Raising healthy, happy kids is one of life’s greatest joys. From dental checkups to vision exams, braces, therapy sessions, and the occasional sports injury, children’s health needs can add up quickly.
While provincial healthcare covers many essential services, it often leaves gaps that families must pay for out of pocket. Private health insurance helps fill those gaps, ensuring your children can access the care they need while keeping family finances stable.
This guide explains what family and child health insurance covers in Canada, what is already provided by provincial health plans, and how to choose the right plan for your household.
Why Families Need Private Health Insurance in Canada
Canada’s public healthcare system is an excellent foundation, but it does not include everything your family may need as your children grow.
Provincial plans typically cover doctor visits, emergency care, and hospital stays. However, they do not usually include dental checkups, orthodontics, eyeglasses, prescription drugs, or mental health counselling.
Private health insurance bridges that gap. It provides coverage for services that keep children healthy, confident, and active while protecting parents from large and unpredictable medical expenses.
What Is Covered for Children Under Provincial Health Plans
Each province and territory offers its own version of public healthcare. While coverage is similar across Canada, the details differ.
Here is a general overview of what is and is not covered for children through provincial and territorial plans:
Why Family Health Coverage Matters
Private health insurance ensures your children can receive care when they need it, without the financial stress of large medical bills. It also gives parents peace of mind and predictability in their monthly budget.
Key benefits include:
- Coverage for growing needs: Children’s medical needs change quickly, from braces to sports injuries.
- Support for active kids: If your children are enrolled in sports or other athletic activities, they may occasionally need physiotherapy, chiropractic care, or rehabilitation treatments. A family health plan can help cover these expenses and make recovery faster and more affordable.
- Access to mental health care: Many family plans include counselling and therapy for children and teens.
- Flexibility: Choose a plan that matches your family’s lifestyle and priorities.
- Financial protection: Prevents large and unexpected out-of-pocket medical costs.
What to Look for in a Family Health Plan
When comparing plans, focus on the services that will matter most for your family.
Important coverage features include:
- Prescription drugs: Especially valuable for children with chronic conditions such as asthma or allergies.
- Dental care: Preventive care and orthodontics can save thousands over time.
- Vision care: Exams, glasses, and contact lenses.
- Mental health support: Counselling and therapy for children and parents
- Paramedical services: Physiotherapy, chiropractic, massage therapy, and nutrition counselling.
- Travel medical coverage: Protection during family trips within or outside Canada.
Plans can often be customized to balance monthly costs with the level of protection you want.
Example: The Nguyens, a Family of Four in Alberta
The Nguyens are a family of four living in Calgary. Both parents work full-time, but neither receives employer-sponsored health benefits. Their children, ages seven and twelve, are both active in hockey and gymnastics. Between dental visits, eye exams, and the occasional physiotherapy session for sports injuries, the costs add up quickly.
After comparing plans on Aeva.ca, they choose a family plan that includes (per person):
- $10,000 per person in annual prescription drug coverage
- 80% reimbursement for dental care, including orthodontics (50% reimbursement)
- $200 per person in annual vision coverage
- $350 annual coverage for physiotherapy, chiropractic care,
- $750 annual coverage for counselling
Their plan costs $360 per month but saves them from paying more than $4,000 in potential medical costs each year. The coverage also gives them peace of mind knowing their kids can access professional care if they ever get injured or need treatment during a busy sports season.
How to Pay for Health Insurance Premiums
If you are self-employed or operate an incorporated business, you may be able to deduct your family’s health insurance premiums as a business expense.
To learn more, see these related Aeva articles:
- How to Write Off Health Insurance Premiums When You’re Self-Employed in Canada (2025)
- Claiming Health and Dental Premiums with the METC
Bottom Line
Raising a family comes with enough surprises. Health costs should not be one of them.
A well-chosen family health plan helps you care for your children with confidence, ensures access to vital services such as dental, vision, and counselling, and keeps your household finances steady.
If your employer does not provide benefits, or if you are self-employed, exploring private coverage is one of the most effective ways to protect your family’s well-being and financial stability.
Take the Next Step
Compare Canada’s top family health and dental insurance plans in minutes at Aeva.ca.
It is simple, transparent, and designed to help parents find the right coverage for their family’s needs.
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