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Prince Edward Island provincial health plan

What’s covered by the provincial government health plan?

The PEI Health is the provincial plan for all Prince Edward Island residents. It provides coverage for most of your basic healthcare services.

Are you covered?

To qualify, you must be a resident of PEI for at least 3 months, but you can apply as soon as you arrive in the province. Certain exceptions applyOpens a new website in a new window - Opens in a new window

What’s covered with PEI Health
Prescription drugs

PEI Health is the payer of last resort, which means you only receive coverage when you are not covered by other parties. Those over 65 are eligible for coverage with the Seniors’ Drug Program. You will be responsible for a copayment and the pharmacy professional fee, but the rest of the cost is covered by the program.Opens a new website in a new window - Opens in a new window

 

You may also be eligible for coverage if you have a certain medical condition and meet certain criteria. Opens a new website in a new window - Opens in a new window

Ambulance

A flat fee is required for land ambulance service.

Learn more about ambulance service billing information.Opens a new website in a new window - Opens in a new window
Dental benefits

No coverage for those 18 and over for routine services. Some coverage is available for residents between 3 and 17 that don’t have private dental insurance. Long-term care residents may also be eligible for certain coverages.

Learn more about dental coverage.Opens a new website in a new window - Opens in a new window
Vision care

No coverage for exams, glasses or contact lenses.

Children in Kindergarten are eligible for a free eye exam and free glasses if needed.

Learn more about eye exam coverage.Opens a new website in a new window - Opens in a new window
Hospital

With a valid health card, you are eligible for costs associated with medically necessary hospital services. Coverage is available for ward rooms and private and semi-private could also be covered if standard rooms aren’t available.

Learn more about hospital stays.Opens a new website in a new window - Opens in a new window
Paramedicals

No coverage available. 

Hearing aids and medical supplies Some coverage available for those up to age of 21 through Audiology ServicesOpens a new website in a new window - Opens in a new window
Nursing benefits and home care Coverage for health care and support services available through the Home Care ProgramOpens a new website in a new window - Opens in a new window

Medical supplies

The Insulin Pump Program provides coverage for insulin pump suppliesOpens a new website in a new window - Opens in a new window for those with type 1 diabetes that are under the age of 25.

 

You may be eligible for coverage of ostomy suppliesOpens a new website in a new window - Opens in a new window through the Ostomy Supplies Program.

Accidental death and dismemberment

No coverage available. 

Out of country

Some coverage may be available outside the country for emergency medical services. Opens 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 Prince Edward Island Insurance 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:

Health PEI
16 Garfield Street
P.O. Box 2000
Charlottetown, PE C1A 7N8
Prince Edward IslandOpens a new website in a new window - Opens in a new window

 

Last updated: March 2021