MSP in BC: Complete Guide to Coverage, Eligibility, and Application for 2024

MSP, short for the Medical Services Plan, is the public healthcare system in British Columbia. Covering about 70% of healthcare expenses in 2024, it plays a crucial role in providing universal access to essential health services for Canadians.

This comprehensive system ensures that individuals receive necessary medical care without financial barriers, making it a fundamental service for the well-being of the population in British Columbia.

If you're new to MSP British Columbia or need to review your information on it, read this complete guide to discover eligibility, application process, coverage, and more.

What is MSP in BC?

MSP, or the Medical Services Plan, is British Columbia’s public health insurance program that provides residents with access to essential healthcare services. It covers medically necessary services like doctor visits, hospital stays, surgeries, and diagnostic tests.

MSP ensures that eligible BC residents can receive essential medical care without significant financial burdens, making it a key component of the province's healthcare system. Registration is mandatory for all residents who plan to stay in BC for six months or more.

What does MSP cover?

Under the public healthcare system, MSP provides coverage for a variety of medical services, including visits to doctors and specialists, diagnostic tests, hospital stays, surgeries, and medically necessary procedures.

What is Covered by MSP?	What is Not Covered by MSP?
Medically required services provided by a physician	Dental services (except those required in hospital)
Maternity care	Routine eye examinations for adults aged 19 to 64, Eyeglasses
Medically necessary eye exams for adults aged 19-64	Hearing aids
Annual eye exams for children (0-18) and seniors (65+)	Prescription drugs
Diagnostic services (e.g., X-rays)	Cosmetic services
Birth control	Alternative medicine (e.g., acupuncture, chiropractic, massage therapy), preventive services not supported by medical evidence
Dental/oral surgery when medically required in hospital	Counsellors or psychologists

You can access the full list of services covered by MSP here on the official website.

Services not covered can be expensive and come as an unpleasant surprise when you are least able to deal with them. This is why we highly recommend getting a private health insurance plan. It helps you access better care when you need it but also offers peace of mind considering you will be covered for large, unexpected expenses.

While finding the right health insurance plan might be a time-consuming task, we've made it simple for you. You could use our comparator tool below to compare prices, and coverage, and also get quick quotes in no time from Canada's best health insurance.

Who is eligible for MSP coverage?

To be eligible for MSP coverage in British Columbia, you must meet the following criteria:

• BC Residency: You must live in BC for at least six months in a calendar year.
• Eligible Status: Canadian citizens, permanent residents, and specific temporary residents (such as international students or workers with valid permits) qualify.
• Primary Residence: BC must be your primary place of residence.
• Waiting Period: Newcomers to BC, including those from other provinces, face a waiting period—this includes the remainder of the month they arrive, plus the next two months before MSP coverage begins.
• Maintain Eligibility: You need to maintain BC as your primary residence to continue receiving MSP coverage.

How do you apply for MSP?

BC requires all residents to enroll in the Medical Services Plan. There are several ways to apply to the insurance plan:

• Apply online. Health Insurance BC's MSP application process takes around 15 minutes to complete. You will need to upload digital copies of documents proving your identity and Canadian citizenship or eligible immigration status.
• Apply by mail. Send the Application for Enrolment, HLTH 102 form below to Health Insurance BC Medical Services Plan, PO Box 9678 Stn Prov Govt, Victoria BC V8W 9P7

After applying, you will be required to obtain a Photo BC Services Card at an ICBC driver licensing office. Pick a time and location on the Driver Licensing section of ICBC. You must show two pieces of ID, have a photo taken and declare BC residency.

Applicants under 18 years and six months old are automatically enrolled and will receive by mail their BC Services Card without a photo. You can check your MSP application status through the MSP Portal.

How do I contact MSP?

You can get in touch through the MSP contact number below. They are available to assist you Monday to Friday from 8:00 a.m. to 4:30 p.m. PST. An automated service is also available 24 hours a day, seven days a week, to provide general information about benefits and services.

1. Lower Mainland MSP phone number: 604-683-7151
2. Elsewhere in BC: 1-800-663-7100 (toll-free) (You can inquire about coverage, eligibility, or any other related questions. This is the main Enquiries line)
3. Email general inquiries to: [email protected]
4. If you prefer to communicate through mail, you can send your inquiries or correspondence to: Medical Services Plan PO Box 9678 Stn Prov Govt Victoria, BC V8W 9P7 Canada

MSP Login

You can log in to your MSP account by accessing their online portal. You can manage your account and make changes such as updating your MSP address change in BC, updating or correcting personal information, adding and/or removing a spouse or children, and updating or confirming your status in Canada.

No password is required for your BC MSP login. Your Personal Health Number (PHN) will be used to verify your account. Here you will find relevant information about your individual coverage, eligibility, and other related services.

Keep in mind that there might be information regarding new changes or updates, so it's best to regularly visit the official website for the most up-to-date information and any associated online accounts or services.

What is the MSP blue book?

The MSP Blue Book, also known as the "Health Insurance BC Coverage Summary," is a comprehensive document that provides detailed information about the Medical Services Plan (MSP) coverage in British Columbia, Canada. It outlines the range of medical services and treatments that are covered under the MSP for eligible individuals in the province.

The Blue Book includes information about various healthcare services, such as doctor visits, diagnostic tests, hospital stays, surgeries, and medically necessary procedures that are funded by the government. It also clarifies the eligibility criteria for MSP coverage, the enrollment process, and any applicable premiums or fees.

The MSP Blue Book is an essential resource for individuals in British Columbia to understand what medical services they are entitled to under the publicly funded healthcare system and what additional coverage or BC private insurance they might need for services not covered by MSP.

Keep in mind that the specific content and name of the document may vary over time, so it's advisable to refer to the most current version available on the official website of Health Insurance BC or the British Columbia government. Here's the most recent blue book you can download for free.

How does MSP coverage for seniors work?

Seniors are eligible for all covered MSP services and seniors 65 and older are also eligible for an annual eye examination. Depending on income, seniors can see if they are eligible for additional coverage through programs such as:

• Fair PharmaCare Plan
• MSP Supplementary Benefits

Some seniors may see significant changes in their ability to afford supplemental health insurance after retiring due to factors like a loss of employer-sponsored benefits and higher healthcare costs due to the increased risk of chronic illnesses. This can make it difficult to cover their medical expenses.

While the benefits provided by MSP do provide some coverage, a significant event or life-altering diagnosis could leave seniors emptying retirement and savings funds to cover additional costs related to treatment.

For this reason, seniors could benefit from a supplemental health insurance BC plan to maximize coverage and give them the support they need.

Many private health insurance offer comprehensive coverage regardless of your age. You can quickly find a plan that suits you and your family's needs using our comparator below and get quotes from the best health insurance providers for policies tailor-made for your budget.

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What is PharmaCare BC?

PharmaCare is British Columbia’s publicly funded program that helps BC residents pay for some:

• Prescription drugs
• Medical supplies
• Pharmacy services

These services must be prescribed by a licensed physician and be medically necessary. PharmaCare will not cover medications purchased outside of British Columbia.

While PharmaCare will cover some drugs and medical supplies, they will not cover drugs that are dispensed and or administered in hospitals and emergency departments. PharmaCare also cannot help with purchases at pharmacies that are not enrolled in PharmaCare.

What is Fair PharmaCare?

The Fair PharmaCare plan is based on your income and helps people enrolled in MSP to pay for prescription drugs and medical supplies. The lower your income, the more help you can get.

Fair PharmaCare covers:

• Eligible prescription drugs
• Some medical devices
• Eligible dispensing fees and some pharmacy services (such as medication reviews for persons prescribed five medications or more)

It must be noted that Fair PharmaCare does not cover costs from previous years, or from times when MSP coverage was not active. The services offered by Fair PharmaCare are for all BC residents, and you are encouraged to register. There are no premiums to pay. You can register online 24 hours a day, 7 days a week.

Is MSP free in BC?

Individuals and families no longer need to pay monthly premiums to access medical services under MSP. Registration for MSP, Fair PharmaCare, and MSP Supplementary Benefits is free for B.C. residents. To apply for Fair PharmaCare and/or Supplementary Benefits, you must be enrolled in MSP already or applying for MSP at the same time.

Previously, adults in BC were required to pay between $37.50 to $75 per month in premiums depending on being a single individual versus a family with dependents. The fees were cut in half in 2018 before being phased out entirely.

How do I pay for the MSP?

The elimination of MSP premiums does not allow you to avoid paying outstanding premiums owed before January 1, 2020. You can pay outstanding premiums in several different ways.

• Online: You can use your Visa, Mastercard, Amex, Debit Mastercard or Visa Debit to make a payment through Revenue Services of British Columbia or by calling 1-877-405-4909
• Pre-authorised debit: You can contact the Customer Service Centre at 1-877-405-4909 to discuss payment arrangements. After doing so, you can mail or fax the completed and signed Application for Pre-Authorized Debit Form along with a voided check.

• Mail the Debit form to: Revenue Services of British Columbia, PO BOX 9448 STN PROV GOVT, VICTORIA BC V8W 9V7
• By fax to: 250-405-4414
• Through your bank or financial institution: Most banks offer online or in-person bill payment services. You need to add a payee for MSP under the payee name “MSP-RSBC” to your bank account along with your account number. You will find your MSP account number on the top of your invoice (e.g. X36012345678).
• At a Government Office: You can pay your MSP invoice in person at a Service BC Centre. You can make direct payments in cash, debit, credit card, cheque, bank draft or money order to the Minister of Finance.
• By Mail: You can make payments by check or money order made payable to the Minister of Finance through the mail. Do not send cash. Write your account number on your payment and send it to: Medical Services Plan, PO BOX 9085 STN PROV GOVT, VICTORIA BC V8W 9E4

What happens if you do not pay MSP?

If you do not pay your premiums owed prior to January 1, 2020, your account is considered overdue. Collection action may begin on overdue accounts. Collection action may include:

• notifying the Canada Revenue Agency to apply for money it owes to you to your MSP balance
• requiring your employer to deduct money from your paycheque
• requiring your bank or financial institution to pay money from your account(s)
• registering a charge against your property
• referring your debt to a private collection agency

What is MSP Card or BC Services Card?

The BC Services Card provides access to government services such as access to MSP for BC residents. It is a secure way to verify your identity and personal information.

Adults must renew enrollment by the card expiration date specified on their BC Services Card. There is a BC MSP renewal online option and you can even renew your MSP card when renewing your driver's licence. If you don't drive, you can renew enrollment at the nearest driver licensing office.

What is the Personal Health Number (PHN)?

A Personal Health Number (PHN) is used for accessing MSP health care. It is given to each BC resident enrolled with the Medical Services Plan. It is a unique lifetime identifier that remains the same, regardless of changes to personal status and you can find on your BC Services Card.

You should carry your card at all times to be able to present it whenever you need health care services.

What is the BC Services Card app?

The BC Services Card app is a secure way to set up access to many government services. You can use it to access your health information via the Health Gateway which allows you to see things such as:

• BC Vaccine Card
• Proof of Vaccination
• COVID-19 test results
• Immunization records

In your account, you can see all mobile devices with the app set up and view all of your activity. It is available for iPhones and Android phones.

How long does it take to get MSP in BC?

All eligible residents who are living in BC for six months or longer, including international students, must enrol in the MSP. MSP in BC is effective on the fourth month of a newcomer’s arrival so you must enrol as soon as you arrive in BC.

Once you submit your MSP application online or by mail, it may take up to two months to process your application. You will receive your BC Services card by mail to the address that you wrote on your application form.

If your address has changed since the time you submitted your application, you must contact MSP as soon as possible to provide them with your updated MSP address.

Many private health insurance plans offer instant coverage and do not have waiting periods for several services. You could find out more on prices, coverage, and even exclusions, and get quotes from various health insurance providers using our comparator below.

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How is MSP for low-income individuals?

MSP Supplementary benefits provide partial payment for certain medical services obtained in British Columbia. It may also provide access to other income-based programs. Supplementary benefits can cover partial costs for services such as:

• Acupuncture
• Chiropractic
• Massage therapy
• Naturopathy
• Physical therapy
• Non-surgical podiatry

For those eligible for supplementary benefits, MSP contributes $23 per visit for a combined annual limit of 10 visits each year for services mentioned above.

How do I apply to the MSP for international students?

Even though MSP is now free for BC residents, international students studying on a valid study permit for at least six months of the year in British Columbia must pay for MSP healthcare coverage.

All international K-12 and post-secondary students owe a monthly healthcare coverage fee of $75 per month. To apply, you can either apply online or mail by completing the paper Application for Enrolment form. The application process involves providing accurate information, such as study permit details and program duration.

You can mail the above completed application to: Health Insurance BC, Medical Services Plan, PO Box 9678 Stn Prov Govt, Victoria BC V8W 9P7.

FAQs on MSP Coverage