Acts and Regulations

84-20 - General

Section 3
Disposition versions

Full text
3(1)Subject to section 4, a person shall be eligible to become a beneficiary on the first day of the third month following the month of arrival in the Province.
3(2)Except as otherwise provided in the Act and this Regulation, a beneficiary is eligible to have payment made on his or her behalf or to receive an amount computed in accordance with this Regulation for entitled services received
(a) within the Province,
(b) outside the Province, or
(c) while temporarily absent from the Province
by that person or any dependents.
3(3)Notwithstanding subsection (2), no beneficiary is eligible to receive reimbursement or have payment made on his or her behalf for the cost of any entitled service where that person has had payment made on his or her behalf for such entitled service under any contract of insurance.
3(4)For the purposes of this section, a person is “temporarily absent from the Province” where that person is absent from New Brunswick
(a) for the purpose of a business engagement but not when the period of absence exceeds 182 days in a 12 month period,
(a.1) for the purpose of a vacation or visit but not when the period of absence exceeds 212 days in a 12 month period, or
(b) for the express purpose of furthering an education in a province or country where that person is not eligible to receive reimbursement or have payment made on his or her behalf for or with respect to entitled services under the medical services plan, if any, of that province or country and who is not gainfully employed outside the Province except during vacation periods but not where the period of absence exceeds twelve consecutive months.
3(5)The Director may, with respect to a person meeting the requirements of paragraph (4)(a), (a.1) or (b) and any dependents, upon such terms, as it is considered to be in accordance with the intention of the Medicare Branch and this section, enlarge the time during which that person shall be deemed to be temporarily absent from the Province.
3(6)Notwithstanding the definition of “dependent” a newborn child is deemed, during the first three months following its birth, to have the status of its mother or, if the mother has no status, the status of its father under Medicare.
3(7)A beneficiary who leaves the Province ceases to be a beneficiary for purposes of coverage by the Medicare Branch,
(a) in the case of an individual who in the opinion of the Director has ceased to be a resident of the Province and has established a residence elsewhere in Canada upon the first day of the third month following the month of arrival at the new residence,
(b) in the case of any other beneficiary who in the opinion of the Director leaves the Province to establish residence elsewhere in Canada, subject to section 3, twelve months after the date of departure, and
(c) in the case of an individual who in the opinion of the Director has ceased to be a resident of the Province and has established residence elsewhere than in Canada upon the date that person left Canada.
3(8)For the purposes of this Regulation, the spouse of a beneficiary who ceases to be a resident and moves outside the Province is deemed to be a beneficiary during such time, if any, the spouse remains in the Province after the beneficiary ceases to be a resident and during this time the dependents of the beneficiary are deemed to be dependents of that person’s spouse.
86-150; 90-83; 92-160; 94-13; 97-23; 2002-90; 2014-54
3(1)Subject to section 4, a person shall be eligible to become a beneficiary on the first day of the third month following the month of arrival in the Province.
3(2)Except as otherwise provided in the Act and this Regulation, a beneficiary is eligible to have payment made on his or her behalf or to receive an amount computed in accordance with this Regulation for entitled services received
(a) within the Province,
(b) outside the Province, or
(c) while temporarily absent from the Province
by that person or any dependents.
3(3)Notwithstanding subsection (2), no beneficiary is eligible to receive reimbursement or have payment made on his or her behalf for the cost of any entitled service where that person has had payment made on his or her behalf for such entitled service under any contract of insurance.
3(4)For the purposes of this section, a person is “temporarily absent from the Province” where that person is absent from New Brunswick
(a) for the purpose of a vacation, visit or business engagement but not where the period of absence exceeds 182 days in a twelve month period, or
(b) for the express purpose of furthering an education in a province or country where that person is not eligible to receive reimbursement or have payment made on his or her behalf for or with respect to entitled services under the medical services plan, if any, of that province or country and who is not gainfully employed outside the Province except during vacation periods but not where the period of absence exceeds twelve consecutive months.
3(5)The Director may, with respect to a person meeting the requirements of paragraph (4)(a) or (b) and any dependents, upon such terms, as it is considered to be in accordance with the intention of the Medicare Branch and this section, enlarge the time during which that person shall be deemed to be temporarily absent from the Province.
3(6)Notwithstanding the definition of “dependent” a newborn child is deemed, during the first three months following its birth, to have the status of its mother or, if the mother has no status, the status of its father under Medicare.
3(7)A beneficiary who leaves the Province ceases to be a beneficiary for purposes of coverage by the Medicare Branch,
(a) in the case of an individual who in the opinion of the Director has ceased to be a resident of the Province and has established a residence elsewhere in Canada upon the first day of the third month following the month of arrival at the new residence,
(b) in the case of any other beneficiary who in the opinion of the Director leaves the Province to establish residence elsewhere in Canada, subject to section 3, twelve months after the date of departure, and
(c) in the case of an individual who in the opinion of the Director has ceased to be a resident of the Province and has established residence elsewhere than in Canada upon the date that person left Canada.
3(8)For the purposes of this Regulation, the spouse of a beneficiary who ceases to be a resident and moves outside the Province is deemed to be a beneficiary during such time, if any, the spouse remains in the Province after the beneficiary ceases to be a resident and during this time the dependents of the beneficiary are deemed to be dependents of that person’s spouse.
86-150; 90-83; 92-160; 94-13; 97-23; 2002-90
3(1)Subject to section 4, a person shall be eligible to become a beneficiary on the first day of the third month following the month of arrival in the Province.
3(2)Except as otherwise provided in the Act and this Regulation, a beneficiary is eligible to have payment made on his or her behalf or to receive an amount computed in accordance with this Regulation for entitled services received
(a) within the Province,
(b) outside the Province, or
(c) while temporarily absent from the Province
by that person or any dependents.
3(3)Notwithstanding subsection (2), no beneficiary is eligible to receive reimbursement or have payment made on his or her behalf for the cost of any entitled service where that person has had payment made on his or her behalf for such entitled service under any contract of insurance.
3(4)For the purposes of this section, a person is “temporarily absent from the Province” where that person is absent from New Brunswick
(a) for the purpose of a vacation, visit or business engagement but not where the period of absence exceeds 182 days in a twelve month period, or
(b) for the express purpose of furthering an education in a province or country where that person is not eligible to receive reimbursement or have payment made on his or her behalf for or with respect to entitled services under the medical services plan, if any, of that province or country and who is not gainfully employed outside the Province except during vacation periods but not where the period of absence exceeds twelve consecutive months.
3(5)The Director may, with respect to a person meeting the requirements of paragraph (4)(a) or (b) and any dependents, upon such terms, as it is considered to be in accordance with the intention of the Medicare Branch and this section, enlarge the time during which that person shall be deemed to be temporarily absent from the Province.
3(6)Notwithstanding the definition of “dependent” a newborn child is deemed, during the first three months following its birth, to have the status of its mother or, if the mother has no status, the status of its father under Medicare.
3(7)A beneficiary who leaves the Province ceases to be a beneficiary for purposes of coverage by the Medicare Branch,
(a) in the case of an individual who in the opinion of the Director has ceased to be a resident of the Province and has established a residence elsewhere in Canada upon the first day of the third month following the month of arrival at the new residence,
(b) in the case of any other beneficiary who in the opinion of the Director leaves the Province to establish residence elsewhere in Canada, subject to section 3, twelve months after the date of departure, and
(c) in the case of an individual who in the opinion of the Director has ceased to be a resident of the Province and has established residence elsewhere than in Canada upon the date that person left Canada.
3(8)For the purposes of this Regulation, the spouse of a beneficiary who ceases to be a resident and moves outside the Province is deemed to be a beneficiary during such time, if any, the spouse remains in the Province after the beneficiary ceases to be a resident and during this time the dependents of the beneficiary are deemed to be dependents of that person’s spouse.
86-150; 90-83; 92-160; 94-13; 97-23; 2002-90