Section 1 definition of "personal representative" was added by BC Reg 221/2015, effective January 1, 2016.
Section 1 definition of "Plan" BEFORE amended by BC Reg 221/2015, effective January 1, 2016.
"Plan" means a drug plan established under this regulation, those plans being Plans B, C, D, F, G, I, M, P and X;
Section 1 definition of "Plan" BEFORE amended by BC Reg 93/2017, effective July 1, 2017.
"Plan" means a drug plan established under this regulation, those plans being Plans B, C, D, F, G, I, M, P, S and X;
Section 1 definition of "Plan" BEFORE amended by BC Reg 98/2019, effective May 3, 2019.
"Plan" means a drug plan established under this regulation, those plans being Plans B, C, D, F, G, I, M, P, S, W and X;
Section 3 (1) (part) and (2) BEFORE amended by BC Reg 73/2019, effective May 3, 2019.
(1) A person is eligible to enroll in a drug plan if the person
(2) A person who is deemed under section 67 (2) (c) of the Act to be enrolled as a beneficiary in a drug plan continues to be enrolled in the corresponding drug plan, as defined in section 66 of the Act, until the beneficiary's enrollment ends under section 10 [when drug plan enrollment ends] of this regulation.
Section 4 (3) (a) BEFORE amended by BC Reg 221/2015, effective January 1, 2016.
(a) Plan M according to the limits and conditions of Plan M only, and
Section 4 (3) (a.1) was added by BC Reg 221/2015, effective January 1, 2016.
Section 6 (4) (a) BEFORE amended by BC Reg 93/2017, effective July 1, 2017.
(a) the FNHB program or the NIHB program, as those terms are defined in the Provider Regulation, or
Section 10 BEFORE amended by BC Reg 98/2019, effective May 3, 2019.
When drug plan enrollment ends
10 A person's enrollment in a drug plan ends on the earliest of the following dates:
(a) on the date the person ceases to be eligible to be enrolled in the drug plan;
(b) if the person gives notice to the minister stating the person's desire to cancel that person's enrollment, on the later of
(i) the date stated in the notice, if any, and
(ii) the date the notice is received by the minister;
(c) on the date set by the minister on cancelling the person's enrollment under section 10 (1) of the Act.
Section 11 definition of "BC Housing program" was added by BC Reg 250/2022, effective November 28, 2022.
Section 13 (1) BEFORE amended by BC Reg 76/2022, effective March 30, 2022.
(1) This section applies to a beneficiary if neither the beneficiary nor any of his or her family members have applied to register for income-based coverage.
Section 13 (1) BEFORE amended by BC Reg 76/2022, effective March 30, 2022.
(1) This section applies to a beneficiary if neither the beneficiary nor any of his or her family members have applied to register for income-based coverage.
Section 17 (2) (b) BEFORE amended by BC Reg 190/2022, effective September 20, 2022.
(b) if a notice of assessment described in paragraph (a) is not available, a notarized affidavit, signed by the person who is the subject of the affidavit and attesting to that person's net income, stated in Canadian dollars, for the year previous to the current year.
Section 18 (1) (a) and (b) BEFORE amended by BC Reg 156/2020, effective June 26, 2020.
(a) add the incomes of the registrant and the registrant's spouse, if any, as reported on
(i) Line 236 and, if applicable, Line 303 or 5105 of each notice of assessment, and
(ii) each affidavit or other form of proof permitted by the minister;
(b) deduct from the amount calculated under paragraph (a) all amounts, if any, reported on Line 117 or 125 of each notice of assessment.
Section 18 (1) (b) BEFORE amended by BC Reg 250/2022, effective November 28, 2022.
(b) deduct from the amount calculated under paragraph (a) all amounts, if any, reported on the following:
(i) if the relevant taxation year is 2018 or before, Line 117 or 125 of each notice of assessment;
(ii) if the relevant taxation year is after 2018, Line 11700 or 12500 of each notice of assessment.
Section 23 (1) BEFORE amended by BC Reg 98/2019, effective May 3, 2019.
(1) Income-based coverage for a family unit continues each year until the family unit's enrollment in Plan I ends.
Section 26 (2) (part) BEFORE amended by BC Reg 77/2021, effective March 15, 2021.
(2) If satisfied that the family unit's family net income for the current year is, or for the previous year was, at least 10% less than that determined under
Section 26 (3) (a) BEFORE amended by BC Reg 77/2021, effective March 15, 2021.
(a) excluding from income the amounts referred to in section 25 (2) (b) (v) for the purposes of a calculation under section 18 or 19, and
Section 30 (3) BEFORE amended by BC Reg 98/2019, effective May 3, 2019.
(3) A family unit is not eligible to enroll in the MDPO if
(a) a private insurer pays any part of the cost of benefits received by a member of the family unit, or
(b) a member of the family unit
(i) has been the subject of proceedings to recover a debt due to the government for failing to pay all or part of a monthly instalment, or
(ii) owes, at the time of applying to enroll in the MDPO, an amount equalling 3 or more monthly instalments, excluding interest and fees, if any.
Section 31 (1) (a) and (b) BEFORE amended by BC Reg 98/2019, effective May 3, 2019.
(a) if the application to enroll in the MDPO is made on or before September 30, beginning the first day of the month that follows the month in which the application was made;
(b) if the application to enroll in the MDPO is made between October 1 and December 31, beginning January 1 of the following year.
Section 32 BEFORE amended by BC Reg 98/2019, effective May 3, 2019.
End of enrollment in MDPO
32 (1) A family unit's enrollment in the MDPO ends on the earliest of the following dates:
(b) if the registrant gives notice to the minister stating the registrant's desire to cancel the enrollment of the registrant's family unit in the MDPO, on the later of
(i) the date stated in the notice, if any, and
(ii) the date the notice is received by the minister;
(c) on the date set by the minister on cancelling the family unit's enrollment in the MDPO.
(2) The minister may cancel the enrollment of a family unit in the MDPO in any of the following circumstances:
(a) if a member of the family unit commits an offence under the Act;
(i) the minister gives notice to the family unit that family unit owes an amount equalling 3 or more monthly instalments, excluding interest or fees, if any, and
(ii) the family unit does not pay the full amount owing within 30 days of the time stated in the notice;
(c) if the family unit has failed, as of March 1, to pay an amount owing toward a monthly instalment that
(i) was due in the previous year, and
(3) A family unit must, immediately on the end of enrollment in the MDPO, pay all amounts, including interest and fees, if any, owing toward monthly instalments.
(4) The total amount that a person is liable to pay under subsection (3) is a debt due to the government and may be
(a) deducted from any subsequent payment that may be made to the person under the Act, or
(b) recovered in a court of competent jurisdiction.
(5) On the end of enrollment in the MDPO, the minister must pay to the person who enrolled a family unit in the MDPO the amount by which the family unit's monthly instalment payments exceeded the cost of benefits paid by the minister under the Act, if that amount is $5 or more.
Section 35 (2) (part) and (3) BEFORE amended by BC Reg 98/2019, effective May 3, 2019.
(2) A person is eligible to enroll in Plan B if the person meets both of the following conditions:
(3) An eligible person's enrollment in Plan B begins on the date that the conditions under subsection (2) are met.
Section 35 (5) (b) BEFORE amended by BC Reg 14/2023, effective January 30, 2023.
(b) the amount is $43.75 per month for each bed in the Plan B facility that, at any time in the month, was assigned to a beneficiary enrolled in Plan B;
Section 36 (2) (part) and (3) BEFORE amended by BC Reg 98/2019, effective May 3, 2019.
(2) A person is eligible to enroll in Plan C if the person is one of the following:
(3) An eligible person's enrollment in Plan C begins on the date the minister receives notice of the person's eligibility from the applicable ministry of the minister responsible for the administration of an enactment referred to in subsection (2).
Section 36 (2) (i.1) was added by BC Reg 77/2021, effective August 31, 2021.
Section 36 (2) (j) BEFORE amended by BC Reg 77/2021, effective August 31, 2021.
(j) a person who is a dependent child of a person described in any of paragraphs (f) to (i) of this subsection.
Section 36 BEFORE repealed by BC Reg 77/2024, effective April 4, 2024.
Plan C (Income Assistance)
36 (1) The drug plan known as "Plan C" is established for the purposes of the Act.
(2) A person is eligible to enrol in Plan C if the person is one of the following:
(a) a person who receives income assistance or hardship assistance under the Employment and Assistance Act;
(b) a person who receives disability assistance or hardship assistance under the Employment and Assistance for Persons with Disabilities Act;
(c) a person who is described as being eligible for health supplements under Division 5 of Part 5 of the Employment and Assistance Regulation, unless the person is eligible for benefits under only section 76 of that Division;
(d) a person who is described as being eligible for health supplements under Division 4 of Part 5 of the Employment and Assistance for Persons with Disabilities Regulation, unless the person is eligible for benefits under only section 69 of that Division;
(e) a person who is a member of a family unit, within the meaning of the Employment and Assistance Act or the Employment and Assistance for Persons with Disabilities Act, of a person described in any of paragraphs (a) to (d) of this subsection;
(f) a person who is a child in care within the meaning of the Child, Family and Community Service Act;
(g) a person who is a child and who is the subject of an agreement made under section 8 of the Child, Family and Community Service Act;
(h) a person who is a youth and who is a party to an agreement made under section 12.2 of the Child, Family and Community Service Act;
(i) a person, other than a director, who is a party to an agreement made under section 12.3 of the Child, Family and Community Service Act;
(i) is not in the custody of the person's parent within the meaning of the Child, Family and Community Service Act but is in the custody of another person, and
(ii) is under the supervision of a director under an interim order or a temporary custody order within the meaning of that Act;
(j) a person who is a dependent child of a person described in any of paragraphs (f) to (i.1) of this subsection.
(3) An eligible person's enrolment in Plan C begins on the date the minister receives notice of the person's eligibility from the applicable ministry of the minister responsible for the administration of an enactment referred to in subsection (2).
(4) Without limiting subsection (2), a person is eligible to enrol in Plan C if the person is
(a) a medicare beneficiary, and
(i) a person who is deemed to be a resident of British Columbia under section 2 (b.1) of the Medical and Health Care Services Regulation [admitted to Canada under a Canada-Ukraine authorization for emergency travel];
(ii) a person who is a dependent child of a person described in subparagraph (i).
(5) The enrolment in Plan C of an eligible person under subsection (4) begins on the date the minister receives notice of the person's eligibility in the form and manner required by the minister and, without limiting section 10 [when drug plan enrolment ends], ends on the date that is one year after the date of enrolment.
[am. B.C. Regs. 98/2019, ss. 2 and 3; 77/2021, Sch. 1, s. 2 and Sch. 3; 190/2022, s. 2.]
Section 37 (2) (part) and (3) (part) BEFORE amended by BC Reg 98/2019, effective May 3, 2019.
(2) A person is eligible to enroll in Plan D if the person meets both of the following conditions:
(3) An eligible person's enrollment in Plan D begins on the date the minister receives notice of the person's eligibility from a person acting on behalf of a cystic fibrosis clinic provided by one of the following:
Section 38 (2) (part), (3) and (4) BEFORE amended by BC Reg 98/2019, effective May 3, 2019.
(2) A person is eligible to enroll in Plan F if the person meets all of the following conditions:
(3) An eligible person's enrollment in Plan F begins on the date the minister receives notice of the person's eligibility from a director under the Child, Family and Community Service Act that the person is eligible to be enrolled in Plan F.
(4) Without limiting section 10 [when drug plan enrollment ends], a person's enrollment in Plan F ends on the last day of the month in which the person reaches 18 years of age.
Section 39 (2) (part) and (3) BEFORE amended by BC Reg 98/2019, effective May 3, 2019.
(2) A person is eligible to enroll in Plan P if the person meets all of the following conditions:
(3) An eligible person's enrollment in Plan P begins on the date the minister receives a copy of the certificate referred to in subsection (2) (c) from the certifying medical practitioner or nurse practitioner.
Section 39.1 (2) (b) BEFORE amended by BC Reg 221/2015, effective September 1, 2016.
(b) the person uses tobacco as that term is defined in the Tobacco Control Act;
Section 39.1 (2) (part), (3) (part), (5), (6) and (7) BEFORE amended by BC Reg 98/2019, effective May 3, 2019.
(2) A person is eligible to enrol in Plan S if the person meets all of the following conditions:
(3) An eligible person’s enrolment in Plan S begins on the date the minister first receives notice from a pharmacy provider, within the meaning of the Provider Regulation, of a declaration that
(5) Subsection (4) (b) applies regardless of whether, throughout the person's enrollment in Plan S, the same or different nicotine replacement therapies are used.
(6) Without limiting section 10 [when drug plan enrollment ends], a person's enrollment in Plan S ends on the earliest of the following dates:
(a) 84 days after the person's enrollment in Plan S begins;
(b) December 31 of the year in which the person's enrollment in Plan S begins.
(7) A person whose enrollment in Plan S ends may not enroll again in Plan S in the same calendar year.
Section 39.1 (3) (c) (i) BEFORE amended by BC Reg 98/2019, effective May 3, 2019.
(i) is eligible to enrol in Plan S, and
Section 39.1 (4) (b) BEFORE amended by BC Reg 98/2019, effective May 3, 2019.
(b) the minister may pay a claim made under Plan S only in respect of those nicotine replacement therapies dispensed before the person's enrollment in Plan S ends;
Section 39.2 (3) (c) (ii) BEFORE amended by BC Reg 68/2019, effective April 1, 2019.
(ii) a child, within the meaning of the Indian Act (Canada), of a person described in subparagraph (i), and who is less than one year of age.
Section 39.2 (3) (part) BEFORE amended by BC Reg 98/2019, effective May 3, 2019.
(3) A person is eligible to enrol in Plan W if the person meets all of the following conditions:
Section 39.2 (3) (c) (ii) BEFORE amended by BC Reg 123/2020, effective June 5, 2020.
(ii) a child, within the meaning of the Indian Act (Canada), of a person described in subparagraph (i), and who is less than 18 months of age.
Section 40 (3) and (4) BEFORE amended by BC Reg 98/2019, effective May 3, 2019.
(3) A person is eligible to enroll in Plan X if the person is enrolled in the Drug Treatment Program.
(4) An eligible person's enrollment in Plan X begins on the date the person enrolls in the Drug Treatment Program.
Section 41 (2) (part) BEFORE amended by BC Reg 98/2019, effective May 3, 2019.
(2) A person is eligible to enroll in Plan G if the person meets both of the following conditions:
Section 42 (3) (b) BEFORE amended by BC Reg 208/2017, effective November 14, 2017.
(b) the person receives, or is eligible to receive, premium assistance under any of sections 11, 13 and 14 of the Medical and Health Care Services Regulation, and
Section 42 (1) (part) BEFORE amended by BC Reg 98/2019, effective May 3, 2019.
(1) An eligible person's enrollment in Plan G begins on the date the minister receives both
Section 42 (3) (b) BEFORE amended by BC Reg 180/2019, effective January 1, 2020.
(b) the person receives, or is eligible to receive, premium assistance under either of sections 11 and 13 of the Medical and Health Care Services Regulation, and
Section 42 (2) BEFORE amended by BC Reg 77/2021, effective March 15, 2021.
(2) Before a person may be enrolled in Plan G, a medical practitioner or nurse practitioner must provide to the minister a certificate stating that the practitioner has prescribed a psychiatric drug to the person and that
Section 43 BEFORE amended by BC Reg 98/2019, effective May 3, 2019.
End of enrollment
43 Without limiting section 10 [when drug plan enrollment ends], a person's enrollment in Plan G ends on the earlier of
(a) the date, if any, stated in a certificate provided under section 42 (2) [conditions of enrollment] as the date on which enrollment should end, and
(b) one year after the minister receives both the certificate and declaration under section 42.
Section 44 definition of "personal representative" BEFORE repealed by BC Reg 221/2015, effective January 1, 2016.
"personal representative" means a person having authority under the common law or an enactment to make decisions on behalf of a beneficiary;
Schedule 1 BEFORE re-enacted by BC Reg 134/2018, effective January 1, 2019
Plan I (No Registrant Born before 1940)
(section 20 [determination of deductibles and co-payments])
| Column 1 Family Net Income ($) (of registrant and spouse, if any) | Column 2 Family Deductible ($) (minister makes no payment until family unit pays this amount) | Column 3 Maximum Family Co-payment ($) (after deductible is paid, minister pays 70% until family unit pays this amount) |
| 0.00 — 1 875.00 | 0.00 | 25.00 |
| 1 875.01 — 3 125.00 | 0.00 | 50.00 |
| 3 125.01 — 4 375.00 | 0.00 | 75.00 |
| 4 375.01 — 6 250.00 | 0.00 | 100.00 |
| 6 250.01 — 8 750.00 | 0.00 | 150.00 |
| 8 750.01 — 11 250.00 | 0.00 | 200.00 |
| 11 250.01 — 13 750.00 | 0.00 | 250.00 |
| 13 750.01 — 15 000.00 | 0.00 | 300.00 |
| 15 000.01 — 16 250.00 | 300.00 | 150.00 |
| 16 250.01 — 18 750.00 | 350.00 | 175.00 |
| 18 750.01 — 21 250.00 | 400.00 | 200.00 |
| 21 250.01 — 23 750.00 | 450.00 | 225.00 |
| 23 750.01 — 26 250.00 | 500.00 | 250.00 |
| 26 250.01 — 28 750.00 | 550.00 | 275.00 |
| 28 750.01 — 30 000.00 | 600.00 | 300.00 |
| 30 000.01 — 31 667.00 | 900.00 | 300.00 |
| 31 667.01 — 35 000.00 | 1 000.00 | 350.00 |
| 35 000.01 — 38 333.00 | 1 100.00 | 375.00 |
| 38 333.01 — 41 667.00 | 1 200.00 | 400.00 |
| 41 667.01 — 45 000.00 | 1 300.00 | 450.00 |
| 45 000.01 — 48 333.00 | 1 400.00 | 475.00 |
| 48 333.01 — 51 667.00 | 1 500.00 | 500.00 |
| 51 667.01 — 55 000.00 | 1 600.00 | 550.00 |
| 55 000.01 — 58 333.00 | 1 700.00 | 575.00 |
| 58 333.01 — 61 667.00 | 1 800.00 | 600.00 |
| 61 667.01 — 65 000.00 | 1 900.00 | 650.00 |
| 65 000.01 — 70 833.00 | 2 000.00 | 675.00 |
| 70 833.01 — 79 167.00 | 2 250.00 | 750.00 |
| 79 167.01 — 87 500.00 | 2 500.00 | 850.00 |
| 87 500.01 — 95 833.00 | 2 750.00 | 925.00 |
| 95 833.01 — 108 333.00 | 3 000.00 | 1 000.00 |
| 108 333.01 — 125 000.00 | 3 500.00 | 1 175.00 |
| 125 000.01 — 141 667.00 | 4 000.00 | 1 350.00 |
| 141 667.01 — 158 333.00 | 4 500.00 | 1 500.00 |
| 158 333.01 — 183 333.00 | 5 000.00 | 1 675.00 |
| 183 333.01 — 216 667.00 | 6 000.00 | 2 000.00 |
| 216 667.01 — 250 000.00 | 7 000.00 | 2 350.00 |
| 250 000.01 — 283 333.00 | 8 000.00 | 2 000.00 |
| 283 333.01 — 316 667.00 | 9 000.00 | 1 000.00 |
| 316 667.01 — 999 999 999.00 | 10 000.00 | 0.00 |
Schedule 2 BEFORE re-enacted by BC Reg 134/2018, effective January 1, 2019
Plan I (At Least One Registrant Born before 1940)
(section 20 [determination of deductibles and co-payments])
| Column 1 Family Net Income ($) (of registrant and spouse, if any) | Column 2 Family Deductible ($) (minister makes no payment until family unit pays this amount) | Column 3 Maximum Family Co-payment ($) (after deductible is paid, minister pays 75% until family unit pays this amount) |
| 0.00 — 3 000.00 | 0.00 | 25.00 |
| 3 000.01 — 5 000.00 | 0.00 | 50.00 |
| 5 000.01 — 7 000.00 | 0.00 | 75.00 |
| 7 000.01 — 10 000.00 | 0.00 | 100.00 |
| 10 000.01 — 14 000.00 | 0.00 | 150.00 |
| 14 000.01 — 18 000.00 | 0.00 | 200.00 |
| 18 000.01 — 22 000.00 | 0.00 | 250.00 |
| 22 000.01 — 26 000.00 | 0.00 | 300.00 |
| 26 000.01 — 30 000.00 | 0.00 | 350.00 |
| 30 000.01 — 33 000.00 | 0.00 | 400.00 |
| 33 000.01 — 37 500.00 | 350.00 | 350.00 |
| 37 500.01 — 42 500.00 | 400.00 | 400.00 |
| 42 500.01 — 47 500.00 | 450.00 | 450.00 |
| 47 500.01 — 50 000.00 | 500.00 | 500.00 |
| 50 000.01 — 52 500.00 | 1 000.00 | 500.00 |
| 52 500.01 — 57 500.00 | 1 100.00 | 550.00 |
| 57 500.01 — 62 500.00 | 1 200.00 | 600.00 |
| 62 500.01 — 67 500.00 | 1 300.00 | 650.00 |
| 67 500.01 — 72 500.00 | 1 400.00 | 700.00 |
| 72 500.01 — 77 500.00 | 1 500.00 | 750.00 |
| 77 500.01 — 82 500.00 | 1 600.00 | 800.00 |
| 82 500.01 — 87 500.00 | 1 700.00 | 850.00 |
| 87 500.01 — 92 500.00 | 1 800.00 | 900.00 |
| 92 500.01 — 97 500.00 | 1 900.00 | 950.00 |
| 97 500.01 — 106 250.00 | 2 000.00 | 1 000.00 |
| 106 250.01 — 118 750.00 | 2 250.00 | 1 125.00 |
| 118 750.01 — 131 250.00 | 2 500.00 | 1 250.00 |
| 131 250.01 — 143 750.00 | 2 750.00 | 1 375.00 |
| 143 750.01 — 162 500.00 | 3 000.00 | 1 500.00 |
| 162 500.01 — 187 500.00 | 3 500.00 | 1 750.00 |
| 187 500.01 — 212 500.00 | 4 000.00 | 2 000.00 |
| 212 500.01 — 237 500.00 | 4 500.00 | 2 250.00 |
| 237 500.01 — 275 000.00 | 5 000.00 | 2 500.00 |
| 275 000.01 — 325 000.00 | 6 000.00 | 3 000.00 |
| 325 000.01 — 375 000.00 | 7 000.00 | 3 000.00 |
| 375 000.01 — 425 000.00 | 8 000.00 | 2 000.00 |
| 425 000.01 — 475 000.00 | 9 000.00 | 1 000.00 |
| 475 000.01 — 999 999 999.00 | 10 000.00 | 0.00 |