OHIP pays at most $400 a day for intensive care abroad, $200 for a ward bed and $50 for outpatient care under its Out of Country Travellers Program, and other provinces pay $75 to $100 a day, against private hospital rates in Delhi, Manila or Lahore that run many times that. A Canadian family flying home needs its own emergency medical policy: single-trip for one visit, annual multi-trip for two or more. Parents who are now permanent residents need a questionnaire-based plan that covers stable pre-existing conditions. A parent on a super visa who flies home mid-stay needs a separate policy for the trip, because the super visa policy may pause or exclude the home country.
Why does my provincial plan pay almost nothing abroad?
Because the provinces pay at their own domestic rates, capped. Ontario’s program was cancelled on 1 January 2020 and reinstated after a court ruling later that year; it pays up to $400 a day for intensive care, $200 for a ward bed and $50 a day for emergency outpatient care abroad, claimed afterwards with receipts, per the Ontario page and Cowan; from 1 January 2020 it pays nothing except for dialysis under a separate program (THIA).
| Province | Out-of-country inpatient hospital payment, per day | Source |
|---|---|---|
| Ontario (OHIP) | $400 intensive care, $200 ward, $50 outpatient, per day, claimed after the fact | Ontario, Cowan |
| British Columbia (MSP) | $75 | TuGo |
| Alberta (AHCIP) | $100 | TuGo |
| Saskatchewan | $100 | TuGo |
| Quebec (RAMQ) | $100 | TuGo |
A private room at a corporate hospital in Delhi, Mumbai, Manila or Karachi is affordable by Canadian standards but still far above $100 a day once surgery, ICU and specialists are added. The real exposure is air ambulance repatriation to Canada, which runs to six figures from South Asia and is covered only by a private policy. Provincial plans also stop covering a resident who is out of the province for more than the allowed period, commonly 212 days in Ontario and BC, so long trips home can cost the provincial coverage itself.
Single-trip or annual multi-trip?
Single-trip for one visit, annual for two or more. BMO’s guide prices single-trip plans for one-time travellers and annual plans for frequent ones, and notes that an annual plan usually costs less in total once a family travels more than once a year. The catch is the per-trip limit on annual plans.
| Plan type | Covers | Per-trip limit | Suits |
|---|---|---|---|
| Single-trip | One trip, fixed dates | Up to 183 days (212 in some provinces) | One trip home a year, especially 4 to 8 weeks |
| Annual multi-trip | Unlimited trips in 12 months | Commonly 4, 10, 23 or 30 days per trip; top-ups sold | Trip home plus US or sun trips; short visits |
| Annual with top-up | As above, one trip extended | Base limit plus purchased days | One long trip home plus shorter trips |
A six-week trip to Punjab or Cebu usually exceeds the annual plan’s per-trip limit, and a trip that overruns without a top-up loses coverage for the whole trip at some carriers. For a family that goes home once for six weeks and nowhere else, buy single-trip. For a family that goes home for three weeks and also drives to Buffalo, buy annual with a 23-day or 30-day limit.
Hajj, Umrah and the Saudi visa insurance
The insurance bundled with a Hajj or Umrah visa is not a substitute for a Canadian policy. Gulf News reports the Umrah cover at up to SAR 100,000 for urgent medical cases, accidental injury and death, and flight delays; Wego sets out the Hajj policy, which runs up to 75 days, works only inside Saudi Arabia, and covers repatriation of remains up to SAR 10,000.
What it does not cover is the list that matters for a Canadian pilgrim over 60: pre-existing conditions, medical repatriation of a living patient to Canada, care in a transit country such as the UAE or Turkey, and non-emergency treatment. Heat stroke at Arafat and crowd injuries during Tawaf are the Hajj-specific risks, and Wego advises checking that a private policy’s wording does not exclude pilgrimages. Buy a Canadian single-trip policy that names Saudi Arabia and any transit stop, with the questionnaire answered for every pre-existing condition.
Parents who are now permanent residents
A parent who has landed as a permanent resident and holds a provincial health card is insured on the same basis as any other Canadian resident: by a medical questionnaire, with pre-existing conditions covered if stable for the carrier’s period. The stability periods used for super visa plans are a good guide: 90 days to age 59, 120 days for 60 to 69 and 180 days for 70 and over at TuGo and Destination; 180 days at Manulife, GMS and 21st Century; Allianz 90 days under 60 and 180 days to 89.
| Carrier (underwriter) | Stability period, age 70+ | Max age for stable pre-existing cover |
|---|---|---|
| Secure Travel (iA Financial Group, claims by MSH) | 180 days 70-84 | 90 |
| TuGo (iA Financial Group) | 180 days 70-85; 365 days 86+ | None |
| Manulife CoverMe (Manufacturers Life) | 180 days | 85 |
| Allianz Global Assistance (CUMIS General Insurance) | 180 days 60-89 | 89 |
| Destination Travel Group (Zurich Insurance Company Ltd, Canadian Branch) | 180 days 70-79 | Pre-existing excluded 80+ |
| GMS (Group Medical Services) | 180 days | 79 |
Source: SuperVisaDirect carrier fact sheet, October 2026. Snowbird products, which assume a US or Mexico winter and a return within the provincial absence limit, are a different line and are not what this page covers; a PR parent going to India for four months should buy a single-trip policy with the destination named, not a snowbird plan. A change in medication inside the stability window makes the condition unstable at every carrier, so book the policy before the pre-trip doctor’s visit, not after.
A parent on a super visa going home mid-stay
A parent on a super visa who flies to the Philippines for a month is usually not covered there, and at some carriers the super visa policy pauses. PolicyAdvisor records that Manulife allows brief side trips outside Canada “excluding the applicant’s home country.” TuGo permits home-country visits but does not cover expenses incurred there, and covers worldwide side trips only if most of the coverage period is spent in Canada and the trip begins after entering Canada. Allianz pauses coverage during home-country trips and requires 51% of the policy period in Canada.
| Carrier (underwriter) | Home-country trip mid-stay | US or other side trip |
|---|---|---|
| Allianz Global Assistance (CUMIS General Insurance) | Coverage pauses | Allowed if 51% of policy period is in Canada |
| TuGo (iA Financial Group) | Allowed, but expenses in home country not covered | Covered if most of the period is in Canada and trip starts after entry |
| Manulife CoverMe (Manufacturers Life) | Excluded from side-trip allowance | Brief side trips allowed |
| GMS, Destination, Secure Travel, 21st Century | Check certificate | Check certificate |
Three things to do before the parent flies. First, buy a separate single-trip policy for the home country from a Canadian carrier, or accept that care there is self-funded; many families choose the latter for India or the Philippines and buy only for the flight and transit. Second, confirm in writing whether the super visa policy pauses, and whether the paused days extend the term; most do not. Third, check the re-entry rule: IRCC’s officer instructions require a policy valid for one year from the date of each entry, and a border officer can ask for it. A policy with six months left on it is not a year from the new entry date; renew or extend before the return flight.
The host family’s own trip home: what to buy
Buy a policy for every traveller, including Canadian-born children, from a carrier that names the destination and any transit stop. Choose single-trip for a visit of four weeks or more; annual for a family that also makes short US or sun trips. Answer the questionnaire for every adult over 55 and for anyone on regular medication, and buy before the pre-trip clinic visit.
| Traveller | Plan | Note |
|---|---|---|
| Host and spouse, under 55, no conditions | Single-trip or annual; no questionnaire | Confirm destination is named and transit covered |
| Children | Added to the family policy | Usually free or nominal with two adults |
| Parent who is a PR, 60 to 75 | Single-trip with questionnaire | 120 to 180-day stability; buy before doctor’s visit |
| Parent on a super visa, travelling with you | Separate single-trip for the home country | Super visa policy may pause; check re-entry validity |
| Pilgrim for Hajj or Umrah | Single-trip naming Saudi Arabia and transit | Saudi visa cover is not enough |
SuperVisaDirect is operated by Super Visa Direct Insurance Services, an independent Ontario life and accident-and-sickness insurance agency licensed by FSRA (licence [FSRA-LICENCE]), serving Ontario residents; other provinces are coming in 2028. Claims and complaint rights are set out in the THIA Travel Insurance Bill of Rights. Get a quote for the trip, and see the super visa hub for the renewal a returning parent needs.
Questions people ask
Does OHIP cover me when I visit India or Pakistan?
No. Ontario's Out of Country Travellers Program pays at most $400 a day for intensive or operating-room care, $200 a day for a ward bed and $50 a day for emergency outpatient care, claimed afterwards with original receipts. British Columbia pays $75 a day and Alberta, Saskatchewan and Quebec $100 a day for hospital care abroad, which does not cover a private hospital in Delhi, Manila or Lahore.
Should I buy a single-trip or an annual multi-trip plan?
Single-trip for one visit a year; annual multi-trip for two or more, including a US shopping trip or a Caribbean week. Annual plans cap each trip at a set number of days, commonly 4, 10, 23 or 30, with top-ups available for longer trips. A six-week trip home usually needs a single-trip policy or a top-up on the annual plan.
Do I need Canadian insurance for Hajj or Umrah when the Saudi visa includes it?
Yes. The insurance bundled with the Saudi visa covers accidental death, specified medical events up to SAR 100,000 and some flight delays inside Saudi Arabia only. It does not cover pre-existing conditions, medical repatriation to Canada or care in transit countries. A Canadian emergency medical policy that names Saudi Arabia fills those gaps.
My parents are permanent residents now. Can they get travel insurance for a trip back to India?
Yes, with a medical questionnaire. Carriers insure PR parents on the same basis as other Canadian residents, covering pre-existing conditions that have been stable for the carrier's period, 90 to 365 days depending on age. Parents over 70 should expect a 180-day stability requirement and a higher premium.
My mother is here on a super visa and wants to go to the Philippines for a month. Is she covered there?
Usually not, and the policy may pause. Allianz pauses coverage during home-country trips, TuGo permits home visits but excludes expenses incurred there, and Manulife allows side trips only outside the home country. Buy a separate single-trip policy for the Philippines, and check that the super visa policy resumes on her return.
Can my parents on a super visa take a side trip to the United States?
Usually yes, within limits. TuGo covers worldwide travel if most of the coverage period is spent in Canada and the trip starts after entering Canada; Allianz requires 51% of the policy period in Canada. US hospital costs are higher than Canadian, so a $100,000 limit is thin for a long US trip; confirm the side-trip clause before booking.
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Sources
- Ontario — OHIP coverage while outside Canada (Out of Country Travellers Program), updated 16 January 2026
- Cowan – Understanding the cuts to OHIP's out-of-country coverage
- TuGo – How much does your provincial plan cover outside Canada
- BMO Insurance – Single-trip vs multi-trip travel insurance
- Wego – Is Hajj insurance mandatory for a Saudi visa?
- Gulf News – Mandatory Umrah insurance included in visa fees
- TuGo – 11 reasons to choose Visitors to Canada insurance (side-trip rules)
- PolicyAdvisor – Best super visa insurance companies (side-trip notes)
- IRCC – Super visa officer instructions (validity on each entry)
- THIA – Travel Insurance Bill of Rights