KEY TAKEAWAYS

  • As a foreign worker or a working holiday visa holder, you may not be eligible for provincial health care right after you arrive in Canada. To get coverage during this waiting period, you can get an extended health insurance policy
  • Extended health insurance covers medical expenses arising out of hospital stays, doctor's visits, prescription drugs, emergency care, paramedical services, dental and vision care as well
  • Ontario and British Columbia have a 3-month waiting period for public health coverage. While Alberta and Manitoba provide coverage soon after arrival
  • It's always advisable to buy health insurance for foreign workers before you arrive in Canada. If you buy after arrival, a short waiting period of 48 hours to 7 days will apply before the coverage starts
  • Age, coverage amount, duration of stay, deductibles, and pre-existing conditions are factors that impact your insurance premiums

IN THIS ARTICLE
IN THIS ARTICLE

While Canada has a recognized public healthcare system, the provincial health plans don’t automatically cover everyone who enters the country.

Approximately 29% of immigrants in Canada reported not having insurance to cover medication costs, compared to 17% of non-immigrants.

Having extended health insurance can be beneficial under such circumstances. This plan provides coverage for medical expenses not covered by a provincial health plan. Let’s explore extended health insurance in Canada and how it can benefit you, as per your province. 

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What is extended health insurance for foreign workers in Canada?

Extended health insurance (also known as private health insurance) covers medical expenses not covered by provincial health plans, or for those not yet eligible for public coverage. 

If you are a foreign worker or a holiday visa holder in Canada, you can access necessary medical care under extended health coverage without facing financial constraints. This insurance provides coverage for the following medical expenses: 

  • Hospital stays
  • Prescription drugs
  • Emergency medical care
  • Paramedical services (physiotherapy, massage, etc.)
  • Vision and dental (optional)
  • Air ambulance or
  • Medical repatriation to the home country
Read more about visitor health insurance for work permit holders in Canada

Who needs extended health insurance in Canada?

Extended health insurance in Canada is necessary for anyone whose medical needs are not fully covered by provincial health coverage. This includes temporary foreign workers, IEC working holiday visa holders, seasonal or agricultural workers, international students studying in Canada, and visitors in Canada waiting for provincial health eligibility.

What is the difference between extended health and travel insurance?

insurance?

Whether you need basic travel insurance or extended health insurance starts with understanding the differences between the two. While both plans offer medical coverage, they serve different needs and situations.

Here is a comparison table between extended health insurance and travel insurance.

Feature Extended health insurance Travel Insurance
Who is it for? Residents, foreign workers, and long-term/holiday visa holders Tourists, super visa holders, new arrivals, and family visitors
Coverage duration Ongoing, monthly, or annual renewal Fixed term (days to 365 days), can sometimes be extended
Coverage focus Comprehensive: routine, ongoing, and emergency care Emergency medical care, hospitalization, and urgent treatment
Chronic condition coverage Yes, often includes chronic illness management Usually excludes ongoing or pre-existing conditions unless stable
Prescription drugs Included or optional Limited, usually only for emergencies
Dental & vision care Often available as add-ons Included in some plans
Paramedical services Covers physio, chiro, massage, etc. May cover some emergency paramedical care
Trip cancellation/Interruption Not included Sometimes included as an add-on
Direct billing Often available with Canadian providers Sometimes available, varies by insurer
Best for Long-term stays, workers, and those needing regular care Short visits, super visa, tourists, and new arrivals are awaiting provincial coverage

Read our complete guide to travel insurance for Canadians
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Provincial eligibility: Understanding waiting periods and coverage

Waiting periods and eligibility for public health coverage vary across different provinces and territories in Canada. This can leave newcomers uninsured for that waiting period.

If you are moving to provinces like British Columbia and Ontario, you may have to wait for up to 3 months before your provincial health coverage starts. Other provinces offer immediate access; however, the eligibility still depends on your employment status and visa type, which makes having private health insurance a must. 

Provincial health coverage for foreign workers: Wait periods and recommendations

Province/Territory Waiting period for newcomers Extended Health Insurance recommended?
Ontario (OHIP) 3 months (may change; check current rules) Yes
British Columbia (MSP) Remainder of arrival month + 2 months Yes
Alberta Immediate for most workers Often no, but verify eligibility
Quebec Case by case, some waiting periods may apply Often yes
Saskatchewan 3 months Yes
Manitoba Immediate Usually not needed
New Brunswick Immediate Usually not needed
Newfoundland & Labrador Immediate Usually not needed
Nova Scotia Immediate Usually not needed
Prince Edward Island Immediate Usually not needed
Yukon, NWT, Nunavut 3 months Yes

Best insurance plans for foreign workers and holiday visa holders in Canada

Many insurance providers in Canada offer specialized private health insurance plans for international workers and those on a holiday visa. Some insurers include Manulife, Allianz Global Assistance, Blue Cross, Sun Life, and Green Shield.

Provider & Plan Key Features Eligibility
Manulife CoverMe – Visitors to Canada insurance – Emergency health care up to $150,000 or more

– Covers hospital, physician, diagnostic, ambulance, prescription drugs (30-day supply)

– Optional trip interruption, travel accident, and return of remains

– 24/7 travel assistance

– Coverage for pre-existing conditions (if stable)

– Visitors, IEC participants, temporary workers, new immigrants, returning Canadians

– Must be in Canada at the time of application or within 30 days of arrival

Allianz Global Assistance – Visitors insurance – Flexible durations (from days to 365+ days)

– Emergency medical up to $150,000 or more

– Customizable for IEC, students, and workers

– Covers hospitalization, physician, ambulance, prescription drugs (30-day supply), accidental dental

– Optional trip interruption/cancellation

– 24/7 emergency assistance

– Visitors, IEC participants, students, temporary workers, super visa applicants

– Must apply before or shortly after arrival in Canada

Blue Cross – International plans – Emergency and non-emergency medical care

– Prescription drugs, vision, and dental (optional)

– Paramedical services (physio, chiro, etc.)

– Coverage for chronic conditions & follow-up care

– Direct billing with many providers

– 24/7 assistance

– Foreign workers, students, IEC participants, new immigrants, visitors

– Eligibility varies by province and plan type

Sun Life (Employer-sponsored extended health) – Comprehensive coverage: prescriptions, dental, vision, paramedical, emergency travel

– Chronic condition management

– Employee assistance programs

– Direct billing and easy claims process

– Optional family coverage

– Employees of Canadian companies offering group benefits

– May include coverage for dependents; eligibility based on employer plan

Green Shield Canada (Employer-sponsored extended health) – Extended health, dental, vision, prescription drugs

– Paramedical and mental health services

– Emergency travel coverage

– Wellness programs

– Direct billing network

– Employees of participating employers

– Eligibility and coverage details vary by employer group plan

Read our detailed review for the best visitors insurance companies in Canada
Looking for affordable visitor insurance?

Give us a call at 1-888-601-9980 or book some time with our licensed experts.

Factors affecting the cost of health insurance for foreign workers in Canada

The cost of temporary foreign worker medical insurance depends on various factors. These include age, coverage duration, deductible amount, and pre-existing conditions. 

  • Age: The cost of health insurance usually increases with age due to increased health risks. So if you are older, you will pay a higher premium than a young person
  • Coverage scope: Higher coverage, including emergency medical expenses such as doctor’s visits, hospitalization, and ambulance services, will increase your premium costs
  • Duration of stay: The longer you stay, the higher the total cost of the plan will be. Opting for monthly payments will make it easy on your budget
  • Deductible amount: Opting for lower deductibles reduces your out-of-pocket expenses at the time of claim, but may lead to higher premiums
  • Pre-existing conditions: Getting a plan that offers coverage for pre-existing conditions may also impact your policy premium

How much does health insurance cost for foreign workers in Canada?

For a typical $100,000 coverage in Canada for a month, the average cost of extended health coverage in Canada ranges from $50 to $400, depending on the above-mentioned factors.

For instance, younger applicants who are under 30 years may pay $50 and $100 monthly, while those aged 70 years and older may need to pay between $200 and $400 per month.

Average coverage and premiums for different age groups

Visitor’s age Premiums
25 years $72.30/mo.
35 years $90.90/mo.
45 years $101.70/mo.
55 years $110.70/mo.
65 years $133.20/mo.
75 years $240.0/mo.
85 years $405/mo.

*The above premiums are for $100,000 in coverage for an individual visiting Canada for 30 days. Premiums vary based on your health condition.

When to apply for extended health insurance for foreign workers in Canada?

Foreign workers or holiday visa holders must apply for visitor medical insurance before they arrive in Canada. Since provincial health insurance in Canada has a waiting period, private health coverage will fill the gap and cover you from unexpected medical expenses.

If you buy visitor health insurance in Canada after arrival, expect a waiting period of 48 hours to 7 days before your coverage starts. During this time, you will remain uninsured. So, it’s better to apply before you start your journey. 

Documents required for health insurance for foreign workers

Make sure to keep these documents handy while applying for extended health insurance in Canada:

  • Completed insurance application form
  • Work permit or employment proof
  • Passport identification page
  • Canadian contact address
  • Employer information
  • Arrival date in Canada

Medical questionnaires and health declarations

  • Most insurance providers will require you to complete a medical questionnaire or health declaration while applying
  • Make sure to declare your pre-existing condition if you have any. Certain insurers have some exclusions when it comes to pre-existing conditions, so make sure you do a full disclosure
  • Some insurers may also have additional requirements or age restrictions for older applicants

Renewal options for extended stays

  • If your stay in Canada is extended, make sure to renew your health policy before the expiry of the original policy
  • The documents required for renewal typically include proof of continued employment

Key tips for foreign workers & holiday visa holders

Here are some essential tips for foreign workers and holiday visa holders travelling to Canada:

  • Apply for provincial health care as soon as possible if you are eligible.
  • Don’t go uninsured during the waiting period, as medical expenses can be very high
  • Ask about group insurance if you are working for a Canadian employer. Group health insurance can cover you before your provincial coverage starts
  • Review policy exclusions carefully. If you have a pre-existing condition, check whether your policy covers that or not. Also, check any exclusions around that medical condition
  • Keep all insurance documents and medical receipts handy for claims
  • Choose coverage based on the duration of your stay, and also look for family coverage if you are bringing them along
  • If you are still confused about plans and coverage, connect with a licensed advisor at PolicyAdvisor and get all your health insurance-related queries solved instantly!

How to choose the right Canadian health insurance for non-residents?

Choosing the best health insurance for foreign workers in Canada starts by considering your health needs, the length of your stay, pre-existing conditions, if any, family coverage options, and provider network restrictions.

  • Assess your health needs: Look after your health history and any ongoing medical needs. If you suffer from a chronic condition and need prescription medications regularly, or require paramedical services, look for a plan that offers coverage for such needs
  • Coverage duration considerations: Decide the duration of your coverage. If you are in Canada for a short period, a short-term plan would suffice. However, for longer stays, choose a plan that can be renewed monthly or annually
  • Pre-existing medical conditions: Also, check if the plan covers your pre-existing condition (if any) and under what terms. Several insurers offer plans that cover stable pre-existing conditions, so make sure to go through the policy wordings
  • Family coverage options: If you are travelling with your family, look for family or dependent coverage plans to get cost-effective coverage for your family
  • Network restrictions: Some insurers have a preferred network of hospitals and clinics, which can make claims easier. So, make sure to review the insurer’s network beforehand

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Looking for Visitor to Canada insurance?

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Frequently asked questions

Can I get extended health insurance with a work permit in Canada?

Yes, you can get visitor medical insurance in Canada with a work permit. Most provinces allow work permit holders to apply for provincial coverage if their permit is valid for at least six months and they meet resident eligibility requirements.

Do foreign workers need private health insurance in Canada?

Yes, foreign workers in Canada may need extended health coverage because provincial health plans often have a three-month waiting period, such as in Ontario and British Columbia. During this time, medical expenses must be paid out-of-pocket. To ensure coverage from day one, foreign workers and holiday visa holders can purchase private health insurance, which covers hospital stays, prescription drugs, and emergency care.

Can I get OHIP on a working holiday visa?

Yes, you can get an Ontario health insurance plan on a working holiday visa if you meet these criteria:

  • Hold a valid work permit under the IEC program
  • Work full-time for an Ontario employer for 6+ months

If you aren’t eligible for these, you can get private health insurance for emergency coverage.

Do work permit holders get free healthcare in Canada?

Yes, work permit holders can get free healthcare in Canada after applying for the Canadian provincial health insurance. However, you will have to go through a waiting period, mostly of 3 months in certain provinces, to get free healthcare in Canada.

What is the waiting period for health insurance in Canada for foreign workers? 

Provinces like Ontario, Quebec, and British Columbia have a 3-month waiting period before the provincial health coverage starts. Alberta, Manitoba, Nova Scotia, Prince Edward Island, and Newfoundland and Labrador have no waiting period, so you can get coverage from day 1 of your arrival.

However, if you purchase an extended or private health insurance soon after arrival, you will have to wait for 48 hours to 7 days before the benefits start. To avoid any waiting period, you can apply for private coverage before arrival.

Are pre-existing conditions covered under health insurance for temporary workers in Canada?

Pre-existing conditions are only covered under health insurance for foreign workers in Canada if they have been stable for 90-180 days before the coverage starts. Any unstable medical condition is not covered at all. Thus, always check your policy wordings for pre-existing conditions before purchasing.

Are prescriptions covered under extended health insurance?

Yes, prescription medications are generally covered under visitor health insurance in Canada, but the cost of coverage depends on your health insurance plan. So, always review your policy details such as coverage limits, exclusions, and co-pays. You can also do so by comparing extended health plans from 30+ insurers on PolicyAdvisor or by connecting with one of our experienced advisors.

Can IEC visa holders get private health insurance in Canada?

Yes, IEC visa holders can get private health insurance in Canada to get coverage for medical expenses that provincial plans might not cover or cover after the waiting period. These extended health insurance plans cover emergency medical care, prescription drugs, and more, filling gaps during provincial health plan waiting periods.

SUMMARY

Getting the right health insurance as a foreign worker or holiday visa holder in Canada is a must, as it protects your health and your expenses. Even though you have provincial healthcare, having extended health insurance is worth it if you ever need medical care soon after arrival.  Learn about your options, check if you qualify for coverage, and buy extended health insurance before you arrive in Canada.

Written By
Ripenjeet Sandhu
Insurance Advisor, LLQP
Ripenjeet Sandhu is an expert insurance advisor with over 10 years of financial experience from retail banking. Now focused on travel insurance, she is passionate about providing personalized coverage to clients across Canada.
Ripenjeet Sandhu is an expert insurance advisor with over 10 years of financial experience from retail banking. Now focused on travel insurance, she is passionate about providing personalized coverage to clients across Canada.
Sources:

Statistics Canada. Access to Prescription Medication among Canadians with and without Insurance. February 23, 2022.