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Private health insurance

Private health insurance in Canada, explained

Provincial plans cover hospitals and doctors. Private health insurance fills the rest — prescriptions, dental, vision, paramedical, and mental-health care — for less than most Canadians expect. Compare quotes from licensed brokers in 60 seconds.

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What private health insurance covers

Private health insurance picks up where provincial coverage stops. The public system pays for hospital stays and physician visits; private coverage reimburses the everyday and major costs that fall outside it:

  • Prescription drugs taken outside hospital — often the single largest benefit.
  • Dental — cleanings, fillings, and (on higher tiers) major restorative work. See our dental insurance guide.
  • Vision — eye exams plus an allowance for glasses or contacts.
  • Paramedical — physiotherapy, massage, chiropractic, psychology, and similar practitioners, each with its own annual cap.
  • Mental-health and other extras — counselling, private or semi-private hospital rooms, and medical equipment on comprehensive plans.

Plan types and what they cost

Private health plans come in three broad tiers. Basic plans start around $32/month for an individual and cover the everyday gaps. Enhanced plans ($60–$120/month) add wider dental, higher paramedical caps, and mental-health benefits. Comprehensive plans ($130+/month) add semi-private rooms, specialty drugs, and child orthodontics — usually worth it only for families with specific needs.

For a fuller picture of how this all fits with provincial coverage, start at our health insurance in Canada pillar, or look at supplemental health insurance if you mainly want to top up an existing group plan.

FAQ

Private health insurance questions

Private health insurance is coverage you buy on top of provincial health care to pay for services public plans leave out — prescription drugs taken outside hospital, dental, vision, paramedical (physiotherapy, massage, chiropractic), mental-health care, and private or semi-private hospital rooms. It reimburses a share of those costs in exchange for a monthly premium.
Provincial plans (OHIP, MSP, RAMQ, AHCIP and the rest) cover hospital stays and physician visits but little beyond that. For a healthy adult, the uncovered gap shows up as $300–$1,200 a year in routine costs; for a family of four it's often $2,000–$5,000. Private health insurance is worth it when those out-of-pocket costs would be a strain, or when you regularly use prescriptions, dental, or paramedical care.
Basic individual plans start around $32/month, enhanced plans run $60–$120/month, and comprehensive family plans can reach $130+/month. The premium depends on your age, province, the services you include, and the reimbursement caps you choose. Most starter plans require no medical exam.
Yes. Most basic and many enhanced private health plans are issued without a medical exam, though they may exclude pre-existing conditions for a defined period or cap certain benefits. Plans that include large drug or major-dental benefits may ask a few health questions. A licensed broker can match you to a no-medical plan if that matters to you.
Most do, at least at a basic level. Plans typically bundle dental (cleanings, fillings, sometimes major work), vision (exams and an eyewear allowance), prescriptions, and paramedical care, with higher tiers raising the caps. If dental is your main concern, compare a dedicated dental plan against a combined health-and-dental plan — see our dental insurance guide.

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Lowest Rates Hub connects consumers with licensed insurance brokers across Canada. Quotes are provided by partner brokers and the carriers they represent; LRH does not bind coverage or hold an insurance licence. Estimates are not bound coverage. Final premiums depend on the insurer's underwriting and the information disclosed in the application. Policies underwritten by IDC Worldsource and partner insurers. Privacy policy.

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