Your work benefits end before 65. What does your health card still cover, what do people really spend, and is a private plan worth it? Part 1 and Part 2 together. Part 1, what health care doesn't cover1. Your health card covers doctors, hospitals and surgery for life. What ends with the work plan is prescriptions, dental, glasses and physio.2. Households in their late 50s and early 60s spend about $3,600 a year on health out of pocket, on Statistics Canada's numbers in today's dollars. Over 65 it's about $3,300.3. The cost that can really hurt is one big drug bill, and your province covers it, with your share tied to your income. A couple on $60,000 with a $20,000 drug would pay about $1,800 to $2,800 in Alberta, Ontario, BC or Quebec, and about $8,300 in Nova Scotia.4. Use the work plan before it ends, then apply to your province's drug plan that week. In BC, skipping a free form gets you a $10,000 deductible.5. In your first year of retirement, ask your province for an income review.6. Under $90,000 of family income, look at the federal dental plan. It's only for people with no other dental coverage. Part 2, is a private plan worth it1. It won't cover a big drug bill. On most plans you can buy yourself, the most it pays for drugs in a year is $500 to $2,800.2. On the predictable costs, you mostly get your own money back.3. For a couple in Calgary, a health and drug plan with no health questions is about $4,700 a year before dental. Over the 7 years to 65 that's about $33,000, against about $10,000 on the province's plan. A fixed monthly cost and one less thing to worry about is worth paying for to a lot of people.4. Add up what you spent on dental, glasses, physio and prescriptions over the last 2 years and compare it to the premium. If you skip the plan, pay yourself the premium.5. For 60 or 90 days after your work plan ends, most insurers will take you with no health questions. With a health history, decide inside that window.6. Under $90,000 of family income, buying a plan with dental in it ends your access to the federal dental plan. The full guide, province by province, is in my paid community at calmmoneycoach.com. My email list is free. General education only. The households are made-up examples. 2026 rules and prices, and your age, province and income change the numbers.