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What is covered when you turn 65 in Canada?: A Complete Guide

5 min read

According to Statistics Canada, the number of Canadians aged 65 and older has surpassed the population of children under 15. This demographic shift highlights the increasing importance of understanding what is covered when you turn 65 in Canada, particularly concerning federal pensions and healthcare benefits. Navigating the system requires insight into federal programs and provincial offerings.

Quick Summary

As Canadians turn 65, they become eligible for federal programs like the Canada Pension Plan (CPP), Old Age Security (OAS), and the Guaranteed Income Supplement (GIS). Provincial healthcare offers basic coverage, but supplemental plans or private insurance are needed for expenses like prescription drugs, dental care, and vision services.

Key Points

  • Access Federal Pensions: At 65, eligible Canadians can receive the Canada Pension Plan (CPP) retirement pension and the Old Age Security (OAS) pension, with the Guaranteed Income Supplement (GIS) available for low-income seniors.

  • Know Application Requirements: CPP requires an active application, while OAS enrollment is often automatic but may need manual application if you are not notified.

  • Understand Provincial Variations in Healthcare: While basic medical care is universal, supplementary benefits for seniors—covering prescriptions, dental, and vision—differ by province and are often based on income.

  • Supplement Government Healthcare: Provincial plans do not cover all health needs, so many retirees need private insurance to cover costs like prescription drugs, dental care, and paramedical services.

  • Explore Dental Coverage Options: The federal Canadian Dental Care Plan (CDCP) provides coverage for eligible seniors with a family net income under $90,000, while some provinces have their own programs for low-income seniors.

  • Consider Deferring Benefits: For a higher monthly payment, both CPP and OAS can be deferred beyond age 65, up to age 70.

  • Watch for Income Clawbacks: Higher-income seniors may have their OAS benefits reduced through the income recovery tax.

In This Article

Federal retirement income benefits at 65

When you turn 65, you become eligible for two key federal benefits: the Canada Pension Plan (CPP) and Old Age Security (OAS). A third benefit, the Guaranteed Income Supplement (GIS), is available to low-income OAS recipients.

Canada Pension Plan (CPP) retirement pension

  • Eligibility: To receive the CPP retirement pension, you must be at least 60 years old and have made at least one valid contribution to the plan.
  • How it works: The amount you receive depends on your contributions over your working life and the age you start collecting it. While 65 is the standard age, you can start early at 60 with a permanently reduced benefit (up to a 36% reduction) or defer it until 70 for a permanently increased benefit (up to a 42% increase).
  • How to apply: You must apply for the CPP retirement pension through your My Service Canada account, either online or with a paper form.
  • Important note: If you are already receiving a CPP disability benefit, your payments will automatically convert to a retirement pension at age 65.

Old Age Security (OAS) pension

  • Eligibility: Unlike CPP, OAS is not based on your work history. You must be 65 or older and meet Canadian residency requirements. Specifically, you need to have lived in Canada for at least 10 years after turning 18 if you reside in Canada when you apply.
  • How it works: The OAS pension is a monthly, taxable benefit funded by general tax revenues. The maximum amount is subject to an income recovery tax, often called a "clawback," if your net income exceeds a certain threshold. You can also defer your OAS payments up to age 70 for a permanent increase.
  • How to apply: In many cases, Service Canada will automatically enroll you based on your tax filings. However, if you do not receive a notification letter the month after you turn 64, you may need to apply.

Guaranteed Income Supplement (GIS)

  • Eligibility: The GIS is a non-taxable, monthly benefit for low-income seniors who receive the OAS pension and live in Canada. Your eligibility and the amount you receive are based on your annual income (or combined income for couples).
  • How it works: The GIS is reviewed annually based on your income tax return. It is not payable if you are outside of Canada for more than six months.
  • How to apply: You can apply at the same time as you apply for OAS. Filing your tax return annually is crucial for automatic renewal.

Provincial and territorial healthcare coverage for seniors

While Canada's universal healthcare (Medicare) covers medically necessary doctor's visits and hospital stays, it does not cover everything. The specifics of supplementary coverage for seniors vary significantly by province and territory. Key areas often requiring additional coverage include prescription drugs, dental care, vision care, and paramedical services.

Prescription drug coverage

Most provinces offer programs to help seniors with prescription drug costs, but the details differ:

  • Ontario: Seniors aged 65 and over are automatically covered by the Ontario Drug Benefit (ODB) program. A deductible and co-payments may apply based on income, with a Seniors Co-Payment Program available for lower-income seniors.
  • Alberta: The Coverage for Seniors program provides premium-free coverage for prescriptions and other health-related services not covered by the standard Alberta Health Care Insurance Plan. A co-payment may be required.
  • Prince Edward Island: The Seniors' Drug Program automatically enrolls residents 65 and older with a PEI Health Card. A co-payment is charged per prescription.

Dental and vision care

Routine dental and vision care are generally not covered by provincial Medicare plans and often require private insurance or a specific government program.

  • Federal Canadian Dental Care Plan (CDCP): Launched in 2024, the CDCP provides coverage for eligible Canadian residents with an adjusted family net income of less than $90,000. The plan was rolled out in phases, starting with seniors.
  • Provincial Programs: Some provinces offer dental and optical assistance for low-income seniors. For example, Alberta has a Dental and Optical Assistance for Seniors program, and Ontario has the Seniors Dental Care Program for eligible low-income individuals.

Comparison of federal vs. supplementary coverage

Feature Federal Coverage (CPP/OAS/GIS) Supplementary Coverage (Provincial/Private)
Funding Source Tax-based and contributor-based funding. Varies by program: tax-based for provincial senior plans; premium-based for private insurance.
Scope Retirement income replacement, with additional support for low-income seniors. Extended health benefits, such as prescriptions, dental, vision, hearing aids, and paramedical services.
Eligibility at 65 Based on age, residency, and contribution history (for CPP) or income (for GIS). Based on age, residency, and sometimes income for provincial plans, or health status for private insurance.
Application Process CPP and OAS require application (though OAS can be automatic) via Service Canada. GIS requires annual tax filing. Varies by program; some are automatic, others require an application. Private insurance is purchased directly.
Key Consideration Maximizing income by strategically choosing when to start payments (e.g., deferring OAS). Bridging gaps in provincial healthcare and managing out-of-pocket costs.

Private insurance and employer benefits

Many Canadians rely on a mix of government and private coverage to ensure all their healthcare needs are met in retirement. Private insurance is essential for covering items like outpatient prescription drugs, paramedical services, and dental care. Some employers offer the option to convert group benefits to a personal plan within a limited timeframe after retirement, which can be a valuable option. It is recommended to evaluate your provincial program's offerings and any available private plans to identify potential gaps.

Preparing for retirement at 65

Transitioning into retirement at 65 involves coordinating several different benefits. The first step is to understand your eligibility for federal and provincial programs. Next, assess any gaps in coverage for expenses not covered by government plans. Private health insurance or converted employer benefits can fill these gaps. Planning ahead ensures a smoother transition and maximizes your retirement income. For more information on federal benefits, visit Service Canada's official website.

Conclusion

Turning 65 in Canada provides access to core federal retirement benefits through the Canada Pension Plan and Old Age Security, with the possibility of the Guaranteed Income Supplement for low-income individuals. However, relying solely on government coverage leaves significant gaps in healthcare, particularly for prescription drugs, dental, and vision care. By combining federal benefits with provincial programs and supplemental private insurance, Canadian seniors can secure more comprehensive coverage and enjoy their retirement with greater peace of mind.

Frequently Asked Questions

OAS enrollment can be automatic for many Canadians, with Service Canada sending a notification letter around your 64th birthday. However, the CPP retirement pension is never automatic and requires you to apply through your My Service Canada account.

OAS is a taxable monthly pension for seniors aged 65 and over who meet residency requirements, regardless of their work history. GIS is a non-taxable monthly payment for low-income seniors who are already receiving OAS.

Provincial and territorial governments offer programs for seniors to help with prescription drug costs. Eligibility and coverage vary, and some programs, like Ontario's Drug Benefit (ODB) program, have deductibles and co-payments based on income.

No, provincial health insurance does not typically cover routine dental care. The federal Canadian Dental Care Plan (CDCP) provides some coverage for eligible seniors with an annual family income under $90,000, and some provincial programs offer limited assistance for low-income seniors.

Yes, you can receive both CPP and OAS benefits while still working. Your CPP payments are taxable, and your OAS payments may be subject to a clawback depending on your annual income.

Delaying your CPP or OAS can lead to a permanently higher monthly payment. Deferring CPP until 70 can increase payments by up to 42%, while deferring OAS until 70 can increase payments by up to 36%.

In addition to OAS, low-income seniors may be eligible for the Guaranteed Income Supplement (GIS), a non-taxable monthly benefit that provides additional financial support. Eligibility is determined by your annual income and marital status.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.