Nova Scotia provincial health care plan (MSI)

Eligibility and coverage details for Nova Scotia

A map of Canada.
GHIP

Who is covered by the Nova Scotia provincial government health care plan?

The Nova Scotia Medical Services Insurance (MSI) Plan provides coverage for all residents of Nova Scotia. It covers essential healthcare services, including doctor and hospital care. Residents must register with MSI.

GHIP

Are you eligible?

To qualify for the Nova Scotia Medical Services Insurance (MSI), you must be a Canadian citizen or permanent resident and reside in Nova Scotia for 183 days each year. You must also register with MSI. Certain exceptions apply.

What's covered

Coverage details for the Nova Scotia provincial Health Care Plan (MSI)

Benefit
Coverage details
Prescription Drugs

The Seniors' Pharmacare Program in Nova Scotia provides drug coverage to residents aged 65 and older, who do not have coverage through another plan. Participants pay an annual premium and a co-payment at the pharmacy. The Family Pharmacare Program offers drug coverage for residents under the age of 65 who also do not have other drug coverage. Both programs cover prescription drugs listed on the provincial formulary, and exceptions may apply. Nova Scotia’s Biosimilars Initiative ensures only biosimilar versions of eligible drugs are covered.

Ambulance

In Nova Scotia, ambulance coverage is provided for transportation between approved medical facilities for residents with a valid health card. For other situations, such as emergency responses, residents are required to pay a flat fee. Coverage for air ambulance services may also be available under specific medical conditions.

Dental benefits

Basic dental coverage is available for children under 14 years old, including yearly checkups, cleanings, and fillings. Dental services for residents over the age of 14 are not covered under the Nova Scotia Medical Services Insurance (MSI) Plan, though private insurance may offer additional coverage.

Vision care

Residents under the age of 9 or over the age of 65 are covered for one routine eye exam every two years. Prescription glasses and contact lenses are not covered. Residents can seek additional coverage through private insurance or other available programs.

Hospital

The Nova Scotia Medical Services Insurance (MSI) Plan covers standard ward room accommodations for hospital stays. Medically necessary services are included in the coverage, while upgrades to private or semi-private rooms require an additional payment.

Paramedicals

Chiropractic, podiatry, naturopathy, massage therapy, and osteopathy services are not covered under the Nova Scotia Medical Services Insurance (MSI) Plan. Physiotherapy is covered, but only if provided in a hospital setting.

Hearing aids

Hearing aids are not covered under the Nova Scotia Medical Services Insurance (MSI) Plan. Residents must rely on private insurance or out-of-pocket payments for the cost of hearing devices and related repairs.

Medical equipment & supplies

Limited coverage is available for arm and leg prostheses, as well as mastectomy prostheses for eligible residents. Residents must meet specific medical and eligibility criteria to qualify for these benefits.

Paramedicals

Chiropractic, podiatry, naturopathy, massage therapy, and osteopathy services are not covered under the Nova Scotia Medical Services Insurance (MSI) Plan. Physiotherapy is covered, but only if provided in a hospital setting.

Nursing benefits and home care

Nova Scotia’s Home Care Program offers a variety of services in the home, including personal care, nursing, and rehabilitation, based on assessed needs. The cost of services is partially determined by your income, and coverage includes a broad range of home and community care for those who qualify.

Accidental death and dismemberment

There is no coverage for accidental death and dismemberment under the Nova Scotia Medical Services Insurance (MSI) Plan. Private insurance is recommended for those seeking this type of coverage.

Out of country

Nova Scotia residents are covered for emergency in-patient hospital services while outside the country, subject to a daily maximum plus a percentage of ancillary fees incurred. Physician fees related to accidents or sudden illnesses during a temporary absence are covered based on Nova Scotia rates. Out-patient services are not covered.

Disclaimer

The information provided on this page is intended for general informational purposes only and may be subject to change. While every effort is made to ensure accuracy, provincial and territorial health coverage details can vary and are regularly updated. We recommend contacting your respective GHIP or consulting a legal, tax, or insurance advisor for advice tailored to your specific situation.

Get help with your health insurance planning.

Speak with a professional advisor who can help.

Extended Health Care

How Personal Health & Dental Insurance Complements Your Provincial Plan

While your provincial or territorial health plan covers many essential medical services, there are important areas where personal health insurance can help extend your coverage, giving you broader protection and peace of mind.

Bridge the Gaps in Coverage

Provincial health plans often leave gaps, such as prescription drugs, dental visits, and vision care. Personal health insurance can bridge these gaps by covering expenses your government plan doesn’t, ensuring you’re not left with unexpected out-of-pocket costs.

Be Ready for Life’s Health Changes

Even with your government health coverage, there are still costs that can catch you off guard, like prescription drugs, dental care, and vision expenses. A personal health plan can step in to cover these out-of-pocket expenses, making sure you’re protected from financial surprises.

Secure Your Health & Financial Future

Investing in personal health insurance today can save you from paying high costs for treatments or services down the road. By taking a proactive approach, you can ensure you get the care you need now, avoiding bigger health issues—and bigger bills—later on.

Get in touch

Talk to an advisor who can understand your situation, answer your questions and help you build an insurance plan appropriate for you and your family.

How to contact your GHIP

For more information on the latest coverage details, please contact the Nova Scotia provincial health care plan directly at:

Nova Scotia Department of Health and Wellness
P.O. Box 488
Halifax, NS B3J 2R8
Phone: 902-424-5818
Toll-free: 1-800-387-6665
TTY/TDD: 1-800-670-8888
Email: health@novascotia.ca

Website: Nova Scotia Department of Health and Wellness