Healthcare Services Covered Outside Québec by the Régie de l’assurance maladie du Québec
Régie de l'assurance maladie du Québec
Clientele – Services available in Québec Any person who has received, outside Québec, healthcare services available in Québec and who
General requirements The person must not remain outside Québec for 183 days or more (consecutive or non-consecutive) in a calendar year (January 1 to December 31) and must be able to prove it.
Note In calculating the 183-day period, do not take into account any stays outside Québec of 21 consecutive days or less.
Special requirements Québec residents who remain outside Québec for 183 days or more (consecutive or non-consecutive) in a calendar year remain covered (along with their dependants) by the Québec health insurance plan if they are
Note Once every seven years, Québec residents insured by the Québec health insurance plan may stay outside Québec for more than 183 days (up to 12 months) without forfeiting their entitlement to ensured services.
Clientele – Services not available in Québec Any person who is insured by the Québec health insurance plan and whose condition required the person to receive specialized medical services that are not available in Québec
Condition Before leaving Québec, the person must have obtained approval from the Régie de l’assurance maladie du Québec for reimbursement of the services.
To apply for reimbursement of the costs incurred, complete the form Application for Reimbursement – Healthcare Services Covered Outside Québec and send it to the Service de l'application des programmes of the Régie de l'assurance maladie du Québec, together with the required documents.
For medical, dental or optometric services, a person has 1 year from the date on which the services were provided to apply for a reimbursement.
For hospital services, a person has 3 years from the date on which the services were provided to apply for a reimbursement.
Residents who remain outside Québec 183 days or more and who remain covered by the Québec health insurance plan The period during which coverage under the Québec health insurance plan remains in effect and for which the insured person is entitled to claim a reimbursement is
The required documents are the following:
Note No documents will be returned by the Régie de l'assurance maladie du Québec.
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