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All residents of British Columbia are required to enroll in the Medical Services Plan (MSP). This is required for basic medical coverage and is separate from extended health plans, including the health insurance that you can pay for with your student fees. The website for enrollment information is here.
It takes at least three full months after arriving in BC before your MSP coverage begins. If you are an international student you are automatically enrolled in iMED to provide basic coverage until MSP activates. If you would like to add a spouse or dependents to this coverage, or would like to learn more about iMED, visit the iMED website.
A full-time student with a driver’s license from another province or country may use his/her old license so long as he/she remains registered as a student. If you wish to get a BC driver’s license (for example, your old license may be expiring), the process and requirements will vary depending on where you are coming from. More details about getting a license are available through ICBC.
If you hold a foreign license and wish to keep using it, you may want to consider getting an international license from your home country. This is often required by car rental companies if you do not have a Canadian license.
If you are an international student who won't be getting paid, you may not need a SIN. In that case, you may have trouble obtaining things that require Canadian identification, so you may want to consider getting a generic British Columbia identification card. It looks similar to a driver's license. More information on getting a British Columbia identification card is available through Welcome BC.