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Newcomers Guide

BC Services Card and MSP: who must enrol, the wait period and how to apply

By Alex Francisco Updated Figures checked 12 min read

How do you enrol in MSP and get a BC Services Card?

The BC Services Card is the health card issued to British Columbia residents once they enrol in the Medical Services Plan (MSP), which every B.C. resident must do. Apply online, by mail or at Service BC as soon as you arrive: coverage starts after the rest of your arrival month plus two more months, and adult citizens and permanent residents finish enrolment with a photo at an ICBC driver licensing office.

  • Enrolment in the Medical Services Plan is mandatory for all eligible B.C. residents and their dependents, and gov.bc.ca says there is no cost to apply.
  • The MSP wait period is the rest of the month you become a B.C. resident plus two more months, and the Ministry of Health decides the date residence starts.
  • Study and work permit holders may be deemed residents only when the permit is valid for six months or longer; tourists and visitors are not eligible.
  • Adults who applied as Canadian citizens or permanent residents complete enrolment at an ICBC driver licensing office with two pieces of ID and a photo.
  • The BC Services Card is free, carries a lifetime Personal Health Number, and people on temporary permits get a non-photo card by mail.
  • International students enrolled in MSP are invoiced a health fee of $75 per month, starting the month their coverage begins.

— YieldMaple, figures checked against official sources on October 11, 2026. Sources

This guide explains how the BC Services Card and the Medical Services Plan fit together, based on the Ministry of Health and BC Services Card pages on gov.bc.ca checked on October 11, 2026. It is general information, not legal, immigration or insurance advice. Health Insurance BC decides eligibility and the date coverage starts, and gov.bc.ca says eligibility cannot be confirmed over the phone: it is settled only once the application and immigration documents have been reviewed.

What is the difference between MSP and the BC Services Card?

MSP is the insurance and the BC Services Card is the proof of it. The Medical Services Plan is B.C.’s public health insurance, run day to day by Health Insurance BC (HIBC). The BC Services Card is the card you show at a clinic or hospital, and it has replaced the old CareCard since February 2013.

Three things are worth knowing before starting:

  • One application covers both. You apply for MSP; the card follows from enrolment. The same B.C. Application for Health and Drug Coverage also handles Supplementary Benefits and Fair PharmaCare.
  • The number matters more than the plastic. Each person enrolled gets a Personal Health Number (PHN), a lifetime identifier printed on the card.
  • Enrolment is not optional. Gov.bc.ca states that enrolment is mandatory for all eligible residents and their dependents.

Who must enrol in MSP in BC?

Every B.C. resident must enrol in MSP. A resident, for MSP purposes, is a Canadian citizen or permanent resident who makes their home in B.C. and is physically present in the province at least six months in a calendar year. Some temporary residents are treated as residents too, which is where most newcomer questions come from.

Who is eligible for MSP in British Columbia

How to read this table: find your status in the first column. 'Deemed resident' groups are decided by Health Insurance BC from the documents you send.

GroupWhat gov.bc.ca says
Canadian citizens and permanent residentsEligible when they make their home in B.C. and are physically present at least six months in a calendar year (up to seven months away for vacation only)
Study permit holdersMay be deemed residents when the permit is valid for six months or longer; they pay the monthly international student health fee
Work permit holdersMay be deemed residents when the permit is valid for six months or longer
Working holiday (International Experience Canada) permit holdersStaying in B.C., holding a permit and employed for six consecutive months or more, and working at least 18 hours a week
Spouse or child of a B.C. resident who has applied for permanent residenceMay be deemed a resident once the IRCC fees are paid in full; initial coverage of up to 12 months
Maintained status holders waiting for a new work or study permitAn initial six months of temporary coverage if previously enrolled in MSP, with IRCC proof the new permit was applied for before the old one expired
Dependents of an MSP beneficiary (spouse, children, dependent post-secondary students)Eligible if they are B.C. residents themselves
Status Indians resident in B.C.Enrolled and administered by the First Nations Health Authority
Canadian Armed Forces membersNot eligible themselves; spouses and children who are B.C. residents are eligible
Tourists and visitorsNot eligible for provincial health care benefits

Source: How to apply for the Medical Services Plan (MSP) — gov.bc.ca (who must enrol); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (new to Canada); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (wait period wording); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (moving from another province); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (ICBC visit, age 18 years and six months); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (walk-in services); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (non-photo card by mail); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (one application for MSP, Supplementary Benefits and Fair PharmaCare); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (length of the wait); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (who sets the residence date); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (status changes inside Canada); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (apply early); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (family arriving on different dates); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (private insurance during the wait); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (care before MSP starts); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (Canadian Armed Forces exemption); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (waivers); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (waiver test); Eligibility for MSP — gov.bc.ca (definition of a resident); Eligibility for MSP — gov.bc.ca (vacation absences); Eligibility for MSP — gov.bc.ca (study and work permit holders); Eligibility for MSP — gov.bc.ca (dependents); Eligibility for MSP — gov.bc.ca (spouse or child who applied for permanent residence); Eligibility for MSP — gov.bc.ca (First Nations Health Authority); Eligibility for MSP — gov.bc.ca (Canadian Armed Forces members); Eligibility for MSP — gov.bc.ca (arrivals from Ukraine); Applicants for Permanent Resident Status — gov.bc.ca (tourists and visitors); Applicants for Permanent Resident Status — gov.bc.ca (eligibility not confirmed by phone); Applicants for Permanent Resident Status — gov.bc.ca (when the wait begins); Applicants for Permanent Resident Status — gov.bc.ca (initial coverage period); Applicants for Permanent Resident Status — gov.bc.ca (absences during the wait); Applicants for Permanent Resident Status — gov.bc.ca (seeing a doctor without a card); Working Holiday Programs — gov.bc.ca (conditions); Maintained Status Holders — gov.bc.ca (temporary coverage); Maintained Status Holders — gov.bc.ca (proof required); Update or confirm status in Canada — gov.bc.ca (coverage ends with the permit); Apply for MSP — gov.bc.ca (three ways to apply); Apply for MSP — gov.bc.ca (online application); Apply for MSP — gov.bc.ca (time to complete); Apply for MSP — gov.bc.ca (paper form and mailing address); Apply for MSP — gov.bc.ca (in person); Apply for MSP — gov.bc.ca (ID image requirements); Apply for MSP — gov.bc.ca (documents for citizens); Apply for MSP — gov.bc.ca (documents for permanent residents); Apply for MSP — gov.bc.ca (documents for temporary permit holders); Apply for MSP — gov.bc.ca (name documents); Apply for MSP — gov.bc.ca (Photo BC Services Card completes enrolment); Apply for MSP — gov.bc.ca (what happens at the ICBC office); Apply for MSP — gov.bc.ca (card is free); Apply for MSP — gov.bc.ca (leaving within six months); Apply for MSP — gov.bc.ca (PHN and card after applying); Medical Services Plan for B.C. residents — gov.bc.ca (no cost to apply); Medical Services Plan for B.C. residents — gov.bc.ca (mandatory enrolment); MSP premiums — gov.bc.ca (premiums eliminated); BC Services Card — gov.bc.ca (photo ID); Types of BC Services Card — gov.bc.ca (three types); Types of BC Services Card — gov.bc.ca (replaced the CareCard); Get a BC Services Card — gov.bc.ca (what to bring); Get a BC Services Card — gov.bc.ca (no fee); Get a BC Services Card — gov.bc.ca (children and youth); Which BC Services Card to get — gov.bc.ca (temporary immigrant status); Which BC Services Card to get — gov.bc.ca (adults who do not drive); Renew or replace a BC Services Card — gov.bc.ca (renewal renews MSP enrolment); Renew or replace a BC Services Card — gov.bc.ca (lost or stolen photo card); Renew or replace a BC Services Card — gov.bc.ca (lost non-photo card); Use your BC Services Card to access health services — gov.bc.ca (show the card; emergencies); Personal Health Identification — gov.bc.ca (Personal Health Number); Services Covered by MSP — gov.bc.ca (what MSP pays for); Services Covered by MSP — gov.bc.ca (PharmaCare Plan Z and Plan NP); Medical Benefits — gov.bc.ca (list of medical benefits); Medical Benefits — gov.bc.ca (dental surgery in hospital); Services Not Covered by MSP — gov.bc.ca (list, part 1); Services Not Covered by MSP — gov.bc.ca (list, part 2); Services Not Covered by MSP — gov.bc.ca (supplementary practitioners); Supplementary Benefits — gov.bc.ca (amount per visit); Supplementary Benefits — gov.bc.ca (income threshold); Supplementary Benefits — gov.bc.ca (12 months in Canada as a citizen or permanent resident); International Students Health Fee Q&A — gov.bc.ca (who pays); International Students Health Fee Q&A — gov.bc.ca (amount); International Students Health Fee Q&A — gov.bc.ca (first phase); International Students Health Fee Q&A — gov.bc.ca (when the fee starts); International Students Health Fee Q&A — gov.bc.ca (how it is billed); International Students Health Fee Q&A — gov.bc.ca (no income-based relief); International Students Health Fee Q&A — gov.bc.ca (family members); International Students Health Fee Q&A — gov.bc.ca (temporary absences); International Students Health Fee Q&A — gov.bc.ca (schools); Medical Services Plan for B.C. residents — gov.bc.ca (still links the International Students Health Fee Q&A); Opting out of MSP coverage — gov.bc.ca (adults only, 12 months); Opting out of MSP coverage — gov.bc.ca (hospital costs); Leaving B.C. temporarily — gov.bc.ca (long absences); Leaving B.C. temporarily — gov.bc.ca (out-of-province hospital rate); Leaving B.C. permanently — gov.bc.ca (moving within Canada); Leaving B.C. permanently — gov.bc.ca (moving outside Canada); Moving within B.C. — gov.bc.ca (address change within 10 days); Managing your MSP account — gov.bc.ca (account change processing); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (phone and hours); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (mail); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (email limits); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (Service BC centres); Apply for MSP — gov.bc.ca (citizenship card or certificate); Apply for MSP — gov.bc.ca (arrivals from Ukraine, non-photo card); International Students Health Fee Q&A — gov.bc.ca (where invoices go); International Students Health Fee Q&A — gov.bc.ca (schools paying on behalf of students); Medical Services Plan for B.C. residents — gov.bc.ca (official forms only); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (account questions by email); MSP premiums — gov.bc.ca (old premium debts); Opting out of MSP coverage — gov.bc.ca (no opting back in); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (group plans); Applicants for Permanent Resident Status — gov.bc.ca (send PR documents); International Students Health Fee Q&A — gov.bc.ca (study permits with CUAET notations); Medical Benefits — gov.bc.ca (orthodontic services). In effect from June 4, 2026; checked October 11, 2026.

The six-month line is the one to check on a permit. A study or work permit valid for less than six months does not meet the test on gov.bc.ca, and a visitor is not eligible at all. Graduates moving to a post-graduation work permit keep the same six-month rule under the new permit, and anyone whose permit runs out while a new one is pending should read the maintained status row closely: temporary coverage is available only to people who were already enrolled.

How long is the MSP wait period?

The MSP wait period is the rest of the month in which you become a B.C. resident, plus two more months. That is the wording on gov.bc.ca’s Coverage Wait Period page, last updated June 4, 2026. The province’s application page puts the same rule in round terms: coverage may start three months after your arrival date.

Because the first part is “the rest of the month”, the day you arrive changes very little, but the month changes everything:

  • Someone whose residence is established on October 11, 2026 waits out the rest of October, then November and December, so coverage can begin on January 1, 2027.
  • Someone whose residence is established on November 1, 2026 waits out November, then December and January, so coverage can begin on February 1, 2027.

Those are illustrations, not a promise. The Ministry of Health decides the date you became a resident, and it depends on several factors including immigration status.

MSP wait period by situation

How to read this table: the last column is what gov.bc.ca tells each group to rely on until MSP starts.

Your situationWait periodCoverage in the meantime
New to Canada (arriving in B.C. from outside Canada)Rest of the month residence is established, plus two more monthsPrivate health insurance, arranged before arrival and kept until MSP starts
Moving to B.C. from another province or territoryRest of the month residence is established, plus two more monthsKeep the former province or territory's health plan during the wait
Returning resident re-establishing residence in B.C.Rest of the month residence is established, plus two more monthsOther health insurance; without it the full cost of care is payable
Arrived as a tourist or visitor, then gained a status that qualifies for MSPStarts from the later date the qualifying status applies, not the arrival datePrivate health insurance
Spouse or child of a B.C. resident who applies for permanent residence from inside B.C.Starts on the date the last required IRCC fee is paid in fullPrivate health insurance; initial coverage may run up to 12 months from full payment
Family members arriving on different datesEach person has their own wait, based on their own arrival dateThose not yet in B.C. may stay covered by their former province or territory
Discharged Canadian Armed Forces members, and spouses and children of CAF membersNo wait periodNot applicable
Arriving from Ukraine under CUAETWaived; day-of-arrival coverageNot applicable

Source: How to apply for the Medical Services Plan (MSP) — gov.bc.ca (who must enrol); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (new to Canada); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (wait period wording); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (moving from another province); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (ICBC visit, age 18 years and six months); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (walk-in services); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (non-photo card by mail); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (one application for MSP, Supplementary Benefits and Fair PharmaCare); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (length of the wait); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (who sets the residence date); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (status changes inside Canada); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (apply early); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (family arriving on different dates); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (private insurance during the wait); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (care before MSP starts); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (Canadian Armed Forces exemption); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (waivers); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (waiver test); Eligibility for MSP — gov.bc.ca (definition of a resident); Eligibility for MSP — gov.bc.ca (vacation absences); Eligibility for MSP — gov.bc.ca (study and work permit holders); Eligibility for MSP — gov.bc.ca (dependents); Eligibility for MSP — gov.bc.ca (spouse or child who applied for permanent residence); Eligibility for MSP — gov.bc.ca (First Nations Health Authority); Eligibility for MSP — gov.bc.ca (Canadian Armed Forces members); Eligibility for MSP — gov.bc.ca (arrivals from Ukraine); Applicants for Permanent Resident Status — gov.bc.ca (tourists and visitors); Applicants for Permanent Resident Status — gov.bc.ca (eligibility not confirmed by phone); Applicants for Permanent Resident Status — gov.bc.ca (when the wait begins); Applicants for Permanent Resident Status — gov.bc.ca (initial coverage period); Applicants for Permanent Resident Status — gov.bc.ca (absences during the wait); Applicants for Permanent Resident Status — gov.bc.ca (seeing a doctor without a card); Working Holiday Programs — gov.bc.ca (conditions); Maintained Status Holders — gov.bc.ca (temporary coverage); Maintained Status Holders — gov.bc.ca (proof required); Update or confirm status in Canada — gov.bc.ca (coverage ends with the permit); Apply for MSP — gov.bc.ca (three ways to apply); Apply for MSP — gov.bc.ca (online application); Apply for MSP — gov.bc.ca (time to complete); Apply for MSP — gov.bc.ca (paper form and mailing address); Apply for MSP — gov.bc.ca (in person); Apply for MSP — gov.bc.ca (ID image requirements); Apply for MSP — gov.bc.ca (documents for citizens); Apply for MSP — gov.bc.ca (documents for permanent residents); Apply for MSP — gov.bc.ca (documents for temporary permit holders); Apply for MSP — gov.bc.ca (name documents); Apply for MSP — gov.bc.ca (Photo BC Services Card completes enrolment); Apply for MSP — gov.bc.ca (what happens at the ICBC office); Apply for MSP — gov.bc.ca (card is free); Apply for MSP — gov.bc.ca (leaving within six months); Apply for MSP — gov.bc.ca (PHN and card after applying); Medical Services Plan for B.C. residents — gov.bc.ca (no cost to apply); Medical Services Plan for B.C. residents — gov.bc.ca (mandatory enrolment); MSP premiums — gov.bc.ca (premiums eliminated); BC Services Card — gov.bc.ca (photo ID); Types of BC Services Card — gov.bc.ca (three types); Types of BC Services Card — gov.bc.ca (replaced the CareCard); Get a BC Services Card — gov.bc.ca (what to bring); Get a BC Services Card — gov.bc.ca (no fee); Get a BC Services Card — gov.bc.ca (children and youth); Which BC Services Card to get — gov.bc.ca (temporary immigrant status); Which BC Services Card to get — gov.bc.ca (adults who do not drive); Renew or replace a BC Services Card — gov.bc.ca (renewal renews MSP enrolment); Renew or replace a BC Services Card — gov.bc.ca (lost or stolen photo card); Renew or replace a BC Services Card — gov.bc.ca (lost non-photo card); Use your BC Services Card to access health services — gov.bc.ca (show the card; emergencies); Personal Health Identification — gov.bc.ca (Personal Health Number); Services Covered by MSP — gov.bc.ca (what MSP pays for); Services Covered by MSP — gov.bc.ca (PharmaCare Plan Z and Plan NP); Medical Benefits — gov.bc.ca (list of medical benefits); Medical Benefits — gov.bc.ca (dental surgery in hospital); Services Not Covered by MSP — gov.bc.ca (list, part 1); Services Not Covered by MSP — gov.bc.ca (list, part 2); Services Not Covered by MSP — gov.bc.ca (supplementary practitioners); Supplementary Benefits — gov.bc.ca (amount per visit); Supplementary Benefits — gov.bc.ca (income threshold); Supplementary Benefits — gov.bc.ca (12 months in Canada as a citizen or permanent resident); International Students Health Fee Q&A — gov.bc.ca (who pays); International Students Health Fee Q&A — gov.bc.ca (amount); International Students Health Fee Q&A — gov.bc.ca (first phase); International Students Health Fee Q&A — gov.bc.ca (when the fee starts); International Students Health Fee Q&A — gov.bc.ca (how it is billed); International Students Health Fee Q&A — gov.bc.ca (no income-based relief); International Students Health Fee Q&A — gov.bc.ca (family members); International Students Health Fee Q&A — gov.bc.ca (temporary absences); International Students Health Fee Q&A — gov.bc.ca (schools); Medical Services Plan for B.C. residents — gov.bc.ca (still links the International Students Health Fee Q&A); Opting out of MSP coverage — gov.bc.ca (adults only, 12 months); Opting out of MSP coverage — gov.bc.ca (hospital costs); Leaving B.C. temporarily — gov.bc.ca (long absences); Leaving B.C. temporarily — gov.bc.ca (out-of-province hospital rate); Leaving B.C. permanently — gov.bc.ca (moving within Canada); Leaving B.C. permanently — gov.bc.ca (moving outside Canada); Moving within B.C. — gov.bc.ca (address change within 10 days); Managing your MSP account — gov.bc.ca (account change processing); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (phone and hours); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (mail); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (email limits); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (Service BC centres); Apply for MSP — gov.bc.ca (citizenship card or certificate); Apply for MSP — gov.bc.ca (arrivals from Ukraine, non-photo card); International Students Health Fee Q&A — gov.bc.ca (where invoices go); International Students Health Fee Q&A — gov.bc.ca (schools paying on behalf of students); Medical Services Plan for B.C. residents — gov.bc.ca (official forms only); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (account questions by email); MSP premiums — gov.bc.ca (old premium debts); Opting out of MSP coverage — gov.bc.ca (no opting back in); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (group plans); Applicants for Permanent Resident Status — gov.bc.ca (send PR documents); International Students Health Fee Q&A — gov.bc.ca (study permits with CUAET notations); Medical Benefits — gov.bc.ca (orthodontic services). In effect from June 4, 2026; checked October 11, 2026.

Two details catch people out. First, the clock does not always start on arrival: someone who lands as a visitor and later gains a qualifying status starts the wait from that later date. Second, long trips during the wait can matter. On its page for spouses and children applying for permanent residence, gov.bc.ca says eligibility may be affected if absences from Canada exceed a total of 30 days during the wait period.

Not every province works this way. Ontario has no waiting period at all, as the OHIP health card guide explains, and Manitoba starts permanent residents arriving from abroad on their arrival date but makes movers from other provinces wait, as set out in the Manitoba health card guide. In B.C. the wait applies to new and returning residents alike.

How do you apply for MSP?

You apply for MSP online, by mail or in person, and gov.bc.ca tells newcomers to do it as soon as they arrive rather than at the end of the wait. Applying early gives Health Insurance BC time to process the file so the card is ready when coverage begins.

Three ways to apply for MSP

How to read this table: gov.bc.ca calls the online route the easiest and fastest way to enrol.

RouteWhat you useGood to know
OnlineB.C. Application for Health and Drug Coverage on gov.bc.caAbout 15 minutes; upload a JPG or PNG image of each person's documents
By mailApplication for Enrolment, form HLTH 101Health Insurance BC, Medical Services Plan, PO Box 9678 Stn Prov Govt, Victoria BC V8W 9P7
In personAny Service BC locationService BC centres accept completed forms on behalf of MSP

Source: How to apply for the Medical Services Plan (MSP) — gov.bc.ca (who must enrol); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (new to Canada); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (wait period wording); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (moving from another province); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (ICBC visit, age 18 years and six months); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (walk-in services); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (non-photo card by mail); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (one application for MSP, Supplementary Benefits and Fair PharmaCare); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (length of the wait); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (who sets the residence date); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (status changes inside Canada); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (apply early); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (family arriving on different dates); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (private insurance during the wait); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (care before MSP starts); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (Canadian Armed Forces exemption); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (waivers); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (waiver test); Eligibility for MSP — gov.bc.ca (definition of a resident); Eligibility for MSP — gov.bc.ca (vacation absences); Eligibility for MSP — gov.bc.ca (study and work permit holders); Eligibility for MSP — gov.bc.ca (dependents); Eligibility for MSP — gov.bc.ca (spouse or child who applied for permanent residence); Eligibility for MSP — gov.bc.ca (First Nations Health Authority); Eligibility for MSP — gov.bc.ca (Canadian Armed Forces members); Eligibility for MSP — gov.bc.ca (arrivals from Ukraine); Applicants for Permanent Resident Status — gov.bc.ca (tourists and visitors); Applicants for Permanent Resident Status — gov.bc.ca (eligibility not confirmed by phone); Applicants for Permanent Resident Status — gov.bc.ca (when the wait begins); Applicants for Permanent Resident Status — gov.bc.ca (initial coverage period); Applicants for Permanent Resident Status — gov.bc.ca (absences during the wait); Applicants for Permanent Resident Status — gov.bc.ca (seeing a doctor without a card); Working Holiday Programs — gov.bc.ca (conditions); Maintained Status Holders — gov.bc.ca (temporary coverage); Maintained Status Holders — gov.bc.ca (proof required); Update or confirm status in Canada — gov.bc.ca (coverage ends with the permit); Apply for MSP — gov.bc.ca (three ways to apply); Apply for MSP — gov.bc.ca (online application); Apply for MSP — gov.bc.ca (time to complete); Apply for MSP — gov.bc.ca (paper form and mailing address); Apply for MSP — gov.bc.ca (in person); Apply for MSP — gov.bc.ca (ID image requirements); Apply for MSP — gov.bc.ca (documents for citizens); Apply for MSP — gov.bc.ca (documents for permanent residents); Apply for MSP — gov.bc.ca (documents for temporary permit holders); Apply for MSP — gov.bc.ca (name documents); Apply for MSP — gov.bc.ca (Photo BC Services Card completes enrolment); Apply for MSP — gov.bc.ca (what happens at the ICBC office); Apply for MSP — gov.bc.ca (card is free); Apply for MSP — gov.bc.ca (leaving within six months); Apply for MSP — gov.bc.ca (PHN and card after applying); Medical Services Plan for B.C. residents — gov.bc.ca (no cost to apply); Medical Services Plan for B.C. residents — gov.bc.ca (mandatory enrolment); MSP premiums — gov.bc.ca (premiums eliminated); BC Services Card — gov.bc.ca (photo ID); Types of BC Services Card — gov.bc.ca (three types); Types of BC Services Card — gov.bc.ca (replaced the CareCard); Get a BC Services Card — gov.bc.ca (what to bring); Get a BC Services Card — gov.bc.ca (no fee); Get a BC Services Card — gov.bc.ca (children and youth); Which BC Services Card to get — gov.bc.ca (temporary immigrant status); Which BC Services Card to get — gov.bc.ca (adults who do not drive); Renew or replace a BC Services Card — gov.bc.ca (renewal renews MSP enrolment); Renew or replace a BC Services Card — gov.bc.ca (lost or stolen photo card); Renew or replace a BC Services Card — gov.bc.ca (lost non-photo card); Use your BC Services Card to access health services — gov.bc.ca (show the card; emergencies); Personal Health Identification — gov.bc.ca (Personal Health Number); Services Covered by MSP — gov.bc.ca (what MSP pays for); Services Covered by MSP — gov.bc.ca (PharmaCare Plan Z and Plan NP); Medical Benefits — gov.bc.ca (list of medical benefits); Medical Benefits — gov.bc.ca (dental surgery in hospital); Services Not Covered by MSP — gov.bc.ca (list, part 1); Services Not Covered by MSP — gov.bc.ca (list, part 2); Services Not Covered by MSP — gov.bc.ca (supplementary practitioners); Supplementary Benefits — gov.bc.ca (amount per visit); Supplementary Benefits — gov.bc.ca (income threshold); Supplementary Benefits — gov.bc.ca (12 months in Canada as a citizen or permanent resident); International Students Health Fee Q&A — gov.bc.ca (who pays); International Students Health Fee Q&A — gov.bc.ca (amount); International Students Health Fee Q&A — gov.bc.ca (first phase); International Students Health Fee Q&A — gov.bc.ca (when the fee starts); International Students Health Fee Q&A — gov.bc.ca (how it is billed); International Students Health Fee Q&A — gov.bc.ca (no income-based relief); International Students Health Fee Q&A — gov.bc.ca (family members); International Students Health Fee Q&A — gov.bc.ca (temporary absences); International Students Health Fee Q&A — gov.bc.ca (schools); Medical Services Plan for B.C. residents — gov.bc.ca (still links the International Students Health Fee Q&A); Opting out of MSP coverage — gov.bc.ca (adults only, 12 months); Opting out of MSP coverage — gov.bc.ca (hospital costs); Leaving B.C. temporarily — gov.bc.ca (long absences); Leaving B.C. temporarily — gov.bc.ca (out-of-province hospital rate); Leaving B.C. permanently — gov.bc.ca (moving within Canada); Leaving B.C. permanently — gov.bc.ca (moving outside Canada); Moving within B.C. — gov.bc.ca (address change within 10 days); Managing your MSP account — gov.bc.ca (account change processing); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (phone and hours); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (mail); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (email limits); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (Service BC centres); Apply for MSP — gov.bc.ca (citizenship card or certificate); Apply for MSP — gov.bc.ca (arrivals from Ukraine, non-photo card); International Students Health Fee Q&A — gov.bc.ca (where invoices go); International Students Health Fee Q&A — gov.bc.ca (schools paying on behalf of students); Medical Services Plan for B.C. residents — gov.bc.ca (official forms only); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (account questions by email); MSP premiums — gov.bc.ca (old premium debts); Opting out of MSP coverage — gov.bc.ca (no opting back in); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (group plans); Applicants for Permanent Resident Status — gov.bc.ca (send PR documents); International Students Health Fee Q&A — gov.bc.ca (study permits with CUAET notations); Medical Benefits — gov.bc.ca (orthodontic services). In effect from June 4, 2026; checked October 11, 2026.

The steps for a typical newcomer household:

  1. Gather one status document per person (see the next section) and photograph or scan each one.
  2. Complete the B.C. Application for Health and Drug Coverage. Online it takes about 15 minutes. Use the forms on the official gov.bc.ca site only; the province warns applicants to do so to keep personal information safe.
  3. List everyone who has arrived. Family members still outside B.C. are added after they land, and each person’s wait runs from their own arrival date.
  4. Arrange cover for the wait. Private insurance if you came from abroad; your former provincial plan if you moved within Canada.
  5. Finish at ICBC if you are an adult citizen or permanent resident. That visit produces the photo card and completes enrolment.
  6. Watch the mail. Non-photo cards for children and temporary permit holders arrive from HIBC without any further action.

If your coverage will come through an employer, union or pension group plan, gov.bc.ca points you to the group administrator instead of the public application.

What documents does the MSP application need?

The MSP application needs a document for every person that supports their name, date of birth and Canadian citizenship or immigration status. Online applicants upload an image of each one, and the image rules are strict enough to cause delays when ignored.

Documents accepted for MSP enrolment, by status

How to read this table: one document per person on the application. The conditions column lists what Health Insurance BC checks.

Your statusAccepted documentsConditions
Canadian citizenCanadian birth certificate, Canadian passport, or Canadian citizenship card or certificateA passport must use the full legal name; a citizenship card needs front and back
Permanent residentRecord of landing or permanent resident cardThe record of landing must be the full document, dated and signed by Canadian Immigration; the card needs front and back
Work permit holderWork permitValid for six months or longer
Study permit holderStudy permitValid for six months or longer
Anyone whose legal name differs from the name on their IDMarriage certificate, divorce decree or legal name change certificateThe entire certificate, in focus

Source: How to apply for the Medical Services Plan (MSP) — gov.bc.ca (who must enrol); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (new to Canada); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (wait period wording); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (moving from another province); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (ICBC visit, age 18 years and six months); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (walk-in services); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (non-photo card by mail); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (one application for MSP, Supplementary Benefits and Fair PharmaCare); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (length of the wait); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (who sets the residence date); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (status changes inside Canada); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (apply early); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (family arriving on different dates); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (private insurance during the wait); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (care before MSP starts); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (Canadian Armed Forces exemption); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (waivers); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (waiver test); Eligibility for MSP — gov.bc.ca (definition of a resident); Eligibility for MSP — gov.bc.ca (vacation absences); Eligibility for MSP — gov.bc.ca (study and work permit holders); Eligibility for MSP — gov.bc.ca (dependents); Eligibility for MSP — gov.bc.ca (spouse or child who applied for permanent residence); Eligibility for MSP — gov.bc.ca (First Nations Health Authority); Eligibility for MSP — gov.bc.ca (Canadian Armed Forces members); Eligibility for MSP — gov.bc.ca (arrivals from Ukraine); Applicants for Permanent Resident Status — gov.bc.ca (tourists and visitors); Applicants for Permanent Resident Status — gov.bc.ca (eligibility not confirmed by phone); Applicants for Permanent Resident Status — gov.bc.ca (when the wait begins); Applicants for Permanent Resident Status — gov.bc.ca (initial coverage period); Applicants for Permanent Resident Status — gov.bc.ca (absences during the wait); Applicants for Permanent Resident Status — gov.bc.ca (seeing a doctor without a card); Working Holiday Programs — gov.bc.ca (conditions); Maintained Status Holders — gov.bc.ca (temporary coverage); Maintained Status Holders — gov.bc.ca (proof required); Update or confirm status in Canada — gov.bc.ca (coverage ends with the permit); Apply for MSP — gov.bc.ca (three ways to apply); Apply for MSP — gov.bc.ca (online application); Apply for MSP — gov.bc.ca (time to complete); Apply for MSP — gov.bc.ca (paper form and mailing address); Apply for MSP — gov.bc.ca (in person); Apply for MSP — gov.bc.ca (ID image requirements); Apply for MSP — gov.bc.ca (documents for citizens); Apply for MSP — gov.bc.ca (documents for permanent residents); Apply for MSP — gov.bc.ca (documents for temporary permit holders); Apply for MSP — gov.bc.ca (name documents); Apply for MSP — gov.bc.ca (Photo BC Services Card completes enrolment); Apply for MSP — gov.bc.ca (what happens at the ICBC office); Apply for MSP — gov.bc.ca (card is free); Apply for MSP — gov.bc.ca (leaving within six months); Apply for MSP — gov.bc.ca (PHN and card after applying); Medical Services Plan for B.C. residents — gov.bc.ca (no cost to apply); Medical Services Plan for B.C. residents — gov.bc.ca (mandatory enrolment); MSP premiums — gov.bc.ca (premiums eliminated); BC Services Card — gov.bc.ca (photo ID); Types of BC Services Card — gov.bc.ca (three types); Types of BC Services Card — gov.bc.ca (replaced the CareCard); Get a BC Services Card — gov.bc.ca (what to bring); Get a BC Services Card — gov.bc.ca (no fee); Get a BC Services Card — gov.bc.ca (children and youth); Which BC Services Card to get — gov.bc.ca (temporary immigrant status); Which BC Services Card to get — gov.bc.ca (adults who do not drive); Renew or replace a BC Services Card — gov.bc.ca (renewal renews MSP enrolment); Renew or replace a BC Services Card — gov.bc.ca (lost or stolen photo card); Renew or replace a BC Services Card — gov.bc.ca (lost non-photo card); Use your BC Services Card to access health services — gov.bc.ca (show the card; emergencies); Personal Health Identification — gov.bc.ca (Personal Health Number); Services Covered by MSP — gov.bc.ca (what MSP pays for); Services Covered by MSP — gov.bc.ca (PharmaCare Plan Z and Plan NP); Medical Benefits — gov.bc.ca (list of medical benefits); Medical Benefits — gov.bc.ca (dental surgery in hospital); Services Not Covered by MSP — gov.bc.ca (list, part 1); Services Not Covered by MSP — gov.bc.ca (list, part 2); Services Not Covered by MSP — gov.bc.ca (supplementary practitioners); Supplementary Benefits — gov.bc.ca (amount per visit); Supplementary Benefits — gov.bc.ca (income threshold); Supplementary Benefits — gov.bc.ca (12 months in Canada as a citizen or permanent resident); International Students Health Fee Q&A — gov.bc.ca (who pays); International Students Health Fee Q&A — gov.bc.ca (amount); International Students Health Fee Q&A — gov.bc.ca (first phase); International Students Health Fee Q&A — gov.bc.ca (when the fee starts); International Students Health Fee Q&A — gov.bc.ca (how it is billed); International Students Health Fee Q&A — gov.bc.ca (no income-based relief); International Students Health Fee Q&A — gov.bc.ca (family members); International Students Health Fee Q&A — gov.bc.ca (temporary absences); International Students Health Fee Q&A — gov.bc.ca (schools); Medical Services Plan for B.C. residents — gov.bc.ca (still links the International Students Health Fee Q&A); Opting out of MSP coverage — gov.bc.ca (adults only, 12 months); Opting out of MSP coverage — gov.bc.ca (hospital costs); Leaving B.C. temporarily — gov.bc.ca (long absences); Leaving B.C. temporarily — gov.bc.ca (out-of-province hospital rate); Leaving B.C. permanently — gov.bc.ca (moving within Canada); Leaving B.C. permanently — gov.bc.ca (moving outside Canada); Moving within B.C. — gov.bc.ca (address change within 10 days); Managing your MSP account — gov.bc.ca (account change processing); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (phone and hours); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (mail); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (email limits); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (Service BC centres); Apply for MSP — gov.bc.ca (citizenship card or certificate); Apply for MSP — gov.bc.ca (arrivals from Ukraine, non-photo card); International Students Health Fee Q&A — gov.bc.ca (where invoices go); International Students Health Fee Q&A — gov.bc.ca (schools paying on behalf of students); Medical Services Plan for B.C. residents — gov.bc.ca (official forms only); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (account questions by email); MSP premiums — gov.bc.ca (old premium debts); Opting out of MSP coverage — gov.bc.ca (no opting back in); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (group plans); Applicants for Permanent Resident Status — gov.bc.ca (send PR documents); International Students Health Fee Q&A — gov.bc.ca (study permits with CUAET notations); Medical Benefits — gov.bc.ca (orthodontic services). In effect from June 4, 2026; checked October 11, 2026.

For the upload itself, gov.bc.ca asks for the entire document from corner to corner, at least 1000 pixels wide by 1500 pixels tall, the right way up, in focus, and saved as a JPG or PNG. A PDF is not accepted.

The same papers come up again within the first weeks: for a Social Insurance Number, a newcomer bank account and, later, a PR card renewal. Keeping clear scans in one folder saves repeating the work.

How do you get the BC Services Card at an ICBC office?

You get the photo BC Services Card by visiting an ICBC driver licensing office after applying for MSP, and for adult citizens and permanent residents that visit is what completes enrolment. Most adults aged 18 years and six months or older need to go. At the counter you will:

  • provide two pieces of ID, one of which must be a primary ID (ICBC publishes the accepted list at icbc.com/acceptedID),
  • declare that you are a B.C. resident, and
  • have your photo taken.

Appointments can be booked through ICBC, and gov.bc.ca says walk-in service is available at all ICBC driver licensing locations for people who cannot get one. The card itself costs nothing. Choosing the combined driver’s licence and services card brings the regular driver’s licence fees with it, but the health side stays free.

The three types of BC Services Card

How to read this table: any of the three is accepted for insured health services.

CardWho gets itHow it is issued
Photo BC Services CardAdults who applied as Canadian citizens or permanent residentsVisit an ICBC driver licensing office with two pieces of ID; no fee
BC Driver's Licence and Services Card (combined)Adults who drive and choose one card for bothSame ICBC visit; the regular driver's licence fees apply
Non-Photo BC Services CardPeople under 18 years and six months, temporary permit holders and arrivals from UkraineMailed automatically by Health Insurance BC once enrolled; no ICBC visit

Source: How to apply for the Medical Services Plan (MSP) — gov.bc.ca (who must enrol); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (new to Canada); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (wait period wording); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (moving from another province); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (ICBC visit, age 18 years and six months); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (walk-in services); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (non-photo card by mail); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (one application for MSP, Supplementary Benefits and Fair PharmaCare); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (length of the wait); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (who sets the residence date); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (status changes inside Canada); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (apply early); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (family arriving on different dates); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (private insurance during the wait); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (care before MSP starts); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (Canadian Armed Forces exemption); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (waivers); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (waiver test); Eligibility for MSP — gov.bc.ca (definition of a resident); Eligibility for MSP — gov.bc.ca (vacation absences); Eligibility for MSP — gov.bc.ca (study and work permit holders); Eligibility for MSP — gov.bc.ca (dependents); Eligibility for MSP — gov.bc.ca (spouse or child who applied for permanent residence); Eligibility for MSP — gov.bc.ca (First Nations Health Authority); Eligibility for MSP — gov.bc.ca (Canadian Armed Forces members); Eligibility for MSP — gov.bc.ca (arrivals from Ukraine); Applicants for Permanent Resident Status — gov.bc.ca (tourists and visitors); Applicants for Permanent Resident Status — gov.bc.ca (eligibility not confirmed by phone); Applicants for Permanent Resident Status — gov.bc.ca (when the wait begins); Applicants for Permanent Resident Status — gov.bc.ca (initial coverage period); Applicants for Permanent Resident Status — gov.bc.ca (absences during the wait); Applicants for Permanent Resident Status — gov.bc.ca (seeing a doctor without a card); Working Holiday Programs — gov.bc.ca (conditions); Maintained Status Holders — gov.bc.ca (temporary coverage); Maintained Status Holders — gov.bc.ca (proof required); Update or confirm status in Canada — gov.bc.ca (coverage ends with the permit); Apply for MSP — gov.bc.ca (three ways to apply); Apply for MSP — gov.bc.ca (online application); Apply for MSP — gov.bc.ca (time to complete); Apply for MSP — gov.bc.ca (paper form and mailing address); Apply for MSP — gov.bc.ca (in person); Apply for MSP — gov.bc.ca (ID image requirements); Apply for MSP — gov.bc.ca (documents for citizens); Apply for MSP — gov.bc.ca (documents for permanent residents); Apply for MSP — gov.bc.ca (documents for temporary permit holders); Apply for MSP — gov.bc.ca (name documents); Apply for MSP — gov.bc.ca (Photo BC Services Card completes enrolment); Apply for MSP — gov.bc.ca (what happens at the ICBC office); Apply for MSP — gov.bc.ca (card is free); Apply for MSP — gov.bc.ca (leaving within six months); Apply for MSP — gov.bc.ca (PHN and card after applying); Medical Services Plan for B.C. residents — gov.bc.ca (no cost to apply); Medical Services Plan for B.C. residents — gov.bc.ca (mandatory enrolment); MSP premiums — gov.bc.ca (premiums eliminated); BC Services Card — gov.bc.ca (photo ID); Types of BC Services Card — gov.bc.ca (three types); Types of BC Services Card — gov.bc.ca (replaced the CareCard); Get a BC Services Card — gov.bc.ca (what to bring); Get a BC Services Card — gov.bc.ca (no fee); Get a BC Services Card — gov.bc.ca (children and youth); Which BC Services Card to get — gov.bc.ca (temporary immigrant status); Which BC Services Card to get — gov.bc.ca (adults who do not drive); Renew or replace a BC Services Card — gov.bc.ca (renewal renews MSP enrolment); Renew or replace a BC Services Card — gov.bc.ca (lost or stolen photo card); Renew or replace a BC Services Card — gov.bc.ca (lost non-photo card); Use your BC Services Card to access health services — gov.bc.ca (show the card; emergencies); Personal Health Identification — gov.bc.ca (Personal Health Number); Services Covered by MSP — gov.bc.ca (what MSP pays for); Services Covered by MSP — gov.bc.ca (PharmaCare Plan Z and Plan NP); Medical Benefits — gov.bc.ca (list of medical benefits); Medical Benefits — gov.bc.ca (dental surgery in hospital); Services Not Covered by MSP — gov.bc.ca (list, part 1); Services Not Covered by MSP — gov.bc.ca (list, part 2); Services Not Covered by MSP — gov.bc.ca (supplementary practitioners); Supplementary Benefits — gov.bc.ca (amount per visit); Supplementary Benefits — gov.bc.ca (income threshold); Supplementary Benefits — gov.bc.ca (12 months in Canada as a citizen or permanent resident); International Students Health Fee Q&A — gov.bc.ca (who pays); International Students Health Fee Q&A — gov.bc.ca (amount); International Students Health Fee Q&A — gov.bc.ca (first phase); International Students Health Fee Q&A — gov.bc.ca (when the fee starts); International Students Health Fee Q&A — gov.bc.ca (how it is billed); International Students Health Fee Q&A — gov.bc.ca (no income-based relief); International Students Health Fee Q&A — gov.bc.ca (family members); International Students Health Fee Q&A — gov.bc.ca (temporary absences); International Students Health Fee Q&A — gov.bc.ca (schools); Medical Services Plan for B.C. residents — gov.bc.ca (still links the International Students Health Fee Q&A); Opting out of MSP coverage — gov.bc.ca (adults only, 12 months); Opting out of MSP coverage — gov.bc.ca (hospital costs); Leaving B.C. temporarily — gov.bc.ca (long absences); Leaving B.C. temporarily — gov.bc.ca (out-of-province hospital rate); Leaving B.C. permanently — gov.bc.ca (moving within Canada); Leaving B.C. permanently — gov.bc.ca (moving outside Canada); Moving within B.C. — gov.bc.ca (address change within 10 days); Managing your MSP account — gov.bc.ca (account change processing); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (phone and hours); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (mail); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (email limits); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (Service BC centres); Apply for MSP — gov.bc.ca (citizenship card or certificate); Apply for MSP — gov.bc.ca (arrivals from Ukraine, non-photo card); International Students Health Fee Q&A — gov.bc.ca (where invoices go); International Students Health Fee Q&A — gov.bc.ca (schools paying on behalf of students); Medical Services Plan for B.C. residents — gov.bc.ca (official forms only); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (account questions by email); MSP premiums — gov.bc.ca (old premium debts); Opting out of MSP coverage — gov.bc.ca (no opting back in); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (group plans); Applicants for Permanent Resident Status — gov.bc.ca (send PR documents); International Students Health Fee Q&A — gov.bc.ca (study permits with CUAET notations); Medical Benefits — gov.bc.ca (orthodontic services). In effect from June 4, 2026; checked October 11, 2026.

Gov.bc.ca words the photo-card age two ways: the MSP pages say 18 years and six months, while the card-type page says adults 19 and older can get a Photo BC Services Card. Either way, the photo card is an adult card, and children stay on the mailed non-photo version.

The photo card doubles as government-issued ID, and gov.bc.ca gives opening a bank account as an example of where it is accepted. Renewing the card also renews MSP enrolment, so a renewal letter is not something to set aside.

What does MSP cover?

MSP covers medically required services from physicians and midwives, diagnostic services such as x-rays, and a short list of extras. It does not work like an employer benefits plan: most dental care, most prescriptions and most paramedical visits sit outside it.

What MSP covers

How to read this table: the last two rows apply only in the circumstances described.

ServiceMSP coverage
Doctors' and midwives' servicesCovered when medically required, including maternity care
Diagnostic services, including x-raysCovered; MSP pays for diagnostic services including x-rays
Eye examinationsAnnual exams for ages 0 to 18 and 65 and over; ages 19 to 64 only when medically required
Dental and oral surgeryOnly when it must be performed in hospital; fillings, caps, crowns and root canals are excluded
Orthodontic servicesOnly orthodontic services related to severe congenital facial abnormalities
Some prescription drugs100% coverage of some drugs under PharmaCare Plan Z and Plan NP for residents enrolled in MSP
Acupuncture, chiropractic, massage therapy, naturopathy, physical therapy, non-surgical podiatryOnly for people who qualify for supplementary benefits; MSP then contributes $23 a visit, up to 10 visits a calendar year combined

Source: How to apply for the Medical Services Plan (MSP) — gov.bc.ca (who must enrol); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (new to Canada); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (wait period wording); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (moving from another province); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (ICBC visit, age 18 years and six months); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (walk-in services); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (non-photo card by mail); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (one application for MSP, Supplementary Benefits and Fair PharmaCare); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (length of the wait); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (who sets the residence date); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (status changes inside Canada); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (apply early); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (family arriving on different dates); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (private insurance during the wait); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (care before MSP starts); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (Canadian Armed Forces exemption); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (waivers); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (waiver test); Eligibility for MSP — gov.bc.ca (definition of a resident); Eligibility for MSP — gov.bc.ca (vacation absences); Eligibility for MSP — gov.bc.ca (study and work permit holders); Eligibility for MSP — gov.bc.ca (dependents); Eligibility for MSP — gov.bc.ca (spouse or child who applied for permanent residence); Eligibility for MSP — gov.bc.ca (First Nations Health Authority); Eligibility for MSP — gov.bc.ca (Canadian Armed Forces members); Eligibility for MSP — gov.bc.ca (arrivals from Ukraine); Applicants for Permanent Resident Status — gov.bc.ca (tourists and visitors); Applicants for Permanent Resident Status — gov.bc.ca (eligibility not confirmed by phone); Applicants for Permanent Resident Status — gov.bc.ca (when the wait begins); Applicants for Permanent Resident Status — gov.bc.ca (initial coverage period); Applicants for Permanent Resident Status — gov.bc.ca (absences during the wait); Applicants for Permanent Resident Status — gov.bc.ca (seeing a doctor without a card); Working Holiday Programs — gov.bc.ca (conditions); Maintained Status Holders — gov.bc.ca (temporary coverage); Maintained Status Holders — gov.bc.ca (proof required); Update or confirm status in Canada — gov.bc.ca (coverage ends with the permit); Apply for MSP — gov.bc.ca (three ways to apply); Apply for MSP — gov.bc.ca (online application); Apply for MSP — gov.bc.ca (time to complete); Apply for MSP — gov.bc.ca (paper form and mailing address); Apply for MSP — gov.bc.ca (in person); Apply for MSP — gov.bc.ca (ID image requirements); Apply for MSP — gov.bc.ca (documents for citizens); Apply for MSP — gov.bc.ca (documents for permanent residents); Apply for MSP — gov.bc.ca (documents for temporary permit holders); Apply for MSP — gov.bc.ca (name documents); Apply for MSP — gov.bc.ca (Photo BC Services Card completes enrolment); Apply for MSP — gov.bc.ca (what happens at the ICBC office); Apply for MSP — gov.bc.ca (card is free); Apply for MSP — gov.bc.ca (leaving within six months); Apply for MSP — gov.bc.ca (PHN and card after applying); Medical Services Plan for B.C. residents — gov.bc.ca (no cost to apply); Medical Services Plan for B.C. residents — gov.bc.ca (mandatory enrolment); MSP premiums — gov.bc.ca (premiums eliminated); BC Services Card — gov.bc.ca (photo ID); Types of BC Services Card — gov.bc.ca (three types); Types of BC Services Card — gov.bc.ca (replaced the CareCard); Get a BC Services Card — gov.bc.ca (what to bring); Get a BC Services Card — gov.bc.ca (no fee); Get a BC Services Card — gov.bc.ca (children and youth); Which BC Services Card to get — gov.bc.ca (temporary immigrant status); Which BC Services Card to get — gov.bc.ca (adults who do not drive); Renew or replace a BC Services Card — gov.bc.ca (renewal renews MSP enrolment); Renew or replace a BC Services Card — gov.bc.ca (lost or stolen photo card); Renew or replace a BC Services Card — gov.bc.ca (lost non-photo card); Use your BC Services Card to access health services — gov.bc.ca (show the card; emergencies); Personal Health Identification — gov.bc.ca (Personal Health Number); Services Covered by MSP — gov.bc.ca (what MSP pays for); Services Covered by MSP — gov.bc.ca (PharmaCare Plan Z and Plan NP); Medical Benefits — gov.bc.ca (list of medical benefits); Medical Benefits — gov.bc.ca (dental surgery in hospital); Services Not Covered by MSP — gov.bc.ca (list, part 1); Services Not Covered by MSP — gov.bc.ca (list, part 2); Services Not Covered by MSP — gov.bc.ca (supplementary practitioners); Supplementary Benefits — gov.bc.ca (amount per visit); Supplementary Benefits — gov.bc.ca (income threshold); Supplementary Benefits — gov.bc.ca (12 months in Canada as a citizen or permanent resident); International Students Health Fee Q&A — gov.bc.ca (who pays); International Students Health Fee Q&A — gov.bc.ca (amount); International Students Health Fee Q&A — gov.bc.ca (first phase); International Students Health Fee Q&A — gov.bc.ca (when the fee starts); International Students Health Fee Q&A — gov.bc.ca (how it is billed); International Students Health Fee Q&A — gov.bc.ca (no income-based relief); International Students Health Fee Q&A — gov.bc.ca (family members); International Students Health Fee Q&A — gov.bc.ca (temporary absences); International Students Health Fee Q&A — gov.bc.ca (schools); Medical Services Plan for B.C. residents — gov.bc.ca (still links the International Students Health Fee Q&A); Opting out of MSP coverage — gov.bc.ca (adults only, 12 months); Opting out of MSP coverage — gov.bc.ca (hospital costs); Leaving B.C. temporarily — gov.bc.ca (long absences); Leaving B.C. temporarily — gov.bc.ca (out-of-province hospital rate); Leaving B.C. permanently — gov.bc.ca (moving within Canada); Leaving B.C. permanently — gov.bc.ca (moving outside Canada); Moving within B.C. — gov.bc.ca (address change within 10 days); Managing your MSP account — gov.bc.ca (account change processing); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (phone and hours); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (mail); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (email limits); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (Service BC centres); Apply for MSP — gov.bc.ca (citizenship card or certificate); Apply for MSP — gov.bc.ca (arrivals from Ukraine, non-photo card); International Students Health Fee Q&A — gov.bc.ca (where invoices go); International Students Health Fee Q&A — gov.bc.ca (schools paying on behalf of students); Medical Services Plan for B.C. residents — gov.bc.ca (official forms only); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (account questions by email); MSP premiums — gov.bc.ca (old premium debts); Opting out of MSP coverage — gov.bc.ca (no opting back in); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (group plans); Applicants for Permanent Resident Status — gov.bc.ca (send PR documents); International Students Health Fee Q&A — gov.bc.ca (study permits with CUAET notations); Medical Benefits — gov.bc.ca (orthodontic services). In effect from June 4, 2026; checked October 11, 2026.

The supplementary benefits row is narrower than it looks. It is aimed at lower-income households: gov.bc.ca says a family may qualify when adjusted net income is under $42,000, and applicants must have lived in Canada as a citizen or permanent resident for at least the last 12 months. That residency condition rules out most people in their first year. For those who do qualify, the yearly ceiling is $230 of help toward acupuncture, chiropractic, massage therapy, naturopathy, physiotherapy and non-surgical podiatry.

What does MSP not cover?

MSP does not cover routine dental care, prescription drugs in general, eyeglasses, hearing aids, counselling, or medical exams needed for a job, a driver’s licence or immigration. These are the gaps that workplace benefits or a private plan usually fill.

What MSP does not cover

How to read this table: taken from the Services Not Covered by MSP page on gov.bc.ca.

ServiceMSP coverage
Prescription drugs in generalNot an MSP benefit; handled by PharmaCare
Routine dental careNot covered
Routine eye exams for ages 19 to 64Not covered
Eyeglasses, hearing aids and other equipment or appliancesNot covered
Counsellors and psychologistsNot covered
Cosmetic surgery and other services deemed not medically requiredNot covered
Medical exams or certificates for driving, employment, life insurance, school, sports or immigrationNot covered

Source: How to apply for the Medical Services Plan (MSP) — gov.bc.ca (who must enrol); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (new to Canada); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (wait period wording); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (moving from another province); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (ICBC visit, age 18 years and six months); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (walk-in services); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (non-photo card by mail); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (one application for MSP, Supplementary Benefits and Fair PharmaCare); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (length of the wait); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (who sets the residence date); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (status changes inside Canada); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (apply early); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (family arriving on different dates); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (private insurance during the wait); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (care before MSP starts); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (Canadian Armed Forces exemption); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (waivers); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (waiver test); Eligibility for MSP — gov.bc.ca (definition of a resident); Eligibility for MSP — gov.bc.ca (vacation absences); Eligibility for MSP — gov.bc.ca (study and work permit holders); Eligibility for MSP — gov.bc.ca (dependents); Eligibility for MSP — gov.bc.ca (spouse or child who applied for permanent residence); Eligibility for MSP — gov.bc.ca (First Nations Health Authority); Eligibility for MSP — gov.bc.ca (Canadian Armed Forces members); Eligibility for MSP — gov.bc.ca (arrivals from Ukraine); Applicants for Permanent Resident Status — gov.bc.ca (tourists and visitors); Applicants for Permanent Resident Status — gov.bc.ca (eligibility not confirmed by phone); Applicants for Permanent Resident Status — gov.bc.ca (when the wait begins); Applicants for Permanent Resident Status — gov.bc.ca (initial coverage period); Applicants for Permanent Resident Status — gov.bc.ca (absences during the wait); Applicants for Permanent Resident Status — gov.bc.ca (seeing a doctor without a card); Working Holiday Programs — gov.bc.ca (conditions); Maintained Status Holders — gov.bc.ca (temporary coverage); Maintained Status Holders — gov.bc.ca (proof required); Update or confirm status in Canada — gov.bc.ca (coverage ends with the permit); Apply for MSP — gov.bc.ca (three ways to apply); Apply for MSP — gov.bc.ca (online application); Apply for MSP — gov.bc.ca (time to complete); Apply for MSP — gov.bc.ca (paper form and mailing address); Apply for MSP — gov.bc.ca (in person); Apply for MSP — gov.bc.ca (ID image requirements); Apply for MSP — gov.bc.ca (documents for citizens); Apply for MSP — gov.bc.ca (documents for permanent residents); Apply for MSP — gov.bc.ca (documents for temporary permit holders); Apply for MSP — gov.bc.ca (name documents); Apply for MSP — gov.bc.ca (Photo BC Services Card completes enrolment); Apply for MSP — gov.bc.ca (what happens at the ICBC office); Apply for MSP — gov.bc.ca (card is free); Apply for MSP — gov.bc.ca (leaving within six months); Apply for MSP — gov.bc.ca (PHN and card after applying); Medical Services Plan for B.C. residents — gov.bc.ca (no cost to apply); Medical Services Plan for B.C. residents — gov.bc.ca (mandatory enrolment); MSP premiums — gov.bc.ca (premiums eliminated); BC Services Card — gov.bc.ca (photo ID); Types of BC Services Card — gov.bc.ca (three types); Types of BC Services Card — gov.bc.ca (replaced the CareCard); Get a BC Services Card — gov.bc.ca (what to bring); Get a BC Services Card — gov.bc.ca (no fee); Get a BC Services Card — gov.bc.ca (children and youth); Which BC Services Card to get — gov.bc.ca (temporary immigrant status); Which BC Services Card to get — gov.bc.ca (adults who do not drive); Renew or replace a BC Services Card — gov.bc.ca (renewal renews MSP enrolment); Renew or replace a BC Services Card — gov.bc.ca (lost or stolen photo card); Renew or replace a BC Services Card — gov.bc.ca (lost non-photo card); Use your BC Services Card to access health services — gov.bc.ca (show the card; emergencies); Personal Health Identification — gov.bc.ca (Personal Health Number); Services Covered by MSP — gov.bc.ca (what MSP pays for); Services Covered by MSP — gov.bc.ca (PharmaCare Plan Z and Plan NP); Medical Benefits — gov.bc.ca (list of medical benefits); Medical Benefits — gov.bc.ca (dental surgery in hospital); Services Not Covered by MSP — gov.bc.ca (list, part 1); Services Not Covered by MSP — gov.bc.ca (list, part 2); Services Not Covered by MSP — gov.bc.ca (supplementary practitioners); Supplementary Benefits — gov.bc.ca (amount per visit); Supplementary Benefits — gov.bc.ca (income threshold); Supplementary Benefits — gov.bc.ca (12 months in Canada as a citizen or permanent resident); International Students Health Fee Q&A — gov.bc.ca (who pays); International Students Health Fee Q&A — gov.bc.ca (amount); International Students Health Fee Q&A — gov.bc.ca (first phase); International Students Health Fee Q&A — gov.bc.ca (when the fee starts); International Students Health Fee Q&A — gov.bc.ca (how it is billed); International Students Health Fee Q&A — gov.bc.ca (no income-based relief); International Students Health Fee Q&A — gov.bc.ca (family members); International Students Health Fee Q&A — gov.bc.ca (temporary absences); International Students Health Fee Q&A — gov.bc.ca (schools); Medical Services Plan for B.C. residents — gov.bc.ca (still links the International Students Health Fee Q&A); Opting out of MSP coverage — gov.bc.ca (adults only, 12 months); Opting out of MSP coverage — gov.bc.ca (hospital costs); Leaving B.C. temporarily — gov.bc.ca (long absences); Leaving B.C. temporarily — gov.bc.ca (out-of-province hospital rate); Leaving B.C. permanently — gov.bc.ca (moving within Canada); Leaving B.C. permanently — gov.bc.ca (moving outside Canada); Moving within B.C. — gov.bc.ca (address change within 10 days); Managing your MSP account — gov.bc.ca (account change processing); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (phone and hours); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (mail); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (email limits); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (Service BC centres); Apply for MSP — gov.bc.ca (citizenship card or certificate); Apply for MSP — gov.bc.ca (arrivals from Ukraine, non-photo card); International Students Health Fee Q&A — gov.bc.ca (where invoices go); International Students Health Fee Q&A — gov.bc.ca (schools paying on behalf of students); Medical Services Plan for B.C. residents — gov.bc.ca (official forms only); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (account questions by email); MSP premiums — gov.bc.ca (old premium debts); Opting out of MSP coverage — gov.bc.ca (no opting back in); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (group plans); Applicants for Permanent Resident Status — gov.bc.ca (send PR documents); International Students Health Fee Q&A — gov.bc.ca (study permits with CUAET notations); Medical Benefits — gov.bc.ca (orthodontic services). In effect from June 4, 2026; checked October 11, 2026.

Prescriptions are less bleak than the table suggests, because residents enrolled in MSP receive 100% coverage of some prescription drugs under PharmaCare Plan Z and Plan NP, and Fair PharmaCare is applied for on the same form as MSP. For teeth, eligible residents can look at the federal Canadian Dental Care Plan. The immigration medical exam is the cost newcomers most often expect MSP to pay and it does not.

MSP is also thin outside the province. Gov.bc.ca’s own example: B.C. pays $75 a day for emergency in-patient hospital care, while the average cost in the U.S. often exceeds $1,000 (US) a day. On a three-day hospital stay priced at that average, MSP’s share would be $225 of a bill above $3,000 (US).

Is the international student health fee still in force?

Yes, on the evidence gov.bc.ca publishes today. The MSP page for B.C. residents, last updated June 15, 2026, still links the province’s International Students Health Fee Q&A, and that document sets the fee at $75 per month per student from January 1, 2020, the date regular MSP premiums ended. The fee began at $37.50 per month on September 1, 2019.

International student health fee in B.C.

How to read this table: the fee applies to MSP enrolment under a study permit, not to tuition or a school's own insurance plan.

QuestionWhat the gov.bc.ca Q&A says
Who paysInternational students, K-12 and post-secondary, enrolled in MSP with a study permit valid for six months or longer
Amount$75 per month, per student, since January 1, 2020
When it startsThe first day of the month MSP coverage begins, so not during the wait period
How it is billedA monthly invoice from Revenue Services of BC, sent to the address on file with MSP
Family membersCharged only if they hold a study permit themselves; a work permit alone does not trigger the fee
Reduced fee for low incomeNone; the fee is payable regardless of income
Temporary absence from B.C.The fee continues, because MSP coverage is not suspended for a temporary absence
Study permit with CUAET notationsNot charged for the period from March 1, 2022 onward; a later study permit without CUAET notations is charged

Source: How to apply for the Medical Services Plan (MSP) — gov.bc.ca (who must enrol); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (new to Canada); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (wait period wording); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (moving from another province); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (ICBC visit, age 18 years and six months); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (walk-in services); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (non-photo card by mail); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (one application for MSP, Supplementary Benefits and Fair PharmaCare); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (length of the wait); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (who sets the residence date); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (status changes inside Canada); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (apply early); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (family arriving on different dates); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (private insurance during the wait); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (care before MSP starts); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (Canadian Armed Forces exemption); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (waivers); Coverage wait period for the Medical Services Plan (MSP) — gov.bc.ca (waiver test); Eligibility for MSP — gov.bc.ca (definition of a resident); Eligibility for MSP — gov.bc.ca (vacation absences); Eligibility for MSP — gov.bc.ca (study and work permit holders); Eligibility for MSP — gov.bc.ca (dependents); Eligibility for MSP — gov.bc.ca (spouse or child who applied for permanent residence); Eligibility for MSP — gov.bc.ca (First Nations Health Authority); Eligibility for MSP — gov.bc.ca (Canadian Armed Forces members); Eligibility for MSP — gov.bc.ca (arrivals from Ukraine); Applicants for Permanent Resident Status — gov.bc.ca (tourists and visitors); Applicants for Permanent Resident Status — gov.bc.ca (eligibility not confirmed by phone); Applicants for Permanent Resident Status — gov.bc.ca (when the wait begins); Applicants for Permanent Resident Status — gov.bc.ca (initial coverage period); Applicants for Permanent Resident Status — gov.bc.ca (absences during the wait); Applicants for Permanent Resident Status — gov.bc.ca (seeing a doctor without a card); Working Holiday Programs — gov.bc.ca (conditions); Maintained Status Holders — gov.bc.ca (temporary coverage); Maintained Status Holders — gov.bc.ca (proof required); Update or confirm status in Canada — gov.bc.ca (coverage ends with the permit); Apply for MSP — gov.bc.ca (three ways to apply); Apply for MSP — gov.bc.ca (online application); Apply for MSP — gov.bc.ca (time to complete); Apply for MSP — gov.bc.ca (paper form and mailing address); Apply for MSP — gov.bc.ca (in person); Apply for MSP — gov.bc.ca (ID image requirements); Apply for MSP — gov.bc.ca (documents for citizens); Apply for MSP — gov.bc.ca (documents for permanent residents); Apply for MSP — gov.bc.ca (documents for temporary permit holders); Apply for MSP — gov.bc.ca (name documents); Apply for MSP — gov.bc.ca (Photo BC Services Card completes enrolment); Apply for MSP — gov.bc.ca (what happens at the ICBC office); Apply for MSP — gov.bc.ca (card is free); Apply for MSP — gov.bc.ca (leaving within six months); Apply for MSP — gov.bc.ca (PHN and card after applying); Medical Services Plan for B.C. residents — gov.bc.ca (no cost to apply); Medical Services Plan for B.C. residents — gov.bc.ca (mandatory enrolment); MSP premiums — gov.bc.ca (premiums eliminated); BC Services Card — gov.bc.ca (photo ID); Types of BC Services Card — gov.bc.ca (three types); Types of BC Services Card — gov.bc.ca (replaced the CareCard); Get a BC Services Card — gov.bc.ca (what to bring); Get a BC Services Card — gov.bc.ca (no fee); Get a BC Services Card — gov.bc.ca (children and youth); Which BC Services Card to get — gov.bc.ca (temporary immigrant status); Which BC Services Card to get — gov.bc.ca (adults who do not drive); Renew or replace a BC Services Card — gov.bc.ca (renewal renews MSP enrolment); Renew or replace a BC Services Card — gov.bc.ca (lost or stolen photo card); Renew or replace a BC Services Card — gov.bc.ca (lost non-photo card); Use your BC Services Card to access health services — gov.bc.ca (show the card; emergencies); Personal Health Identification — gov.bc.ca (Personal Health Number); Services Covered by MSP — gov.bc.ca (what MSP pays for); Services Covered by MSP — gov.bc.ca (PharmaCare Plan Z and Plan NP); Medical Benefits — gov.bc.ca (list of medical benefits); Medical Benefits — gov.bc.ca (dental surgery in hospital); Services Not Covered by MSP — gov.bc.ca (list, part 1); Services Not Covered by MSP — gov.bc.ca (list, part 2); Services Not Covered by MSP — gov.bc.ca (supplementary practitioners); Supplementary Benefits — gov.bc.ca (amount per visit); Supplementary Benefits — gov.bc.ca (income threshold); Supplementary Benefits — gov.bc.ca (12 months in Canada as a citizen or permanent resident); International Students Health Fee Q&A — gov.bc.ca (who pays); International Students Health Fee Q&A — gov.bc.ca (amount); International Students Health Fee Q&A — gov.bc.ca (first phase); International Students Health Fee Q&A — gov.bc.ca (when the fee starts); International Students Health Fee Q&A — gov.bc.ca (how it is billed); International Students Health Fee Q&A — gov.bc.ca (no income-based relief); International Students Health Fee Q&A — gov.bc.ca (family members); International Students Health Fee Q&A — gov.bc.ca (temporary absences); International Students Health Fee Q&A — gov.bc.ca (schools); Medical Services Plan for B.C. residents — gov.bc.ca (still links the International Students Health Fee Q&A); Opting out of MSP coverage — gov.bc.ca (adults only, 12 months); Opting out of MSP coverage — gov.bc.ca (hospital costs); Leaving B.C. temporarily — gov.bc.ca (long absences); Leaving B.C. temporarily — gov.bc.ca (out-of-province hospital rate); Leaving B.C. permanently — gov.bc.ca (moving within Canada); Leaving B.C. permanently — gov.bc.ca (moving outside Canada); Moving within B.C. — gov.bc.ca (address change within 10 days); Managing your MSP account — gov.bc.ca (account change processing); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (phone and hours); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (mail); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (email limits); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (Service BC centres); Apply for MSP — gov.bc.ca (citizenship card or certificate); Apply for MSP — gov.bc.ca (arrivals from Ukraine, non-photo card); International Students Health Fee Q&A — gov.bc.ca (where invoices go); International Students Health Fee Q&A — gov.bc.ca (schools paying on behalf of students); Medical Services Plan for B.C. residents — gov.bc.ca (official forms only); B.C. Residents — Contact Health Insurance BC — gov.bc.ca (account questions by email); MSP premiums — gov.bc.ca (old premium debts); Opting out of MSP coverage — gov.bc.ca (no opting back in); How to apply for the Medical Services Plan (MSP) — gov.bc.ca (group plans); Applicants for Permanent Resident Status — gov.bc.ca (send PR documents); International Students Health Fee Q&A — gov.bc.ca (study permits with CUAET notations); Medical Benefits — gov.bc.ca (orthodontic services). In effect from June 4, 2026; checked October 11, 2026.

Over a full year of coverage the fee comes to $900 per student. A couple where both partners hold study permits pays $1,800 a year, while a couple with one study permit and one work permit pays for the student only. Because the fee starts the month coverage begins, nothing is invoiced for the wait period, which is also the stretch when private cover is needed.

The Q&A carries no publication date. Most of it was written for the 2019 launch, with later answers added that refer to 2021 invoices and to a March 1, 2022 rule, so the amount on your own invoice from Revenue Services of BC is the figure that counts. One exception is written into it: students enrolled in MSP on a study permit with CUAET notations are not charged the fee for the period from March 1, 2022 onward, while a later study permit without those notations is charged. Schools are not required to collect the fee; one that chooses to pay it for its students must be set up as an MSP group plan administrator, so the international student office can say which applies.

What insurance do you need during the MSP wait?

During the MSP wait you need private health insurance if you arrived from outside Canada, or your former province’s plan if you moved within Canada. Gov.bc.ca is unusually direct about this: arrange insurance before you arrive and keep it until MSP starts.

Three points from the province’s wait-period page shape what to look for:

  • Pre-existing conditions are usually excluded. Gov.bc.ca notes that most private insurers do not cover them, and it names pregnancy specifically.
  • Care is available, at full price. Medical and hospital care can be received before MSP starts, but the whole cost is payable without other insurance. Elsewhere gov.bc.ca notes that hospital costs alone can exceed $1,000 per day.
  • A waiver is not a plan. Wait-period waivers are approved only in the most serious and exceptional cases, the costs must have been financially devastating, and reviewers consider whether you had, or could have obtained, private insurance.

Plans sold as visitor or newcomer emergency medical insurance are the usual fit for this gap, and the comparison of visitor insurance plans in Canada sets out what those policies cover and exclude. The pre-existing condition wording is the clause that differs most between policies, and it is the exclusion gov.bc.ca singles out.

What if your coverage is delayed or your status changes?

If your card or coverage has not arrived, Health Insurance BC is the contact, and gov.bc.ca asks people not to resend documents while a file is being handled. Mail can take up to 21 business days to process, plus mailing time, and online account change requests take 21 business days to review.

  • Phone: 604-683-7151 in the Lower Mainland, 1-800-663-7100 elsewhere in B.C.
  • Hours: Monday to Friday, 8:00 a.m. to 4:30 p.m. Pacific Time
  • Mail: Health Insurance BC, PO Box 9035 Stn Prov Govt, Victoria, B.C. V8W 9E3
  • In person: Service BC centres accept completed forms on behalf of MSP
  • Email: general inquiries only; HIBC will not answer account questions sent by email

Changes to report:

  • A new address. The Medicare Protection Act requires an address update within 10 days of a move within B.C.
  • A permit that is expiring. Coverage ends when a work or study permit expires. Apply to IRCC early; people on maintained status who were already enrolled can ask for an initial six months of temporary coverage with IRCC proof that the new application went in before the old permit ran out.
  • Becoming a permanent resident. Send the new status documents so coverage continues. Provincial nominees can follow the immigration side in the BC PNP guide.
  • A long absence. Residents away for six months or more in a calendar year need to contact HIBC to confirm they still qualify.
  • Leaving for good. Within Canada, MSP runs for the rest of the departure month plus two consecutive months; the Alberta health card guide covers the next step for one common destination.

A lost photo card or combined licence is reported to ICBC (250 978-8300 in Victoria, 1 800 950-1498 elsewhere in B.C.); a lost non-photo card is reported to HIBC.

Common BC Services Card and MSP mistakes

  • Waiting until the wait is over to apply. The province asks for applications on arrival so processing happens during the wait.
  • Assuming coverage starts the day you land. Without a CUAET or Canadian Armed Forces exemption, the wait applies to permanent residents and returning Canadians too.
  • Skipping the ICBC visit. For adult citizens and permanent residents, enrolment is not complete until the photo is taken.
  • Uploading PDFs. Only JPG or PNG images of the whole document are accepted online.
  • Applying on a short permit. Work and study permits must be valid for six months or longer.
  • Cancelling private insurance on a guess. Gov.bc.ca’s instruction is to keep that insurance until MSP coverage starts, and Health Insurance BC is the body that sets the start date.
  • Ignoring student fee invoices. They keep arriving monthly, including during a temporary absence from B.C.
  • Seeing a doctor without a card and expecting a full refund. Gov.bc.ca warns of possible non-resident rates, with MSP reimbursing only at its own schedule later.

What changes next?

Nothing on the pages read for this guide announces a change to the wait period, the card or the student fee. Gov.bc.ca stamps each MSP page with a “last updated” date rather than announcing changes on a schedule, so the practical signal is those dates: the wait-period and how-to-apply pages were last revised on June 4, 2026, and the application page on July 7, 2026. This guide is re-checked against those pages each quarter, and the tables above change first when the province changes a rule.

Health coverage is one item on a longer arrival list. The British Columbia income tax calculator shows what a B.C. salary leaves after tax, and comparing private health insurance options in Canada is the usual follow-up once MSP is active and the gaps in dental, drug and vision cover become clear.

Frequently asked questions

How do I get a BC Services Card?

Enrol in the Medical Services Plan first, using the B.C. Application for Health and Drug Coverage online, by mail or at a Service BC location. Adults who applied as Canadian citizens or permanent residents then visit an ICBC driver licensing office with two pieces of ID, one of them primary, declare that they live in B.C. and have a photo taken. People on temporary permits and children do not go to ICBC: Health Insurance BC mails them a non-photo card.

How long is the MSP wait period in BC?

The wait period is the rest of the month in which you become a resident of British Columbia, plus two more months. Gov.bc.ca also describes it as coverage that may start three months after your arrival date. The Ministry of Health decides the date you became a resident, and for someone who arrived as a visitor and later gained a qualifying status, the wait runs from that later date rather than from the day they landed.

Is MSP free in BC?

For most residents, yes. MSP premiums were eliminated as of January 1, 2020, there is no cost to apply, and there is no fee to get a BC Services Card. The exception is international students: those enrolled in MSP with a study permit valid for six months or longer are invoiced a health fee of $75 per month. Premium debts from before 2020 are still payable.

Do international students pay for MSP in BC?

Yes. Gov.bc.ca's International Students Health Fee Q&A, still linked from the MSP residents page, sets the fee at $75 per month for each K-12 or post-secondary student enrolled in MSP with a study permit valid for six months or longer. Revenue Services of BC sends a monthly invoice to the address on file. The fee starts the month coverage begins and is payable regardless of income.

Do I need to go to ICBC to get a BC Services Card?

Most adults aged 18 years and six months or older do, because the photo card is what completes MSP enrolment for Canadian citizens and permanent residents. Appointments can be booked, and walk-in service is available at all ICBC driver licensing locations. Temporary document holders and anyone under 18 years and six months automatically receive a non-photo card in the mail from Health Insurance BC.

What documents do I need to apply for MSP?

Each person on the application needs a document showing their name and their Canadian citizenship or immigration status. Citizens use a Canadian birth certificate, passport or citizenship card. Permanent residents use the record of landing or the front and back of the PR card. Work and study permits must be valid for six months or longer. If your legal name differs from your ID, add a marriage certificate, divorce decree or name change certificate.

Can work permit holders get MSP?

They may. B.C. can deem a work permit holder a resident when the permit is valid for six months or longer. Working holiday permit holders face a longer list: staying in B.C. for six consecutive months or more, holding a permit valid that long, being employed for six consecutive months or more and working at least 18 hours a week. Coverage ends when the permit expires.

What should I do for health coverage during the MSP wait period?

Gov.bc.ca tells people arriving from outside Canada to contact a private insurance company, arrange cover before they arrive and keep it until MSP starts. People moving from another province or territory are told to keep their former health plan during the wait. Care is still available in B.C. before MSP begins, but the full cost is payable without other insurance, and the province warns those costs can be very high.

Does MSP cover dental, prescriptions or eye exams?

Mostly no. MSP pays for dental and oral surgery only when it must be done in hospital, and fillings, crowns and root canals are excluded. Prescription drugs are handled by PharmaCare rather than MSP. Routine eye exams are covered once a year for children up to 18 and seniors 65 and over; adults aged 19 to 64 are covered only when an exam is medically required.

Is the BC Services Card valid photo ID?

Yes, in its photo versions. Gov.bc.ca describes the BC Services Card as government-issued ID that can be used wherever photo ID is requested to verify identity or age, and it gives opening a bank account as an example. The non-photo card mailed to children and temporary permit holders still works for insured health services, because any of the three card types is accepted there.

Can I opt out of MSP?

Adults can, minors cannot. Opting out is formal and lasts 12 months, and during that time the person pays for all medical, hospital and other health care themselves. Gov.bc.ca notes that hospital costs alone can exceed $1,000 per day and that there is no opting back in if an unforeseen medical problem comes up during the period.

What happens to my MSP coverage if I leave BC?

Tell Health Insurance BC the departure date and new address. For a permanent move within Canada, MSP continues for the rest of the month you leave plus two consecutive months; for a move outside Canada it ends with the month of departure. Gov.bc.ca also warns that leaving B.C. within 6 months of enrolling can mean repaying medical expenses.

Rules, rates and sources

Last verified
Next scheduled check
Rule or tableIn effect fromVerified
BC Medical Services Plan (MSP) and BC Services Card: enrolment, wait period, documents, coverage and the international student health fee June 4, 2026 October 11, 2026
OHIP (Ontario health card): eligibility, no waiting period, documents, coverage and renewal rules September 21, 2026 September 30, 2026
Manitoba Health card: eligibility, when coverage starts, documents, registration and card rules September 28, 2026 September 30, 2026

Official sources

How we check figures: our methodology and editorial policy.

General information for education, not financial, tax, legal or immigration advice. Rules change — confirm anything you act on with the official source or a licensed professional (for immigration, a lawyer or a licensed consultant registered with the College of Immigration and Citizenship Consultants).