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New Brunswick provincial health plan

What’s covered by the provincial government health plan?

New Brunswick Medicare is the provincial plan for all New Brunswick residents. It provides coverage for most of your basic healthcare services.

Are you covered?

To qualify, you must be a Canadian citizen or legally entitled to remain in Canada, as well as make New Brunswick your principle home. See if you're eligible for coverageOpens a new website in a new window - Opens in a new window .

What’s covered with the New Brunswick Medicare
Prescription drugs

The New Brunswick Drug PlanOpens a new website in a new window - Opens in a new window provides drug coverage for those who have a valid Medicare card and enrol in the drug plan. You pay a premium (based on your income) and a 30% copayment up to a maximum per prescription. See if you qualifyOpens a new website in a new window - Opens in a new window .

The New Brunswick Prescription Drug Program (NBPDP)Opens a new website in a new window - Opens in a new window provides support for those who may not have insurance available elsewhere, those requiring assistance with specialty medications, and Seniors aged 65 and olderOpens a new website in a new window - Opens in a new window who receive the Federal Guaranteed Income Supplement (GIS). The program covers drugs listed on the New Brunswick drug formularyOpens a new website in a new window - Opens in a new window including drugs for treatment of cystic fibrosis, HIV positive residents, growth hormone products, organ transplant recipients, multiple sclerosis and residents covered under Family & Community Social Services. See if you’re eligible for coverageOpens a new website in a new window - Opens in a new window .

Ambulance

You’re covered for in-province hospital-to-hospital transfers only.

Learn more about ambulance service billing informationOpens a new website in a new window - Opens in a new window .

Dental benefits

There is no coverage for routine or major services such as cleanings, fillings, extractions, crowns, dentures, etc. You’re covered for some surgical dental procedures when medically required and rendered in a hospitalOpens a new website in a new window - Opens in a new window . This does not include extractions or dental work, even in a hospital.

The Health Services Dental Program may provide some coverage to those who do not have dental insurance by any other party. See if you qualifyOpens a new website in a new window - Opens in a new window .

Vision care

The Health Services Vision ProgramOpens a new website in a new window - Opens in a new window assists those who do not have vision coverage from any other plan and qualify for assisted health care. There is a 30% participation fee on dispensing and diagnostic services, and frames.

You aren’t covered for routine eye examsOpens a new website in a new window - Opens in a new window , prescription glasses or contact lenses.

Hospital You’re covered for standard accommodations and meals. Learn more about hospital staysOpens a new website in a new window - Opens in a new window .
Paramedicals

There is no coverage for acupuncture or paramedical services provided by chiropractors, naturopaths, opticians, optometrists, orthodontists, osteopaths, physiotherapists, podiatrists, psychologists or private duty nurses.

Click here to learn moreOpens a new website in a new window - Opens in a new window .

Hearing aids The Health Services Hearing Aid ProgramOpens a new website in a new window - Opens in a new window aids in covering some of the costs for various hearing aids and repairs for those that qualify. This program has a ‘payer of last resort’ policy and repairs are eligible only after the manufacturer’s warranty expires.
Nursing benefits and home care The Extra-Mural Program (EMP)Opens a new website in a new window - Opens in a new window provides home care services to residents with a valid Medicare card as long as healthcare needs can be met at home.
Medical supplies You may be covered for medical equipment loans for seniors 65 years and older, without charge from the Canadian Red Cross Society through the Seniors’ Rehabilitative Equipment ProgramOpens a new website in a new window - Opens in a new window .
Accidental death and dismemberment New Brunswick Medicare does not provide any coverage for accidental death and dismemberment.
Out of country The province covers emergency hospital visits (with a daily maximum rate), emergency physician services at New Brunswick rates, and services that you received prior approval for. Learn more about out of country coverageOpens a new website in a new window - Opens in a new window .

How personal insurance can keep you covered

Personal health insurance can help supplement your coverage where you need it most.

  • Cover unexpected costs

    Though you’re covered, you still pay for some of your provincial health coverage. Personal health insurance can help make sure you aren't paying out of pocket for unexpected expenses.

  • Plan ahead

    Knowing the gaps in provincial plans and the workplace coverage you have can help make sure you have the coverage you and your family needs.

  • Help save money

    Taking care of your health now means avoiding serious illnesses or paying for expensive treatments later. Personal insurance can help you get the services and care you need without the big cost.

Talk to an advisor today

Government health coverage varies from province-to-province. Let’s build a plan so you and your family are protected.

These highlights from the New Brunswick Medicare Plan are for general reference only and are subject to change, corrections and updates. Other government programs may also be available. For more information on the latest coverage details, contact:

New Brunswick Department of Health and Wellness
HSBC Place
P.O. Box 5100
Fredericton, NB E3B 5G8
Phone: 506-457-4800
New BrunswickOpens a new website in a new window - Opens in a new window

 

Last updated: March 2021