Wintering in Florida or Arizona? Everything Canadian snowbirds need to know about OHIP gaps, the 183-day rule, and health insurance options
An estimated 500,000–800,000 Canadians spend part of each winter in the United States — predominantly Florida, Arizona, California, and Texas. These snowbirds face a unique set of financial and insurance challenges that younger travellers don't encounter: provincial health plan limitations, US tax residency rules, property ownership complexities, and the high cost of health insurance for older travellers with pre-existing conditions.
Getting the insurance piece right is the single most important financial decision a Canadian snowbird makes. A major medical event in the US without adequate coverage can result in hundreds of thousands of dollars in medical bills — enough to wipe out decades of retirement savings. This guide covers everything you need to know.
The short answer for most provinces: essentially nothing in the United States.
| Province | Out-of-Country Coverage |
|---|---|
| Ontario (OHIP) | Zero. Eliminated all out-of-country coverage October 1, 2020. |
| British Columbia (MSP) | Minimal emergency coverage, very low daily maximums — inadequate for US costs |
| Alberta (AHCIP) | Emergency hospital and physician services at Alberta rates — far below US costs |
| Quebec (RAMQ) | Limited emergency coverage, $100/day max for hospitalization — negligible |
| Manitoba / Saskatchewan | Some emergency coverage at provincial rates — still vastly inadequate for US |
| Atlantic Provinces | Some emergency coverage, low limits — insufficient for serious US medical events |
Each Canadian province has residency requirements that must be maintained to keep your provincial health insurance active. If you spend too much time outside your province, you can lose your provincial health coverage — which would be catastrophic given the cost of private Canadian health insurance.
Most provinces allow absences of up to 7 months (approximately 212 days) per year while maintaining health coverage, but rules vary:
The 183-day rule is also significant for US tax purposes. Spending 183 or more days in the US in a calendar year can trigger US tax residency under the Substantial Presence Test. Most snowbirds carefully plan their stays to remain under 122 days in the current year combined with partial counts from previous years to avoid this threshold.
A travel medical policy covering your specific winter stay — typically 4–7 months. This is the most common approach. Premiums increase significantly with age and health conditions. Key factors:
Covers multiple trips per year up to a maximum per-trip duration (typically 30, 60, or 90 days). More economical for snowbirds making shorter stays or multiple trips. The per-trip duration limit is critical — if you plan a 5-month stay, you need a single-trip policy or a multi-trip policy with a 150+ day per-trip option.
Products specifically designed for Canadian snowbirds, often from specialist insurers like Medipac, TIC Travel Insurance Coordinators, or Manulife's snowbird-specific products. These often include:
Pre-existing conditions are the most significant challenge for older Canadian snowbirds. Common conditions among the 60+ demographic — hypertension, type 2 diabetes, cardiac conditions, COPD, cancer history — all trigger careful review in travel insurance applications.
Strategies for snowbirds with health conditions:
If you own a condo or home in the US, you need US homeowner's or condo insurance. Your Canadian policy does not extend to US property. Some Canadian insurers can arrange this; specialty US insurers and Florida-based insurers are common options.
Your Canadian auto insurance covers travel in the US for a limited period — typically 6 months. For extended snowbird stays, confirm your coverage dates with your Canadian insurer. If you own a US-registered vehicle, you need US auto insurance.
Canadian life insurance is not affected by time spent in the US — death benefits are payable globally. No special action needed.
Ensure your snowbird policy includes emergency return to Canada coverage — not just medical treatment, but the actual cost of getting you home for care or in the event of a family emergency in Canada.
KOHO works across Canada and has low foreign transaction fees — a useful banking tool for snowbirds managing finances in two countries. Use referral code 45ET55JSYA.
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