The short answer
In BC, valid MSP coverage does more than pay for doctor visits. Pharmacist assessments, several screening programs, flu shots, smoking-cessation products and phone interpreting are also free to the patient. The 15 items below are grouped by type; check each official page for current eligibility.
Doctor visits and tests
- Visit fees at family doctors, walk-in clinics and UPCCs (urgent and primary care centres).
- Emergency care and hospital stays.
- Lab tests, X-rays and ultrasounds ordered by a doctor.
Phone and pharmacy
- Call 811: nurses 24 hours a day, pharmacists from 5 p.m. to 9 a.m., dietitians on weekday daytimes.
- Pharmacists can assess and prescribe for 21 minor conditions, such as urinary tract infections, pink eye, acne and shingles. BC residents pay no fee for the in-person assessment.[1]
- More than 60 prescription contraceptives, including the pill, injections, IUDs and implants. Bring your BC Services Card to the pharmacy.[2][3]
Cancer screening
- Cervix screening: ages 25–69, every 3 to 5 years; you can request a self-collection kit to use at home.[4]
- Mammograms: ages 40–74 can self-book at 1-800-663-9203 without a referral, but must name a health-care provider to receive the results.[5]
- Colon cancer FIT test: ages 50–74, every two years. If you have no family doctor, BC Cancer lists online clinics that can issue the requisition.[6]
Vaccines, quitting smoking and rescue medication
- Flu shot: free for BC residents aged 6 months and older.[7]
- Nicotine patches, gum and lozenges: no prescription needed, one course a year of up to 12 weeks.[8]
- Naloxone (the rescue medication for opioid overdose): available at many pharmacies.[9]
By age, condition and language
- Routine eye exams: paid by MSP for people 18 and under and 65 and over. Some optometrists charge extra, so ask when booking.[10]
- Common diabetes drugs: insulin, metformin, gliclazide, empagliflozin and others are fully covered through Plan NP since March 2026. Ozempic is not included.[3]
- Medical interpreting: free in hospitals, emergency departments and UPCCs; family doctors and specialist clinics can also use the province's phone interpreting service.[11]
What is not on the free list
| Item | Status |
|---|---|
| Shingles vaccine | Not publicly funded in BC; two doses. Older HealthLink BC material (2019) gives about $150 per dose; confirm the current price with a pharmacy [13][15] |
| PSA prostate screening (no symptoms) | Paid out of pocket, about $35 [14] |
| Dental care, eyeglasses | Not covered by MSP |
| Physiotherapy, massage, acupuncture | Households with adjusted net income under $42,000: MSP pays $23 per visit, up to 10 visits a year across all types [12] |
This summary reflects information as of October 2026. Eligibility, age ranges and drug lists can change, so rely on the official BC government, BC Cancer and HealthLink BC pages. In an emergency call 911; for health advice call 811.
Sources
- BC Ministry of Health: Pharmacist services for minor ailments and contraception (PPMAC)
- BC government news release: free prescription contraception (2023)
- Province of BC: National Pharmacare (Plan NP)
- BC Cancer: Cervix screening, get screened
- BC Cancer: Breast screening (health professionals)
- BC Cancer: Colon screening (FIT), get screened
- Province of BC: Influenza (flu) immunization
- Province of BC: BC Smoking Cessation Program
- Toward the Heart: Naloxone
- Province of BC: MSP optometrists
- PHSA: Provincial Language Services, interpreting
- Province of BC: MSP supplementary benefits
- HealthLink BC: Shingles vaccines (BC does not fund)
- BC Guidelines: Prostate cancer, part 1 (PSA cost)
- HealthLink BC: HealthFile 111, Shingles vaccine (2019, price)