Quebec provincial health plan fact sheet

Your Quebec Health Insurance Plan provides:

Prescription drugs

  • All Quebec residents must enrol in the basic government drug insurance plan (RAMQ), unless they are already covered by a private group plan. If a resident has individual health coverage, they must still enrol in the basic government insurance plan.

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  • Coverage for prescription drugs included on the Liste de medicaments or RAMQ drug formulary at a specified coinsurance amount.
    • Each month, the Quebec resident must pay a deductible when purchasing drugs. Once the deductible is paid, the resident is responsible for the co-insurance amount of the remaining cost of the insured drugs.
    • There is a maximum monthly contribution which includes the deductible and the co-insurance. After which 100 percent of all expenses within that month are covered by RAMQ.

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  • When a Quebec resident reaches age 65, he or she is automatically eligible for coverage. The resident must advise RAMQ if they are maintaining group coverage. Annual premium based on family income to a maximum of $616 per adult.

 

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Ambulance

  • Coverage for land and air ambulance services for persons age 65 and older only.

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Dental benefits

  • Coverage for certain oral surgery procedures when done in hospital.
  • Coverage for basic routine services and one examination per year for children ages 10 and younger. Services covered are based on the age of patient. 

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Vision care

  • Coverage is available for eye exams for residents under the age of 18 or age 65 and over.
  • Coverage is available for children under the age of 18 for glasses and contact lenses through the See Better to Succeed Program

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Hospital

  • Coverage may be available; however, no information is available on the Quebec website.

Paramedicals

  • No coverage for paramedical practitioners, except when rendered in a specified type of facility.

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Hearing aids

  • Coverage for hearing aids and assistive listening devices for eligible residents through the Hearing Devices Program

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Nursing benefits and home care

  • Coverage for the services of visiting nurses, social workers, etc. at no charge to the patient through the CLSC (Centre local de services communitaires).

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Medical supplies

  • Coverage of artificial limbs, canes, walkers, braces and other medical supplies for eligible residents.

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  • Coverage for ostomy appliances and supplies for eligible residents through the Ostomy Appliances Program.
  • Effective April 1, 2019 the annual lump-sum payment will now be made in 2 instalments.

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Accidental death and dismemberment

  • No coverage.

Out of country

  • Coverage for emergency out-of-country expenses, per day maximums apply, or in the case of dialysis a per treatment maximum.

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These highlights from the Quebec Health 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:

Régie de l’assurance maladie du Québec

Service des opérations et des renseignements aux personnes assurées

P.O. Box 600

Québec, PQ G1K 7T3


In Québec City, phone: (418) 646-4636

In Montréal, phone: (514) 864-3411

All other areas of the province, call toll-free: (800) 561-9749

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Updated: October 2020