who are temporarily residing in Québec may qualify for coverage. They are:
- temporary or seasonal workers
- holders of a study or training scholarship within the scope of an official program of the Ministère de l'Éducation et de l’Enseignement supérieur
- the spouse Spouse
Two persons (of the opposite sex or the same sex) are considered spouses if they are: (1) married and have entered into a civil union (2) have been living together for 12 months (separations of less than 90 days do not interrupt the 12-month period) (3) are living together (regardless of for how long) and together have had or have adopted a child. who is accompanying a worker or trainee
- dependants who are accompanying a worker or trainee
Persons who are ineligible for the Health Insurance Plan
Certain persons who spend time in Québec are ineligible for coverage under the Health Insurance Plan. These include:
- tourists
- the children born of parents in Québec as tourists
- students and any other persons from another Canadian province who are in Québec temporarily. The healthcare they receive in Québec is covered by the health insurance plan of their province of origin
- students from countries other than those with which Québec has concluded a social security agreement providing for student coverage, as well as their Québec-born children
- refugee claimants. These persons may, however, benefit from coverage under the Interim Federal Health Program
Remaining covered by the plan
If you have taken up residence in Québec, you must be present here more than half of the year in order to remain covered.
To retain the right to use your Health Insurance Card as a person in Québec for a temporary stay, you must be present in Québec for the entire duration of your stay, not including periods of 21 consecutive days or less. If you leave Québec for more than 21 consecutive days, you will not be covered by the Health Insurance Plan during your entire period of absence from Québec. As a temporary resident, you must notify the Régie when absent from Québec for more than 21 consecutive days.
Please refer to the section Temporary stays outside Québec for further information on eligibility for and coverage under the Health Insurance Plan during your temporary stays outside Québec.
A new immigration document
If you are already covered by the Health Insurance Plan
Obtaining a new immigration document might enable you to remain eligible for the plan longer. For details, refer to the section on renewal of your card.
If the immigration authorities change your status, it is important to inform the Régie by telephone or in person during office hours, because a change in status may affect your Health insurance coverage or eligibility.
If you were not entitled to the Health Insurance Plan
A change in immigration status may make you eligible for the plan. Refer to the section on registration to find out whether you are now eligible for the plan.
Application for review
You can apply for an administrative review if you disagree with a decision of the Régie. To find out more, refer to the page Application for review.