Is the Cost of Private Health Insurance Worth it in Canada? (2024)

Looking to save money (who isn’t!)? Get health insurance! When it comes to insurance many people often wonder if it’s worth paying for something they may not use. These days many of us are looking for more ways save. If you’re one of the many Canadians who don’t receive health benefits through work, we’re here to say that yes, health insurance is worth paying for. And it’s very likely that you’ll use it. It will save you money AND help keep you healthy. Intrigued? Read on.

Many young Canadians find a stark reality awaiting them when they turn a certain age and are ungraciously kicked off of their parents’ health insurance plans. Suddenly, gone are the days of going to the dentist four times a year for ‘free’. And while you’re likely making money, you might not have health insurance coverage through work. In this blog we’ll cover why health insurance is worth the cost and how it can save you money, and your health.

Benefits Look Different for Workers Now

It’s common now for many Canadians to work less ‘traditional’ jobs. Think side hustles, contract or freelance work, or what’s commonly referred to as ‘gig’ work. It’s a growing area of employment in Canada for those who want flexibility and independence, or want to make some extra cash on the side. But the caveat with these sorts of jobs is they don’t typically include private health insurance coverage.

Gig workers in Canada have seen major growth in numbers - they’re up 70% in the last decade, now making up over 8% of the Canadian workforce. The lifestyle that comes with the gig economy can be a fit for many workers these days. You’re essentially ‘working for yourself’ and can define your hours, commitments, and projects you take on. These are key benefits for gig workers.

Self-employment has also been on the rise for the last 20 plus years. In 2020 3.15M Canadians filed their taxes as self-employed workers. Many millennials and older Gen Z workers find themselves choosing this less conventional option over being employed.

If you want to take a last-minute trip or work remotely from Hawaii, that’s more doable when you’re making your own hours. However, self-employment has its downsides too. These kinds of jobs usually lack private health insurance and other types of employee benefits. That means you’re on your own when paying for your medical expenses. You either choose to pay out-of-pocket or pay for private health insurance. But how do you know if health insurance is worth it in Canada?

Is Private Health Insurance Worth it in Canada?

If you find yourself without a work compensation package that includes health insurance, you might be wondering if it’s even worth it. Given you’re lucky enough to live in Canada where most critical health services are covered, this is a reasonable consideration. But as you know, health care extends far beyond what our provincial health care covers.

It will probably take one visit to the dentist that involves you pulling out your credit card for it to become obvious - health insurance IS worth it in Canada. And the dentist is just one example. Our universal health care, while great, doesn’t cover the cost of prescription drugs or trips to the physiotherapist, just to name a couple examples.

When you’re considering if health insurance is worth it, consider your health and your health needs. Are you a regular at the dentist? Do you take any regular medications? It’s worth thinking about what you want from a health insurance coverage plan too. For example, would you like to visit a psychologist or counsellor on a routine basis, or see a physiotherapist without covering the cost on your own entirely? These visits can be pricey and will add up over time. You might find that having a health insurance plan will save you thousands of dollars. Aside from savings now, it can also help you save into the future.

Private Health Insurance Helps You Plan Ahead

You might be considering your current state of health and not be concerned about your future needs. But like so many things in life, your health can change quickly. Health insurance puts you in a position where you won’t have to worry about affording care and paying for bills entirely out of pocket.

Having health insurance also means you can be proactive with your health care. If flossing makes you cringe, that might be a sign that a regular dentist visit is a good idea for you, and a private health insurance plan can make that affordable. This would save you from some more expensive trips down the road, especially without insurance!

Health insurance also provides coverage for health and medical practitioners that help you maintain and improve your health so you face better odds as you age. Seeing a psychologist now might be a good choice for your mental wellbeing, or perhaps seeing a physiotherapist or massage therapist now puts you in a better position to avoid injuries in the future. With health insurance, you can afford to be proactive with your health.

It also pays to get health insurance in place while you’re healthy. Since health history is typically a factor in determining premiums, you’ll pay a lower rate if you’re healthy when you apply. And, getting a plan before health conditions ariseensure you’ll be covered when you need it.

Plan Ahead With A GMS Private Health Insurance Plan

Whether you’re looking to replace a work plan, supplement an existing plan, or set up your very first plan of your own, GMS has you covered. Our Personal Health plans offer the flexibility to choose anywhere from basic to extensive coverage. The rates are determined by the benefits you choose and your medical history. If you’ve recently left a job with benefits, you also qualify for our Replacement Health coverage. We offer guaranteed acceptance with no medical questions and your choice between three pre-bundled plans. Learn more today!

Is the Cost of Private Health Insurance Worth it in Canada? (2024)

FAQs

Is the Cost of Private Health Insurance Worth it in Canada? ›

If you're one of the many Canadians who don't receive health benefits through work, we're here to say that yes, health insurance is worth paying for. And it's very likely that you'll use it. It will save you money AND help keep you healthy.

How much does private health insurance cost in Canada? ›

How much does health insurance in Canada cost? Private health insurance in Canada costs about $756 annually or about $63 per month, according to the latest figures gathered by the Canadian Institute for Health Information (CIHI).

What is the point of private health insurance in Canada? ›

Benefits of personal health insurance

Pays for eligible prescription drugs, dental, vision care, physiotherapy and more. Helps protect you if you don't have benefits through your employer.

How many Canadians don't have private insurance? ›

About 7.5 million Canadians have to pay out-of-pocket because they are uninsured, and may cover these costs by "borrowing money or trading off food, heat, rent or other health care expenses."

Does my US health insurance cover me in Canada? ›

Even though Canada is just over the border, your U.S. health insurance plan will not be accepted there unless it specifically provides global coverage. American Medicare also is not accepted in Canada. It's important to purchase travel medical insurance in case you suffer an injury or fall ill while in Canada.

Is it worth getting health insurance in Canada? ›

Personal insurance plans like Freedom to Choose™ health and dental insurance can bridge the gaps left by public healthcare systems and can be worth it for people who are self-employed, retired or who don't have access to a workplace insurance plan. Health and dental coverage can include: Routine dental services.

Is private health insurance tax deductible in Canada? ›

According to the Canada Revenue Agency (CRA), as a rule the premium you pay for a private health services plan that covers yourself, your spouse or common-law partner, or your minor children — including the premium and applicable taxes — is an eligible medical expense you can claim at tax filing time.

Do you need private medical insurance in Canada? ›

Those with temporary residence will need to rely on private health insurance but there are many options to suit a range of needs and budgets.

What is the best health insurance in Canada? ›

Best companies for…
  • Blue Cross: Best for prescription medication & dental coverage.
  • Canada Life: Best for vision coverage.
  • Desjardin: Best for bundling with other products.
  • GMS: Best for multiple plan options.
  • Greenshield: Best for paramedical (chiro, physio, massage, etc.) ...
  • Manulife: Best for customization.
Feb 1, 2024

What happens if you don't have health insurance in Canada? ›

Canadian residents without valid provincial or federal health insurance plan, considered uninsured residents of Canada, and non-residents of Canada are responsible for all Hospital fees. Hospital fees are in addition to attending physician fees as billed by the physician.

Why is private healthcare illegal in Canada? ›

The CHA has become an iconic act of legislation—and one that is poorly understood. It does not make private health care illegal, as some believe. Instead, it states that Canadians must have reasonably timely and free access to “medically necessary” care, and that medically necessary care must be paid for publicly.

Do you have to pay for the hospital in Canada? ›

All citizens and permanent residents in Canada have free access to medically necessary services through a doctor or hospital.

What are the pros and cons of the Canadian healthcare system? ›

Canada's healthcare system has its fair share of both advantages and disadvantages. While the system provides universal coverage and high-quality care, it also faces significant challenges, such as long wait times and rising healthcare costs.

What happens if an American gets sick in Canada? ›

If during your visit to Canada you get sick or injured, the Canadian government won't pay for any hospitalization or emergency medical services for visitors. Also, if you don't have proper medical insurance coverage, you will be liable to pay for any medical service out of your own pocket.

How much does a hospital visit cost in Canada? ›

Hospital Fees for Patients without Canadian Health Insurance
Uninsured resident of CanadaNon-resident of Canada
Outpatient visit (Hospital appointments), each$386$1,158
Emergency visit, each$386$1,158

Is Blue Cross Blue Shield good in Canada? ›

If you need medical care outside the U.S, Puerto Rico, and the U.S. Virgin Islands you can rest assured that the Blue Cross and Blue Shield Service Benefit Plan offers worldwide coverage. Through the Overseas Assistance Center, you're covered when working or traveling overseas.

How much do Canadians pay for health insurance? ›

Families with the lowest average yearly total incomes of $14,168 will pay an average of $471 for public health insurance in 2020. Families with an average income of $65,522 will pay $6,627. The top-earning Canadian families, on the other hand, with an average income of $281,988 will contribute $39,731.

Is it cheaper to go to Canada for healthcare? ›

Frequently Asked Questions. Is healthcare more expensive in the United States or Canada? The healthcare system in the United States is more expensive than the healthcare system in Canada. Health expenditures in the United States average out at $12,914 per person, nearly double the $6,500 spent per person in Canada.

What is the average healthcare cost per person in Canada? ›

Canada has a system of health care that is financed through taxation and public funding. As of 2023, the total per capita expenditure in Canada for health care was estimated to be about 8,740 Canadian dollars.

How much of Canada's health care costs are out of pocket? ›

In 2022, the out-of-pocket health care payments in Canada were projected to come to an average of approximately 1189 Canadian dollars per capita, an increase from the previous year.

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