Application For Health Coverage
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1
2APPLICATION FOR
NEWFOUNDLAND AND LABRADOR
HEALTH CARE COVERAGE
Health and Community Services
Medical Care Plan
PLEASE READ THE FOLLOWING INFORMATION BEFORE COMPLETING THE APPLICATION ON THE REVERSE
If you are applying for coverage with the Newfoundland and Labrador Medical Care Plan (MCP) you must complete this form.
If you are applying for coverage for a newborn or adopted child, please complete the Newborn/Adopted Child Registration form.
All forms are available on the website at
and by calling MCP at one of the numbers listed at the bottom of this page.
There are no charges or fees for MCP cards.
DOCUMENTS YOU MUST SUBMIT WITH THIS APPLICATION
Canadian Citizens moving to Newfoundland and Labrador must provide one of the following documents:
Social Insurance Card.
•
Valid Canadian Passport.
•
Government issued Birth Certificate. (Baptismal/Dedication Certificates are not acceptable)
•
Federal Government document containing your name and social insurance number. (Example: Assessment from Revenue Canada)
•
Non-Canadians moving to Newfoundland and Labrador must provide the following documents:
Immigration document valid for at least one year. (Example: Work Permit; Study Permit; Visitor Permit).
•
Valid Passport.
•
Letter from University or Employer (issued since your arrival in Newfoundland and Labrador) verifying full-time enrolment or
•
employment for at least one year.
OR
Permanent Resident Card. (A copy of both the front and back of the card is required.)
•
Other documents may be requested by MCP at the time of registration in order to verify identity or eligibility.
Original documents or good quality photocopies are acceptable. Original documents will be returned after your application has been processed.
MCP will not be responsible for original documents that may get lost in the mail.
INELIGIBLE APPLICANTS
The following persons are not eligible for MCP coverage:
Tourists, transients, and visitors.
•
Members of the Canadian Forces or NATO Forces.
•
Inmates of Federal prisons.
•
Certified refugees or refugee claimants.
•
Persons moving temporarily to Newfoundland and Labrador for a period of less than one year.
•
WAITING PERIOD
If you are moving permanently to Newfoundland and Labrador from another province or territory you will be covered by your previous Plan for
the remainder of the month you arrived in Newfoundland and Labrador, plus two additional months. In order to allow sufficient time for a
smooth change in coverage from your previous Plan to MCP, you should apply for coverage with MCP immediately upon arrival in
Newfoundland and Labrador.
HEALTH CARE CARDS
If eligible for coverage, each person listed on the application will receive an MCP identity number and card. Keep the card with you at all times
and present it each time you require medical services. Contact MCP if your card becomes lost, stolen, damaged, or destroyed. Card
replacement forms are also available at doctors’ offices and hospitals throughout the province.
IT IS IMPORTANT THAT YOU NOTIFY MCP OF CHANGES TO YOUR NAME, ADDRESS, OR RESIDENCY STATUS
Grand Falls-Windsor Office:
St. John’s Office:
MCP, 22 High Street, PO Box 5000, Grand Falls-Windsor, NL, A2A 2Y4
MCP, 45 Major's Path, PO Box 8700, St. John’s, NL, A1B 4J6
Telephone: 709-292-4000
Toll Free: 1-800-563-1557
Facsimile: 709-292-4052
Telephone: 709-758-1600
Toll Free: 1-866-449-4459
Facsimile: 709-758-1694
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