COVID-19 update: To minimize service impacts and ensure the safety of our staff, we’re not accepting paper documents. Please send your personal forms and paperwork through My Account Message Centre. If you cannot access My Account, aren’t a pension plan member or are submitting on behalf of someone else, please contact us.

Submit a form to apply for retirement health coverage

Send us a form to apply for extended health care and/or dental coverage when you apply for your pension – or any time after you've retired.


Complete the form

  1. Fill in the form online
  2. In Part 2, select the box beside the plan(s) you wish to enrol in: Extended Health Care, Essential Dental or Enhanced Dental
  3. If you are applying for coverage for your dependants, include the name(s) of your spouse and/or eligible children in Part 3
  4. Print, sign and date the form
  5. Send it to the plan
 

If you are applying for coverage 60 days or more after your retirement date, you will also need to provide proof of continuous coverage under another extended health care or dental plan. You will need to provide the name of the insurance company, the group/policy number and your ID or certificate number.

Another way

You can also apply for extended health care and dental coverage when you apply to retire online.


Eligibility

You can apply for retirement health care and dental coverage if you:

  • Are a permanent resident of Canada
  • Have medical coverage through a provincial health plan in the province where you live if you're applying for extended health care coverage
  • Are within 60 days of your retirement date, or you can provide proof of continuous coverage in a comparable plan if you are applying after this date
 

Your spouse and/or dependant(s) are eligible if they:

  • Are a permanent resident of Canada
  • Have medical coverage through a provincial health plan in the province where they live if they're applying for extended health care coverage
  • Are joining the plan within 60 days of your retirement date, or you can provide proof of their continuous coverage in a comparable plan if they are applying after this date
Required information

If you are applying for coverage 60 days or more after your retirement date, you must provide proof of continuous coverage under another extended health care and/or dental plan. You must include the name of the insurance company, the group/policy number and your ID or certificate number.


Download the Pacific Blue Cross Application for Extended Health Care and Dental Benefits form (external link)

External links for extended health care coverage

Pacific Blue Cross

Medical Services Plan of BC

Related content for apply for or cancel coverage

Retirement health coverage premiums