July 13, 2024 · 4 min
Patients without RAMQ: Access to Healthcare in Quebec
Access to healthcare is a major concern for residents of Quebec, particularly for those who do not have a card from the Régie de l'assurance maladie du Québec (RAMQ).

Access to healthcare is a major concern for residents of Quebec, particularly for those who do not have a card from the Régie de l'assurance maladie du Québec (RAMQ), which is the Quebec health insurance. Whether they are new immigrants, international students, Working Holiday Visa holders, or temporary visitors, not having RAMQ can complicate access to essential health services. This article explores the available options for these patients to receive adequate medical care.
What is RAMQ?
The Régie de l'assurance maladie du Québec (RAMQ) is responsible for managing the public health insurance plan and the public prescription drug insurance plan in Quebec. The RAMQ card allows residents of the province to benefit from healthcare covered by public insurance.
Who is not covered by RAMQ?
Certain people are not eligible for RAMQ, including:
• Newcomers who have not yet completed their waiting period.
• International students.
• Working Holiday Visa holders (International Experience Canada).
• Temporary workers without a work permit.
• Visitors and tourists.
Options for Patients without RAMQ
1. Private Clinics
Private clinics offer medical consultations and care for a fee. Although costs can be high, these clinics are a fast option for obtaining medical care. The cost of a private consultation can vary between $100 and $300 depending on the complexity of the consultation and the services required. It is recommended to contact several clinics to compare rates. Furthermore, it can be difficult to get appointments in clinics covered by RAMQ as they are often already overwhelmed with their patients who have RAMQ, and patients will have to pay fees regardless even in those clinics.
2. Private Health Insurance
Patients without RAMQ can take out private health insurance. Many insurance companies offer plans for international students, temporary workers, Working Holiday Visa holders, and visitors. This insurance can cover a large portion of medical expenses.
3. Community Services and Walk-in Clinics
Some community organizations and walk-in clinics offer free or low-cost health services for uninsured people. For example, the Montreal Refugee Clinic offers services to newcomers and refugees.
4. Emergency Care
In the event of a medical emergency, patients can go to hospital emergency rooms. Emergency care is available to everyone, but costs can be significant for non-residents or those without insurance. A simple visit could cost approximately $1,000 to $2,000, while more complex interventions could reach several thousand dollars.
5. Hospitalization
If hospitalization is necessary, costs increase considerably. One day of hospitalization can cost between $2,000 and $5,000 per day, or more depending on the severity of the medical condition and the care required.
6. Pharmacies
For minor health problems, pharmacists can offer advice and over-the-counter treatments. Some pharmacies in Quebec allow patients to consult a pharmacist for common health issues, thus avoiding a visit to the doctor. The cost of a pharmacist consultation can vary between $15 and $50, depending on the type of service required.
Tips for Patients without RAMQ
• Plan ahead: Taking out private insurance before needing medical care can avoid high costs.
• Stay informed: Knowing the available options and associated costs can help in making informed decisions.
• Documentation: Keep all medical documents and receipts organized for potential insurance claims.
Conclusion
Access to healthcare in Quebec for patients without RAMQ can be complex, but several options exist. Private clinics, private health insurance, community services, emergency care, and pharmacies offer alternatives for receiving medical care. Planning ahead and informing oneself about available options are essential steps for navigating the Quebec healthcare system without a RAMQ card.
We are a private clinic offering quality medical care to patients without RAMQ. We also offer home doctor visits in Montreal starting at $279 depending on the complexity and location of the consultation.
You can book an appointment directly on our site allodocteur.ca to consult our health professionals.
If you would like to learn more about the public vs private healthcare system in Quebec, you can read our dedicated article on this subject on our site.