Manitoba Health
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Questions and Answers about Health Care Coverage
This page outlines benefits administered by the Insured Benefits Branch of Manitoba Health and also provides information on eligibility and registration. Please click on any of the questions below:
Eligibility
- Am I eligible for coverage?
- I'm new to Manitoba. How do I apply for coverage?
- I'm new to Canada. How do I apply for coverage?
- I lost my Manitoba Health Card. How do I replace it?
Hospital/Medical Coverage in Manitoba
- What medical services are insured by Manitoba Health?
- Which hospital services are insured?
- What insured benefits are available to personal care home residents?
- What health services are not insured?
- If I need an ambulance, is it covered by Manitoba Health?
- Am I eligible for the Northern Patient Transportation Program?
Moving Temporarily (Domestic Students, Travel, Employment)
Out of Country Referrals
Emergency Care or Medical Attention Outside of Manitoba or Canada
- What if I have to see a doctor while in another province?
- Am I covered for emergency care outside of Canada?
Moving Permanently
Am I eligible for coverage?
To be eligible for Manitoba Health coverage you must:
- Be a Canadian citizen or;
- Have Immigration status as outlined in The
Health Services Insurance Act:
- Permanent Residents
- Work/Study Permit holders and their spouse/dependants (Permit validity periods apply)
- Establish a permanent residence in Manitoba, and
- Reside (physically) in Manitoba six months in a calendar year
The following are not eligible for coverage:
- Tourists
- Transients
- Visitors
- Domestic students temporarily absent from other provinces and territories in Canada to attend educational institutions in Manitoba
I'm new to Manitoba. How do I apply for coverage?
If you are eligible (i.e., legally entitled to be in Canada and intend on living in Manitoba for at least 183 days of the year), coverage will begin on the first day of the third month after your arrival in Manitoba. For example, if you arrive on April 29, April will count as the first month, with May and June as the following two. Therefore, in this case your coverage would begin July 1.
When you register, you will need to:
- Complete a Manitoba Health Registration Form
- Provide your previous province’s/territory’s health card number
- Provide proof of Canadian citizenship ((i.e. Copy of Canadian Birth Certificate or Canadian Citizenship Card or Permanent Resident Confirmation Card (copy of both sides))
Until your health coverage begins you should maintain your coverage with your previous health plan.
Please report changes such as a new address, birth, adoption, death, marriage, divorce, or legal separation to the Insured Benefits Branch. Documentation is required for some changes.
Where can I register for Manitoba Health coverage?
Registration and Client Services
Manitoba Health
300 Carlton Street
Winnipeg, Manitoba R3B 3M9
For more information call: 204-786-7101
Fax: 204-783-2171
Toll free: 1-800-392-1207
TDD/TTY: 204-774-8618
TDD/TTY Relay Service outside Winnipeg: 711 or 1-800-855-0511
Registration forms may be obtained here.
or
City of Winnipeg
510 Main Street
Winnipeg, MB R3B 1B9
or
Rural areas: Contact the city or municipal office in your area. For more information, call toll-free 1-800-392-1207. For TTY/TDD, call 711 or 1-800-855-0511.
Remember: It is an offence to allow anyone, other than those listed on your registration certificate, to use your certificate.
I'm new to Canada. How do I apply for coverage?
If you are a new resident and would like to apply for Manitoba Health coverage, please present a photocopy of your passport and all other Citizenship and Immigration Canada documents which have been issued to you and your dependants along with a completed Manitoba Health Registration Form. Providing the document you have been issued is acceptable as outlined in The Health Services Insurance Act, you may be eligible for coverage.
Who is eligible for Manitoba Health coverage?
Returning Canadians
You are eligible for coverage the day you arrive in Manitoba when proof of your Canadian citizenship, arrival date and residence status are provided.
Permanent Resident
You are eligible for coverage on your date of arrival in Manitoba when proof of Permanent Resident Status is provided or on the date Permanent Resident Status is granted.
Work Permit
If your Work Permit is valid for at least 12 months in Manitoba, you and any family members listed on the Work Permit are eligible for coverage as of the date it was issued. If your Work Permit is less than 12 months, you are not eligible until you receive an extension allowing you to stay in Manitoba for at least 12 months. You will then be covered as of the date of the extension.
Study Permit (Effective April 1, 2012)
If you are an international student who has a valid study permit issued by Citizenship and Immigration Canada for a minimum of six months and also live in the province for a minimum of six months in a calendar year, you are eligible to receive a Manitoba Health card.
Visitor Record
You are not eligible for coverage unless you are accompanying a spouse or parent who has a Work Permit valid for 12 months or more or a Study Permit valid for 6 months or more. The Visitor Record must be valid for at least 183 days. Dependants who reach the age of 18 must be attending a recognized educational institution or have a Work Permit to be eligible for further benefits.
Please report changes such as a new address, birth, adoption, death, marriage, divorce, or legal separation to the Insured Benefits Branch. Documentation is required for some changes.
Where can I register for Manitoba Health coverage?
Registration and Client Services
Manitoba Health
300 Carlton Street
Winnipeg, Manitoba R3B 3M9
For more information call: 204-786-7101
Fax: 204-783-2171
Toll free: 1-800-392-1207
TDD/TTY: 204-774-8618
TDD/TTY Relay Service outside Winnipeg: 711 or 1-800-855-0511
Registration forms may be obtained here.
or
City of Winnipeg
510 Main Street
Winnipeg, MB R3B 1B9
or
Rural areas: Contact the city or municipal office in your area. For more information, call toll-free 1-800-392-1207. For TTY/TDD, call 711 or 1-800-855-0511.
I lost my Manitoba Health Card. How do I replace it?
If your Manitoba Health card is lost, stolen, or damaged, please contact the Insured Benefits Branch immediately for replacement, or apply online using the eNotice of Change form.
What medical services are insured by Manitoba Health?
Manitoba Health directly pays physicians’ services that are medically required for you or your dependants. If you are a Manitoba resident, and are physically present in the province for 183 days, you are eligible for insured medical services. Benefits include the following services:
- Patients who are billed for insured services by physicians who practice outside the plan are entitled to reimbursement from Manitoba Health
- Physicians’ services
- Surgery / anaesthesia
- X-ray and laboratory services in approved facilities when ordered by a physician
What other practitioners’ services am I insured for?
Optometrists
If you are under 19 years of age or 65 and over you may receive one
complete routine eye exam every two years. Exams for all ages will be
covered if deemed medically necessary by your physician or
optometrist.
Chiropractors
Manitoba Health will insure a maximum of 12 visits per Manitoba
resident per calendar year. The adjustment of the spinal column, pelvis
and extremities are insured chiropractic services.
Dental Surgeons
Manitoba Health will insure certain dental procedures when
hospitalization is required.
Which hospital services are insured?
You are insured for the following hospital services:
- Accommodation and meals at the standard level
- Necessary nursing services
- Laboratory, x-ray and diagnostic procedures
- Medications administered in a hospital
- Use of the operating room, care room and anaesthetic facilities
- Routine surgical supplies
- Occupational, speech and physiotherapy
- Dietetic counselling
What insured benefits are available to personal care home residents?
If you have always lived in Manitoba, you are eligible for personal care home benefits. If you are a newcomer to Manitoba you are eligible after living in the province for 24 consecutive months.
If you formerly lived in Manitoba for 30 years or more you are eligible on the date you return to Manitoba as a permanent resident, after an absence of less than 10 years. The waiting period requirement does not apply to a person who has been a resident of a province or territory of Canada for five consecutive years and immediately establishes himself or herself as a resident of Manitoba. The need for placement in a Manitoba personal care home is determined by an assessment panel authorized by Manitoba Health.
If a Manitoba assessment panel determines that you require care in a personal care home and you meet the residency requirements, you may receive insured benefits.
Some of these benefits include:
- standard accommodation
- basic nursing care
- assistance with and/or supervision of the activities of daily living
- physiotherapy and occupational therapy
- medical and surgical supplies
- prescribed drugs and related preparations approved by Manitoba Health
- meals including special diets
- laundry and linen services
For more information on any of the above programs contact:
Registration and Client Services
Manitoba Health
300 Carlton Street
Winnipeg, Manitoba R3B 3M9
For more information call: 204-786-7101
Fax: 204-783-2171
Toll free: 1-800-392-1207
TDD/TTY: 204-774-8618
TDD/TTY Relay Service outside Winnipeg: 711 or 1-800-855-0511
Everyone who lives in a Manitoba Personal care home is required to pay a daily residential fee established by Manitoba Health. For details write or telephone:
Residential Charge Program
Financial Services
Manitoba Health
300 Carlton St.
Winnipeg MB R3B 3M9
Telephone: 204-786-7150
What health services are not insured?
Services not insured include the following:
- personal care home benefits outside of Manitoba
- health services performed at the request of a third party, such as examinations for employment, drivers' licences, insurance, travel, immigration or emigration
- care and treatment covered by the Workers' Compensation Board, the Department of Veterans' Services or by other statute
- services that are not medically required
- preparation of records, reports, certificates or communications, or testimony in a court
- drugs, medications, vaccines, sera or biological products, materials and surgical supplies, except as provided for under the regulations
- ambulance and transportation subsidies except as listed in the regulations
- private nursing
- additional charges for a private or semi-private room
- television and radio-telephone services
- services performed by psychologists and dietitians outside a hospital or institution
- services performed by chiropodists and podiatrists
- services performed by audiologists, speech therapists, occupational therapists and physiotherapists in private practice
- chiropractic services other than adjustments
- acupuncture
- telephone advice
- services provided by any other practitioner in the healing arts except as listed in the regulations
- Effective April 1, 1996 routine complete eye examinations for persons 19 years of age or older but under the age of 65
- Effective August 1, 1996 chiropractic treatments as a result of a motor vehicle accident covered by Manitoba Public Insurance
- services such as examinations, laboratory tests, x-rays and other procedures related to uninsured services
If I need an ambulance, is it covered by Manitoba Health?
Manitoba Health will cover medically-necessary, land ambulance inter-facility transports when patient is being transported between designated health-care facilities for diagnostic tests or treatment, or from a more specialized level of care to another facility closer to home for rehabilitation or recovery.
Eligibility criteria for coverage of inter-facility medical transports includes:
- the patient must be a resident of Manitoba with a valid Manitoba Health card,
- the patient must medically require transportation by ambulance as determined by a physician, and
- the patient is being transferred between designated health-care facilities for diagnostic tests or treatment, or from a more specialized level of care to another facility closer to home for rehabilitation or recovery.
Consistent with practices in many other provinces, patients will still be responsible for emergency ambulance transportation costs. These costs may be covered by other insurance coverage. First- or third-party insurers will continue to cover these services for their clients. Examples of first- or third-party insurers include the Royal Canadian Mounted Police, National Defence, the Worker's Compensation Board and Manitoba Public Insurance.
Out of Province Transport of Manitobans
If you require an ambulance while out of the Province there are no subsidies/coverage from the Manitoba government. You will be charged by the ambulance service/company that provides the service at full cost recovery. The rate for out of province ambulance service may be substantially higher than rates charged local residents, as local subsidies will not apply.
A Manitoba ambulance may transport you if you require routine medical care in a bordering province to a neighbouring provincial facility. Ambulance costs would be billed at local Manitoba rates.
Manitoba Physicians in border areas should be aware that referrals to neighbouring provinces may have significant financial consequences to you, the patient. Should the physician in the bordering hospital elect to refer you for specialized care within that province, you would be subject to the full cost recovery fee charged by that Province at a non-resident rate for transport. Transportation costs from out of province hospitals are not an insured service.
Air Ambulance Transfers
Air ambulance transfers may be an insured service in one of three ways:
- Patients meeting the acuity requirements for transportation under the Manitoba Lifeflight Air Ambulance program are fully insured for the air component of the transport but are responsible for all costs associated with land ambulance transport to and from the airport
- Patients located north of the 53rd parallel qualify for the Northern Patient Transportation Program for medically necessary transportation
- First nation residents living on reserves may also qualify for medical air or land transportation under federal programs
Physicians are encouraged to contact Manitoba Health Out-of-Province claims or Lifeflight prior to referring any patient to an out of province hospital.
Am I eligible for the Northern Patient Transportation Program?
You may be eligible for northern transportation subsidy to help pay for transportation costs if you live north of the 53rd parallel in Manitoba and are required to travel long distances for specialty medical care.
For more information about the Northern Patient Transportation Program, please click here.
I'm moving away from Manitoba temporarily or taking an extended vacation. Am I still covered by Manitoba Health?
If you are leaving Manitoba temporarily or taking an extended vacation, you should apply to the Registration and Client Services Unit for a Term Registration Certificate. The terms of your coverage may be one of the following:
I will be travelling outside of Manitoba. What do I have to do to maintain my Manitoba Health coverage if I will be temporarily residing outside of Manitoba or Canada for an extended period, and plan on returning to reside in Manitoba? (Example: Extended vacation or travel):
If you are planning to reside outside of Manitoba for an extended period for the purposes of vacation or an extended travel leave, you can be absent from the province for up to seven months and remain eligible for Manitoba Health coverage.
To ensure that you remain eligible for Manitoba Health coverage during your extended absence, report any expected absence of 90 days or more in a 12-month period to Manitoba Health prior to your departure. Additionally, to ensure that you are eligible for out-of-country benefits while abroad, you must apply for a Term Registration Certificate, by providing the following prior to your departure:
- A letter or completed Manitoba Health form
requesting continued coverage from Manitoba Health. If you chose to write a letter, it should contain your full name, permanent Manitoba address and temporary new address, the date of departure and expected date of return to Manitoba, Manitoba Health number, and the names of any family members accompanying you.
Please note: Manitoba Health recommends that you explore private insurance options along with your Manitoba Health coverage to ensure that you have sufficient coverage for all of your health care needs while out of the country. Please see the section titled What happens if I need to see a doctor or receive medical attention while away? for information respecting out-of-province and out-of-country coverage.
I’m a student. What do I have to do to maintain my Manitoba Health coverage if I study in another province, territory, or country, and plan on returning to reside in Manitoba?
Any Manitoba resident who leaves the province temporarily to attend an accredited educational institution is eligible, provided the following requirements are met.
If you are a Manitoba resident leaving the province to attend school on a full-time basis, the following must be provided to Manitoba Health prior to your departure:
- A letter or completed Manitoba Health form requesting continued coverage from Manitoba Health. If you chose to write a letter, it should contain your full name, permanent Manitoba address and temporary new address, the date of departure and expected date of return to Manitoba, Manitoba Health number, and the names of any family members accompanying you, and
- A letter from an accredited educational institution confirming your full-time attendance and duration of studies. You must reapply for coverage and provide confirmation for each subsequent year.
Once Manitoba Health receives the above mentioned documents, a Term Registration Certificate confirming your eligibility during your absence will be sent to you.
Moving for a temporary employment opportunity, and plan on returning to reside in Manitoba:
If you are employed outside of Canada with plans to return, you must provide Manitoba Health with a copy of your work contract that indicates the length of your work term. If you intend to return to Manitoba, Manitoba Health may extend your coverage for up to 24 months.
NOTE: If you plan on taking your spouse or children with you, please inform Manitoba Health to ensure their continued coverage.
What happens if I need to see a doctor or receive medical attention while away?
In Canada:
Show your Manitoba Health card to the physician. The physician will either bill Manitoba Health directly for the services, or bill you, in which case you need to obtain an itemized receipt. If you are billed directly, you will be eligible for reimbursement from Manitoba Health for insured services according to that province or territory’s fee schedule rate.
Outside Canada:
Payment of the bill may be your responsibility.
Manitoba Health provides coverage for emergency medical services received out of the country at the rates paid in Manitoba. Out-of-country emergency hospital services are paid at a per diem rate as set out in Manitoba’s provincial regulations. Please note that these payments may not provide full coverage of the amount charged by the foreign facility, and any balance owing to the foreign physician or facility will be your responsibility. For more information regarding out-of-province benefits you can visit MH’s Out-of-Province webpage at www.gov.mb.ca/health/mhsip/leavingmanitoba.html.
If you have obtained a Term Registration Certificate prior to your departure, Manitoba Health will provide coverage for medically required non-emergency medical services received out of the country at the rates paid in Manitoba. Out-of-country hospital services in relation to medically required non-emergency medical services will be paid at a per diem rate as set out in Manitoba’s provincial regulations. Please note that these payments may not provide full coverage of the amount charged by the foreign facility, and any balance owing to the foreign physician or facility will be your responsibility.
Submit your original receipt to Manitoba Health for consideration of payment. You will be reimbursed according to the rate which would have been paid had the same care been received in Manitoba.
NOTE: Manitoba Health recommends that you explore private insurance options in addition to your Manitoba Health coverage to ensure that you have sufficient coverage for all of your health care needs while out of the country.
Where can I send/drop off my application for a Term Registration Certificate?
If you are planning on moving away from Manitoba temporarily, or taking an extended vacation, and wish to apply for continued health coverage, please contact Manitoba Health at:
Registration and Client Services Unit
Manitoba Health
300 Carlton Street
Winnipeg, Manitoba R3B 3M9
General Inquiries Line: 204-786-7101 or Toll Free: 1-800-392-1207
Fax: 204-783-2171 or Toll Free: 1-866-608-2983
Email: InsuredBen@gov.mb.ca
TDD/TTY: 204-774-8618
TDD/TTY Relay Service outside Winnipeg: 711 or 1-800-855-0511
What if I have to see a doctor while in another province?
Manitoba has agreements with all Canadian provinces (except Quebec) to allow physicians to bill your provincial health plan, although some physicians may choose to bill you directly. If you are admitted to an approved hospital anywhere in Canada, Manitoba Health will pay the standard rate. Because some services are excluded, you are encouraged to obtain additional health insurance before travelling. Contact Manitoba Health for more information.
Note: You must show your Manitoba Health card to the doctor or hospital.
Am I covered for emergency care outside of Canada?
Doctor Bills
Manitoba Health
will pay for emergency doctors’ services outside of Canada at a rate
equal to what a Manitoba doctor would receive for a similar service.
Hospital Bills
Emergency
hospital care is paid on an average daily rate established by Manitoba
Health.
You may be charged more than the amount paid by Manitoba Health for services provided outside Canada.
The difference above the covered amount may be substantial and is your responsibility.
Bring or mail your original bill to the Out-of-Province Claim Section at Manitoba Health within 6 months of receiving care. If you have made payments on your bills, Manitoba Health requires a receipt showing the amount paid. If you do not include your receipt, Manitoba Health will pay the hospital or doctor directly.
For more information contact:
Manitoba Health
300 Carlton Street
Winnipeg, MB R3B 3M9
For more information call: 204-786-7303
Toll free: 1-800-392-1207 Ext. 7303
TDD/TTY: 204-774-8618
TDD/TTY Relay Service outside Winnipeg: 711 or 1-800-855-0511
I'm moving away from Manitoba permanently. Am I still covered by Manitoba Health?
If you are leaving Manitoba permanently, you should apply to the Registration and Client Services Unit for an Out-of-Province Certificate. The terms of your coverage may be one of the following:
- If you are moving to another province or territory
Coverage by Manitoba Health will continue for the remainder of the month in which you arrive in your new province or territory plus two additional months (except personal care home benefits). Immediately upon arrival to your new province or territory, be sure to contact that province’s or territory’s health insurance plan to arrange for continuity of coverage.
- If you are moving to another country
Coverage by Manitoba Health will continue for the remainder of the month in which you leave Manitoba, plus two additional months.
- If you are moving away from Manitoba and are a Temporary Foreign Worker or an International Student Coverage by Manitoba Health will cease on the day that you depart from Manitoba.
If you are planning on moving permanently away from Manitoba, and wish to apply for continued health coverage, please contact Manitoba Health at:
Registration and Client Services Unit
Manitoba Health
300 Carlton Street
Winnipeg, Manitoba R3B 3M9
General Inquiries Line: 204-786-7101 or Toll Free: 1-800-392-1207
Fax: 204-783-2171 or Toll Free: 1-866-608-2983
Email: InsuredBen@gov.mb.ca
TDD/TTY: 204-774-8618
TDD/TTY Relay Service outside Winnipeg: 711 or 1-800-855-0511
The Manitoba Health Services Insurance Plan is financed from general revenues of the Province of Manitoba and with funds provided by the Government of Canada. All statements are subject to the provisions of The Health Services Insurance Act and Regulations.
| For more information: |
Insured Benefits Branch Phone Numbers: Residents within the province
from outside Winnipeg: Manitoba Pharmacare Program: Health Care Abuse/Fraud Line: Is Your Question Still Not Answered? Residents should carry their registration certificate (Manitoba Health card) at all times to present when they or their dependants require health services. |