Claiming Health Insurance in Canada: Rules for Dependents & Leaving Jobs (2025 Guide)

Sarah Delorme
Market Insights
August 5, 2025
12 min read

This Blog Answers These Questions:

  • Can I have my ex husband on my health insurance?

  • When does health insurance expire after leaving job Canada?

  • What age do dependents lose health insurance?

  • Can I claim sunglasses on health insurance?

  • How to claim sunglasses on health insurance?

  • Is medical marijuanas covered by insurance Canada?

  • Is mental health covered by OHIP?

  • Does Alberta Health cover physiotherapy?

  • What is a health card version code?

  • Can I use HSA for therapy or sunglasses?

Introduction

In 2025, health insurance in Canada is getting more personal—and more digital. Whether you're leaving a job, adding your ex-spouse to your plan, or wondering if sunglasses are a covered benefit, it’s essential to understand how Canada's insurance rules are evolving. With over 590 average monthly searches for terms like health insurance idc and can I have my ex husband on my health insurance, it's clear Canadians are looking for answers.

This guide simplifies complex insurance scenarios using real search trends, real questions, and digital platforms like GoKlaim that make managing claims effortless.

Insurance Confusion: Where Most People Get Stuck

Based on search data, Canadians often face confusion in three core areas:

  • Dependent coverage — Who qualifies as a dependent, and what age do dependents lose health insurance?

  • Job changes — When does health insurance expire after leaving job in Canada?

  • Eligible claims — Can you claim sunglasses or mental health services under your plan?

Let's break each down.

Understanding Dependent Coverage in Canada

The question "can I have my ex husband on my health insurance" appears in 480 searches/month—surprisingly common. Here’s the rule:

  • Ex-spouses: Typically, only spouses or common-law partners living with you can be covered. Exes are rarely eligible unless under legal obligation.

  • Children: Coverage often extends to children under 21 (or 25 if in school full-time).

  • What age do dependents lose health insurance: Usually at 21 or 25, depending on the province and plan.

If you're unsure who qualifies, platforms like GoKlaim make it easy to manage dependents and submit family claims via app.

When Does Health Insurance Expire After Leaving a Job in Canada?

The search term "when does health insurance expire after leaving job Canada" reflects a key transitional worry.

Here’s what happens:

  • Most employer-sponsored health insurance plans end on your last day or at month-end.

  • Some plans offer conversion options to continue coverage privately for 30–90 days.

  • Your provincial health insurance (e.g., OHIP, AHCIP) remains unaffected if you're a resident.

Using tools like GoKlaim, ex-employees can still access and download their historical claims or submit final expenses.

What Can You Actually Claim? (Yes, Sunglasses Might Count)

With over 250 combined monthly searches for can I claim sunglasses on health insurance, it’s worth clearing up the confusion.

Sunglasses may be covered if they’re prescription and part of your vision care package.

❌ Non-prescription or designer sunglasses typically don’t qualify.

The keyword "how to claim sunglasses on health insurance" is also rising—if allowed, claims require:

  • Prescription confirmation

  • Receipt from optometrist or optical retailer

  • Digital submission via your platform or insurer portal

GoKlaim simplifies this with mobile uploads and real-time status tracking.

Can You Still Use Insurance for Mental Health or Physiotherapy?

Another hot search: "is mental health covered by OHIP". Here’s the breakdown:

  • OHIP (Ontario): Covers some psychiatrist visits but not private psychologists or counsellors.

  • Manitoba Health: Covers mental health assessment but not private sessions.

  • Alberta Health Care: Covers some hospital-based services, not private therapy.

To bridge this gap, employer-sponsored Health Spending Accounts (HSAs) like those from GoKlaim cover mental health providers, physiotherapy, and even dietitians.

Use Cases Where Claims Get Rejected

You searched "is medical marijuanas covered by insurance Canada" — the answer: It depends.

  • Only a few private plans cover it, usually for pain management and with a doctor’s note.

Other rejected claim examples:

  • Non-medical massage without RMT credentials

  • Over-the-counter vitamins or supplements

  • Expired receipts or unclear proof of purchase

Always check your coverage categories before claiming. Apps like GoKlaim include a real-time list of eligible expenses and alert you when you upload something unclaimable.

How GoKlaim Simplifies Claims in 2025

Digital-first platforms like GoKlaim are shaping how Canadians interact with health insurance:

  • Add dependents with a few taps

  • Track claim status and rollover funds

  • Submit claims for vision, mental health, paramedical, and more

  • Generate instant expense reports for reimbursement or tax use

Plus, it offers full HSA and WSA support, no setup fees, mobile notifications, and customized employee categories—something outdated insurer portals lack.

Quick Tips for Smarter Claims

  • Submit claims within 30–90 days of expense

  • Save digital receipts + prescriptions

  • Check if sunglasses are prescription-based

  • Don’t assume dependents = anyone you support

  • Read up on health insurance idc policies if you're between jobs

Final Thoughts

Canadians are right to ask nuanced questions about their health insurance. From dependents to prescription sunglasses and job exits, the landscape is changing. Platforms like GoKlaim are leading that change by offering easy digital tools for smarter claiming, better control, and more flexibility.

So whether you’re filing your first HSA claim or figuring out if your ex qualifies, the 2025 health insurance scene is simpler—if you know where to look.

Book a Demo with GoKlaim Today to see how you can combine flexible benefits with consulting-grade precision.

Frequently Asked Questions

1. Can I have my ex husband on my health insurance?

Usually no,unless legally required. Only current spouses or common-law partners are typically eligible.

2. When does health insurance expire after leaving job Canada?

Usually ends on your last working day or month-end unless conversion options are available.

3. What age do dependents lose health insurance?

Most dependents lose coverage at 21 or 25 if studying full-time.

4. Can I claim sunglasses on health insurance?

Yes, if they are prescription sunglasses under a vision care plan.

5. How to claim sunglasses on health insurance?

Submit your prescription and receipt via app or portal—check if sunglasses are covered.

6. Is medical marijuanas covered by insurance Canada?

Sometimes, but only with a medical prescription and specific plan approval.

7. Is mental health covered by OHIP?

Only partially—psychiatrist visits are covered, not private therapy.

8. Does Alberta Health cover physiotherapy?

Hospital-based services may be covered. Private physiotherapy usually requires additional coverage.

9. What is a health card version code?

It’s a two-letter suffix on your provincial health card that verifies the card’s version.

10. Can I use HSA for therapy or sunglasses?

Yes, with eligible plans like GoKlaim, you can claim therapy, sunglasses (if prescription), and more.