Quebeckers who are not considered high-risk will have to pay nearly $200 to get vaccinated against influenza and COVID-19 this season, charting a path opposite to other provinces in Canada as the viral season picks up speed.

Quebec is the only province scrapping universal flu coverage, owing its decision to guidance from the province’s immunization committee. Only some categories will be eligible for a free flu shot, such as Quebeckers 65 and older; people with certain chronic conditions – such as immunocompromised people – and those living with them; pregnant women; residents of seniors’ homes and long-term care facilities.

Those who do not qualify can expect to be charged around $150 for the COVID-19 vaccine, which came into effect in the province last year. Now, they will also need to pay between $30 and $40 for the flu shot, said Marilie Beaulieu-Gravel, a spokesperson for the association representing pharmacy owners in Quebec.