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Winter 2026–27 · Updated October 2026

Snowbird travel insurance for Canadians: covered from the day you leave to the day you're back

Your health card pays only a small part of a US hospital bill. Here is how long you can be away, what your province pays and how to insure the whole winter.

Every fall Pankaj gets the same three questions from snowbirds: how long can we stay, will my medication change cause a problem, and what happens if we stay a week longer than planned. This page answers all three, with the official rules for the seven provinces where he is licensed.

By Pankaj Bhatia, CHS, PFA Updated

In short

Most provinces let you stay away for about 7 months (212 days in Ontario, Alberta and New Brunswick) and keep your health card. While you are out of Canada your province pays very little: $75 a day for a BC hospital stay, $100 in Alberta, Saskatchewan and New Brunswick, and $200 to $400 under OHIP, against US hospital days that often pass US$1,000. A snowbird policy covers the rest. Buy it for every day you are away, answer the medical questions with your pill list in hand, and check any medication change against the plan's stability period. In the US, visitors can stay up to 182 days, and drivers without an I-94 who stay 30 days or more must register.

Snowbird day counter

Enter your province and travel dates. It checks your provincial limit, the US 182-day rule and the 30-day registration rule, and tells you how many days to insure.

A planning aid built from the provincial and US rules on this page. Your province, the US authorities and your policy wording have the final say.

How long you can be away, and what your province pays abroad

For emergency care outside Canada. From each provincial health plan; checked October 2026.

ProvinceLongest absence and keep coverageHospital stay abroadEmergency outpatient visitBefore you go
Ontario (OHIP)212 days in any 12 monthsUp to $400 a day (ICU, operating room), $200 for other careUp to $50 a dayYou need 153 days in Ontario in each 12-month period. Away longer than 7 months? Ask OHIP about the extension of up to 2 years first. Source
British Columbia (MSP)7 months per calendar year, for vacation$75 a dayVery littleTell Health Insurance BC before an absence of 6 months or more. Source
Alberta (AHCIP)212 days in a 12-month period, for vacation$100 a day (not the day you leave)$50 a day, one visitContact AHCIP before you leave for an extended absence. Source
Saskatchewan7 months out of the province$100 a day$50 a dayReport an absence of more than 6 months to Health Registries. Source
Manitoba7 months in a 12-month periodAn average daily rate set by Manitoba HealthLimitedReport a trip of 90 days or more, 6 to 8 weeks before you leave. Source
New Brunswick (Medicare)212 days for vacation or visits$100 a day$50 a dayYou must have lived in New Brunswick 153 days in the 12 months. Tell Medicare about any trip of 30 days or more. Source
Nova Scotia (MSI)7 months per calendar year$525 a day, plus 50% of extra hospital chargesLimitedContact MSI before a long absence. Source

Doctor bills abroad are usually paid at your province's own fee rates, which are far below US fees. Pankaj is not licensed in Quebec, so Quebec rules are not covered here.

Why the health card is not enough in the US

The BC government puts it plainly: it pays $75 a day for an emergency hospital stay outside Canada, while a US hospital often charges more than US$1,000 a day, and as much as US$10,000 a day in intensive care. Even Nova Scotia's $525 a day, the highest of the seven provinces, leaves you paying most of that bill.

Take a three-day stay for chest pain in Florida, with tests and a stent. The bill can run into the tens of thousands of US dollars, and OHIP would pay about $1,200 of it. The rest goes on your credit card unless you have travel insurance.

There is a second cost people forget: getting home. If you are stable but can't fly on a normal flight, an air ambulance or a medical escort can cost tens of thousands of dollars. A snowbird policy pays for that too, when the insurer's doctors agree it is needed.

A good snowbird policy covers

Hospital and doctor
Emergency care up to a high limit, often $1 million to $5 million
Ambulance
Ground and air ambulance in an emergency
Return home
A flight home, with a medical escort if needed
Medicine
Prescriptions for a new emergency
Help line
24-hour assistance that deals with the hospital for you
Benefits and limits differ by insurer. The policy wording you receive decides what is paid.

One long policy, or an annual plan with a top-up?

Snowbirds usually buy one of these two ways.

One policy for the winterAnnual plan + top-up
How it worksCovers your exact dates, for example November 1 to April 15The annual plan covers every trip up to a set length (often 8 to 60 days); a top-up adds the rest of the winter
Best forThe winter is your main trip of the yearYou also take short trips: a cruise, a family visit, a weekend in Buffalo
PriceUsually the lowest for one long tripCan cost less overall if you travel several times a year
Watch forExtend before the end date if you stay longerThe top-up is often a separate policy, with its own medical questions

Medical questions and stability: where claims go wrong

Most snowbird claim problems start months before the trip, when the questionnaire is filled in.

The questionnaire

Usually from age 60. Your answers decide whether you qualify and your rate category, so a "no" that should be a "yes" can cost you the claim.

Stability

A condition must stay unchanged for a set time before you leave, often 90 to 180 days. A new pill or a dose change restarts the clock.

Pending tests

A scan, biopsy or specialist referral still waiting can make a condition "unstable" even if you feel fine.

Check again

If anything changes between buying and leaving, tell the insurer or Pankaj before you go. Some plans let you adjust; some do not.

Have a heart condition, diabetes or COPD? It can usually still be covered once it is stable. Some insurers sell an option that shortens the stability period, at an extra cost.

US rules to know before you cross

182 days. Canadian visitors can usually stay up to 182 days in a 12-month period. The Canadian Snowbird Visa Act, which would allow 240 days for people 50 and over who own or rent a US home, was introduced in Congress in 2025 but has not become law. Plan as though the 182-day limit still applies.

30-day registration. Since April 11, 2025, Canadians who enter by land, are not given an I-94 record and stay 30 days or more must register with US Citizenship and Immigration Services using Form G-325R, or ask Customs and Border Protection for an I-94 before travel. Flying in gives you an I-94. USCIS also treats travellers last admitted through NEXUS as already registered. Carry your proof of registration while you are in the US.

The tax day count. The IRS adds all your US days this year, one-third of last year's and one-sixth of the year before. Around 122 days a year, every year, reaches the 183-day mark. Most snowbirds who reach it file Form 8840, the closer connection statement, by June 15 of the next year. Ask your accountant if you are close.

Pankaj is an insurance advisor, not an immigration lawyer or tax accountant. Use the links in the sources for the official rules.

Before you leave

Province
Tell your health plan if your province asks, and carry your health card
Pills
Ask about a longer supply; many provincial drug plans limit how much you can get at once
Policy
Buy it before you leave Canada, for every day you will be away
Phone
Save the insurer's assistance number and call it before going to hospital, when you can
Dates
Staying longer? Extend before the policy ends
Use the day counter to check your dates.

Snowbird insurance questions

What is snowbird travel insurance?

It is emergency medical travel insurance written for long stays outside Canada, usually 3 to 7 months, for people who spend the winter in places like Florida, Arizona or Texas.

It pays the hospital, doctor, ambulance and medicine bills your provincial plan does not, and it brings you home if you need care in Canada. Most snowbirds buy one policy for the whole winter, or an annual plan with a top-up for the long trip.

How long can I stay out of the province and keep my health card?

In the seven provinces Pankaj serves, about 7 months: 212 days in Ontario, Alberta and New Brunswick, and 7 months in British Columbia, Saskatchewan, Manitoba and Nova Scotia.

Each province counts differently (a 12-month period or a calendar year) and some want you to tell them before you go. Check the province table, and remember travel insurance is only sold for the days your health card stays valid.

Does OHIP pay anything if I end up in a Florida hospital?

A little. OHIP pays up to $400 a day for intensive care or an operating room, $200 a day for other hospital care and $50 a day for emergency outpatient visits.

A US hospital day is often more than US$1,000 and can reach US$10,000 in intensive care, according to the BC government. The rest of the bill is yours unless you have travel insurance.

Will I have to fill in a medical questionnaire?

Usually yes, from age 60 and up, and sometimes from 55. Your answers decide whether you qualify and which rate category you pay.

Answer with your medication list and recent test results in front of you. A wrong answer, even an honest mistake, can lead to a denied claim.

My doctor changed one of my pills last month. Can I still go?

You can go, but that condition may not be covered until it has been stable for the plan's stability period, often 90 to 180 days for snowbird plans.

A new pill, a dose change, new symptoms, a hospital visit or a test still pending all restart the count. Tell Pankaj the date of the change; some plans cover it sooner than others, and some sell an option for shorter stability.

Is an annual plan with a top-up cheaper than one long policy?

Sometimes. If you also take short trips during the year, an annual plan plus a top-up for the winter can cost less than buying each trip separately.

If the winter is your only trip, one policy for the exact dates is usually simpler. Compare both on the quote form or ask Pankaj to price them side by side.

Can I extend my insurance while I am still in the US?

Usually, if you ask before the policy ends, your health has not changed and you have not made a claim. Some insurers ask new medical questions for an extension.

Your total days away still cannot go past your province's limit. Call before the end date, not after it.

If I fly home for Christmas, does my policy stop?

It depends on the plan. Many snowbird policies allow a short visit home without ending cover, but the rules on how many days, and whether those days count, differ.

Tell Pankaj about any trip home when you buy, so the plan fits the way you really travel.

Do I have to register with the US government for a long stay?

If you drive in, are not given an I-94 record and stay 30 days or more, yes. You register online with Form G-325R, or get an I-94 from US Customs and Border Protection before you go.

Flying in gives you an I-94 automatically, and USCIS treats travellers last admitted through NEXUS as already registered. Rules can change, so check USCIS before each winter.

How many days can I spend in the US each year?

Canadian visitors can usually stay up to 182 days in a 12-month period. The proposed Canadian Snowbird Visa Act would raise that to 240 days for people 50 and over, but it has not become law.

Separately, about 4 months a year for three years in a row can make you meet the IRS substantial presence test. Most snowbirds then file Form 8840 by June 15 to show a closer connection to Canada.

Pankaj Bhatia, CHS, PFA

Written by Pankaj Bhatia, CHS, PFA

Insure In Canada Inc. · Licensed in Ontario, Alberta, British Columbia, Manitoba, Saskatchewan, New Brunswick and Nova Scotia

Pankaj has helped families with travel and health insurance for 11 years. For snowbirds he goes through the medical questions with you before you buy, and prices one long policy against an annual plan so you can see the difference.

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