New Brunswick provincial health plan fact sheet

Your New Brunswick Medicare Plan provides:

Prescription drugs

  • Coverage is available for seniors ages 65 and over who receive the federal Guaranteed Income Supplement (GIS) and do not have other Insurance or who qualify based on their total annual income
    • Eligible seniors receiving the GIS pay a co-payment per prescription up to a maximum per calendar year
    • Eligible seniors who qualify based on their total annual income pay a co-payment per prescription with no calendar year maximum

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  • Some coverage under the Prescription Drug Program is also provided for people in certain situations when no other insurance is available. These situations include drugs for the treatment of cystic fibrosis, people who are HIV positive, growth hormone products, organ transplant recipients, multiple sclerosis, and people covered under Family & Community Social Services.

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  • The New Brunswick Drug Plan provides drug coverage for all residents who enroll. Premiums are graduated based on income and members are required to pay a co-pay at the pharmacy up to a maximum per prescription.

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Ambulance

  • Coverage is only provided for hospital to hospital transfers

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Dental benefits

  • No coverage for routine dental services
  • Coverage for specified surgical dental procedures provided by a dentist when the service is medically required and rendered in a hospital.
    • Extractions and dental work are not covered, even when performed in a hospital

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  • Some coverage may be available under the Health Services Dental Program for those that qualify. This program has a 'payer of last resort' policy

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Vision care

  • No coverage for glasses or routine eye exams

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  • Some coverage may be available under the Health Services Vision Program for those that qualify. This program has a 'payer of last resort' policy

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Hospital

  • Coverage for standard hospital accommodation and meals

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Paramedicals

  • No coverage for acupuncture or paramedical services provided by chiropractors, chiropodists, dentists (except as stated previously), naturopaths, opticians, optometrists, orthodontists, osteopaths, pharmacists, physiotherapists, podiatrists, psychologists or private duty nurses

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Hearing aids

  • No coverage
  • Some coverage may be available under the Health Services Hearing Aid program for those that qualify. This program has a 'payer of last resort' policy

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Nursing benefits and home care

  • Coverage for some home health care services to persons of all ages, if eligible, through the Extra-Mural Program

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Medical supplies

  • Medical equipment available for loan by some seniors, ages 65 and older, without charge from the Canadian Red Cross Society through the Seniors’ Rehabilitative Equipment Program

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Accidental death and dismemberment

  • No coverage.

Out of country

  • Coverage for emergencies only, per day maximums apply

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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

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Updated: January 2020