Prince Edward Island provincial health plan fact sheet
Your Prince Edward Island Insurance Plan provides:
Prescription drugs
- Coverage under the Seniors Drug Cost Assistance Program for eligible residents ages 65 and older. Patients are required to pay the dispensing fee as well as $8.25 toward the ingredient cost of the prescription.
- Coverage is available for lower income families through the Family Health Benefit Program and the Financial Assistance Program.
- Coverage for eligible residents through the High Cost Drug Program for approved medications included in the program.
- Coverage is provided to eligible residents through the Drug Cost Assistance Program for specific conditions such as the Diabetes Control Program and Multiple Sclerosis Program.
- The Catastrophic Drug Program helps residents whose eligible prescription drug costs are affecting their household's ability to maintain life essentials. Through this program, residents will have their annual out-of-pocket drug costs for eligible prescription medications capped at an amount not exceeding a set percentage of their household income.
| Total household income ranges | Rate |
|---|---|
| $0 - $20,000 | 3% |
| $20,000 - $50,000 | 5% |
| $50,000 - $100,000 | 8% |
| Greater than $100,000 | 12% |
Ambulance
- Residents are required to pay $150 flat rate for land ambulance and $750 flat rate for air ambulance service.
Dental benefits
- Coverage for most basic dental services for children ages 3 to 17 under the Children's Dental Care program. There is an annual registration fee of $15 to a maximum of $35 per family. Families are also expected to pay a 20 per cent parent’s contribution on treatment services. Some exemptions apply.
- Special dental programs exist for children who are born with a cleft palate.
Vision care
- No coverage for eye exams, or the purchase of glasses or contact lenses.
- Kindergarten students are eligible for a free eye exam and a free pair of glasses if required.
Hospital
- Coverage for standard ward rooms only
Paramedicals
- No coverage for paramedical practitioners with the exception of physiotherapy services provided in a hospital.
Hearing aids
- No coverage
Nursing benefits and home care
- Coverage for health care and support services available through the Home Care and Support Program.
Medical supplies
- Limited coverage of prosthetics and other medical supplies through various programs such as the Cancer Financial Assistance Program.
Accidental death and dismemberment
- No coverage.
Out of country
- Coverage for emergency or sudden illness is provided at P.E.I.’s physician and hospital rates and in Canadian funds.
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:
Prince Edward Island Health Services
P.O. Box 2000
Charlottetown, PE C1A 7N8
Phone: (902) 368-6261
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Updated: December 2018