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New Brunswick Medicare: Summary of Benefits

The following information is intended as a brief summary of New Brunswick’s provincial healthcare plan called Medicare.

Medicare is available to permanent New Brunswick residents that reside in the province at least 6 months out of the year.

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Medicare Coverage

Medicare will pay for the following services that are provided by an insured practitioner:

  • Most medical services provided by a physician in a physician’s office or in a hospital.
  • Certain dental procedures performed by a dentist when the service is medically required and performed in a hospital (extractions and dental work are not insured when performed in a hospital, however the anesthesia may be covered in some circumstances).

Emergency medical costs incurred while traveling outside Canada that are not pre-approved are not covered. Please consider travel insurance when traveling.

Hospital Services

  • Standard hospital room and meals.
  • Required nursing services.
  • Drugs administered while in a hospital.
  • Routine surgical supplies administered in a hospital.
  • Diagnostic services such as X-rays and other laboratory services.
  • Operating room, anesthetic facilities and delivery room services.
  • Therapies while in a hospital i.e. physiotherapy, speech therapy and occupational therapy.
  • Radiotherapy.

Costs Not Covered by Medicare

  • Ambulance services.
  • Annual checkups.
  • Routine dental services and dentures (e.g. examinations, fillings, cleanings and extractions). Note that medically necessary dental procedures MAY be covered if performed by a dentist in an approved hospital.
  • Prescription drugs and medicines (unless you are covered by one of the discussed drug plans mentioned above).
  • Examinations at the request of a third party (e.g. for employment, travel purposes, etc.)
  • Acupuncturists, chiropractors, chiropodists, massage therapists, osteopaths, naturopaths, physiotherapists, pharmacists, psychologists and private nursing.
  • Eye glasses, frames, eye examinations and contact lenses.
  • Opticians and optometrists.
  • Cosmetic surgeries.
  • Artificial insemination.
  • Durable medical equipment such as walkers, special crutches, prosthetic devices such as artificial limbs, etc.
  • Removal of minor skin lesions (e.g. warts).
  • Services deemed by the province as "experimental" or part of "applied research".
  • Reversal of sterility procedures.
  • Physician advice or prescriptions renewed by telephone.
  • Dental services provided by a physician.
  • Stomach stapling (gastric stapling or bypass).
  • Immunizations that you can get via Public Health clinics, unless medically necessary and done by a physician.
  • The difference in cost between semi-private/private hospital rooms as compared to the cost of a standard ward.

New Brunswick Drug Plan

This drug plan is designed for residents who do not have prescription drug coverage via a private health insurance plan.

There are premiums for residents enrolled in the plan, and these premiums are calculated based on your family's annual income. To be eligible you need to be covered by Medicare.

Coverage is determined by the New Brunswick Drug Plan Formulary.

The New Brunswick Prescription Drug Plan (NBPDP)

Medicare does not cover prescription drugs; however, there is coverage available for residents who: require assistance paying for their medications, and; meet the eligibility requirements by being in one of the eligibility groups listed (see below).

Valid beneficiary groups are:

  • Seniors (age 65 or older).
  • Residents of licenced, adult residential facilities.
  • Social development clients.
  • Special needs children, and children who have been placed in the care of the Ministry of Social Development.
  • Residents with multiple sclerosis (certain treatment drugs are covered).
  • Residents with cystic fibrosis (certain treatment drugs are covered).
  • Recipient of a solid organ or bone marrow transplant (certain anti-rejection drugs are covered).
  • Certain human growth hormone drugs.
  • Drug coverage for residents with HIV/AIDS (must be registered by a New Brunswick infectious disease specialist).
  • Nursing home residents.

New Brunswick Drugs for Rare Diseases Plan

Coverage for some prescription drugs for Manitoba residents who have a specific rare disease.

Click here for a listing of these rare diseases and medications that are covered.

Prescription Monitoring Program and Drug Information System

eHealthNB, via the Electronic Health Record (or EHR) and Drug Information System (DIS), shows a patient’s medication history for prescribed medications that have been filled by a New Brunswick community pharmacy.

- for full details please visit New Brunswick's Medicare website -

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Last updated March 2018