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Seniors' Health Program

Seniors' Health Program

For residents of New Brunswick aged 65 & older

If you're age 65 or older, you may qualify for the Medavie Blue Cross Seniors' Prescription Drug Program and Seniors' Health Program, which provide prescription drug coverage and optional hospital, health and dental benefits

Uninsured New Brunswickers 65 years of age or older may enrol.

You will be accepted into the Seniors’ Program if:

  • you apply within 60 days following your 65th birthday, or
  • you are older than age 65 and you apply within 60 days following the cancellation of a previous plan, or
  • you are older than age 65 and you apply within 60 days following gaining eligibility for NB Medicare as a new resident.

If you apply within 60 days following your 65th birthday, coverage becomes effective on the first day of the month you turn 65. If you apply within 60 days following cancellation of another plan, coverage becomes effective on the first day of the month following the cancellation date.

If you did not apply within the 60-day limit, you may apply as a late applicant but are required to complete a medical questionnaire for drug coverage. You may or may not be accepted, based on your medical history. A one-year waiting period will apply to late applicants for some Health Benefits.

To begin this process, call toll free:

  • For Prescription Drug Coverage: 1-800-332-3692
  • For Health and Dental Coverage: 1-844-209-7599

If you are a late applicant, your prescription drug coverage becomes effective the first day of the month following the receipt of your application.


Prescription Drug and Health Benefits

Medavie Blue Cross Seniors’ Prescription Drug Program

Medavie Blue Cross, in cooperation with the New Brunswick Department of Health provides members the same benefits as those provided by the New Brunswick Prescription Drug Program. For more information, visit www.gnb.ca/NBPDP.

Medavie Blue Cross Seniors' Health Program

Optional Hospital & Health Coverage

To complement your drug coverage, consider adding hospital coverage and health benefits to design a plan to best suit your needs.

Hospital benefits

Hospital benefits cover 80% up to $50 per day up to a maximum of 90 days per year towards a semi-private or private hospital room. This plan does not provide hospitalization coverage for the first three months following enrolment.

Dental Benefits

Dental benefits are covered at 70% and include: recall exam, polishing, scaling, fillings, root canal treatment, extractions, minor denture repair, denture reline and rebase. Frequency limits may apply. This plan does not provide dental coverage for the first six months following enrollment.

Health coverage

Health coverage offers Basic and Enhanced plan options.

Health Benefits Comparison Chart

Health Benefits Basic Health Benefits 80% Enhanced Health Benefits 80%
Diabetic Test Strips and Lancets* $320 per year $320 per year
Diabetic Needles and Syringes* $180 per year $180 per year
Gradient Pressure Supports 2 per year 2 per year
Hearing Aids* $320 every 5 years $320 every 5 years
Braces, Splints, Orthotics $200 per year $400 per year
Custom-made Ankle Foot Brace $300 per year $400 per year
Ostomy Supplies* Covered Covered
Prosthetic Limb* Maximums and frequency limits apply Maximums and frequency limits apply
Breast Prosthesis* $160 every two years $160 every two years
Hair Prosthesis* $240 per lifetime $240 per lifetime
Tracheotomy Supplies Covered Covered
Vision Care* $64 every 2 years $100 every 2 years
X-ray $20 per year combined with Chiropractor maximum $20 per year combined with health practitioners maximum

Health Practitioners

Health Practitioners Basic Health Benefits 80% Enhanced Health Benefits 80%
Chiropractor $12 per visit up to $100 per year combined with X-ray $200 per year, per health practitioner up to a combined maximum of $400 per year
Podiatrist $16 per visit up to 5 visits per year $200 per year, per health practitioner up to a combined maximum of $400 per year
Psychologist ▲ $200 per year, per health practitioner up to a combined maximum of $400 per year
Massage Therapist ▲ $200 per year, per health practitioner up to a combined maximum of $400 per year
Osteopath ▲ $200 per year, per health practitioner up to a combined maximum of $400 per year
Physiotherapist ▲ $200 per year, per health practitioner up to a combined maximum of $400 per year
Speech Therapist ▲ $200 per year, per health practitioner up to a combined maximum of $400 per year
Respiratory Devices ▲ $400 every 3 years
Incontinent/Catheter Products ▲ Covered
Accidental Dental ▲ $7,000 per lifetime
Ambulance ▲ $400 per year
Emergency Drugs (out of Province but within Canada) ▲ Covered
Equipment Rental* ▲ Covered
Nursing ▲ $250 per year
Oxygen Equipment* ▲ $1,600 every 3 years
Oxygen* ▲ $1,200 per year
Blood Glucose Monitor* ▲ $80 every 5 years
Orthopaedic Shoes and Supplies ▲ $100 per year
Eye Prosthesis* ▲ $300 every 3 years
Contact lenses due to disease* ▲ $200 every 2 years

*Late Applicant Provision: There is a one year waiting period for certain benefits under Health Benefits coverage (Basic and Enhanced) if you do not apply within 60 days following your 65th birthday, or within 60 days following the termination date of other health benefits, or within 60 days of obtaining NB Medicare as a new resident.

▲ Benefit not covered

Rates

Prescription Drug Program

$125/month
($15 co-pay per prescription)

Dental Coverage

$38.00/month

Hospital Coverage

$31.50/month

Health Coverage, basic benefits

$12/month

Health Coverage, enhanced benefits

$22/month

How do I apply?

For Prescription Drug Program

Complete the application form and mail, or fax us the form.

Download application form
Application form for spouse

Telephone: 1-800-332-3692
Fax: 1-888-455-8322
Email: info@nbdrugs-medicamentsnb.ca

For Hospital, Health and Dental Program

Complete the application form and mail, email or fax us the form.

Download application form
Application form for spouse

Telephone: 1-844-209-7599
Fax: 1-855-551-9984
Email: individual.sales@medavie.bluecross.ca