Canadians do not pay for receiving primary care services. These are usually deemed medically necessary and are provided without charges related to their provision. Canadians pay out-of-pocket, use private insurance, or have co-payment arrangements to cover expenses for supplementary services. These services are not covered by the Canada Health Act and can be provided on the terms and conditions decided by each p/t. As such, there may be some public coverage for these services for certain groups, e.g., low-income residents, children, and senior citizens.