A Guide to Nova Scotia’s Medical Services Insurance & MSI Health Card

Read on to learn more about Nova Scotia health plan, the eligibility requirements, ways to obtain a health care card, and more. If you are a permanent resident of Nova Scotia, or plan to relocate or immigrate here, you should know how to take advantage of Nova Scotia’s healthcare benefits.

    What Is Nova Scotia’s Medical Services Insurance?

    Canada is known as one of the best places to live because of its free medical health care program – all Canadians have access to medical care regardless of their ability to pay medical expenses. Their health care is publicly funded by both the provincial and federal governments. The Nova Scotia MSI (Medical Services Insurance) Plan is the provincial health plan for all provincial residents that provides coverage for basic health care needs.

    What is an MSI Card?

    Nova Scotia MSI

    You must apply for an MSI card in order to receive health care services that are covered and paid for by the province. Each person is assigned a 10-digit lifetime identification health number at the point of registration that works as a file number for all medical care providers in Nova Scotia. The card is printed on hard plastic and has a lovely photo of Carter’s Beach in Liverpool Nova Scotia. On the card is where each person's 10-digit Personal Health Identification Number (PHIN) is found. You will also see your date of birth, effective and expiry date. Your health card registration is affected by change in family status, address, marriage, new address, birth, death, adoption, legal separation or divorce should be reported to MSI online via this website, and your new health card will be sent to you. You can also report changes by phone - 908 496 7008 or toll free 1 800 563 8880 or email at msi@medavie.ca.

    Your Nova Scotia MSI proves that you’re covered, and you have to show it every time you visit a doctor, specialist, or an emergency room.

    Free Healthcare Coverage in Nova Scotia

    The Nova Scotia government has a health coverage plan that is offered through the MSI provincial health plan. In order to register, you must live in the province for at least six months per year and provide proof you have an address there. As a permanent resident, you are eligible to apply for health coverage the day you arrive. If you have a work permit of at least 12 months, you can apply the day you arrive. As a student, you are not eligible to get MSI until you’ve lived in the province for at least 12 months (and can apply for health coverage at the beginning of the 13th month).

    Nova Scotia MSI Program is designed to provide coverage for medically required hospital services, optometry services, and dental services (with some restrictions) to all eligible residents.

    Nova Scotia MSI free health care coverage insurance can be supplemented by purchasing additional health insurance or a hospital insurance program from private insurance companies.

    MSI Coverage

    Nova Scotia Health Insurance covers many medically necessary procedures. Let’s take a look at what the Province of Nova Scotia provides at no cost to its residents.

    The Nova Scotia MSI Program is a federal health coverage program designed to supply all eligible Nova Scotia residents with free, fundamental medical benefits. Once you become a registered Nova Scotia health cardholder, the MSI program will provide:

    • Basic health care services (emergency room visits, doctor’s office visits, and medically required hospital stays)
    • Dental care (yearly checkups, cleanings and fillings, as well as standard dental services for children under the age of 14)
    • Physiotherapy (if deemed medically necessary and if occurs in a hospital setting)
    • Vision care (one visit to the optometrist every two years for those younger than 9 and older than 65 years of age)
    • Standard hospital ward rooms
    • Home care coverage (only if you qualify)

    Nova Scotia MSI will not cover a great number of valuable medical services, such as:

    • Prescription drugs
    • Ambulance (unless the transportation occurs between approved facilities, you will be charged a flat rate of $142)
    • Orthotics
    • Chiropractic, podiatrist, naturopath, massage therapy and osteopath services
    • Glasses and contact lenses
    • Hearing Aids
    • Extensive dental care
    • Upgraded hospital stays
    • Accidental death and dismemberment

    Applying for Nova Scotia MSI Health Card

    In order to apply for health care in Nova Scotia, you must contact the Medical Services Insurance Registration and Enquiry Department. There are no blank application forms available. Contact information for the MSI Registration Department is:

    Toll-free: 1 800 563 8880
    Telephone: 902 496 7008

    PO Box 500
    Halifax, Nova Scotia
    B3J 2S1


    230 Brownlow Avenue
    Dartmouth, Nova Scotia

    Applying Online

    There is no way to apply online for the Nova Scotia MSI health card.

    For more information about applying for a Nova Scotia Health Card, you can find help at your nearest newcomer services or community agency. You can also contact MSI via email (msi@medavie.ca).

    Eligibility Requirements

    You are eligible for the Nova Scotia MSI Health Care Plan if you:

    • Can Provide Proof of Canadian Citizenship or
    • Can Provide Proof of Landed Immigrant Status or
    • Can Provide a Work Permit or
    • Can Provide Permanent Resident Status
    • Can Prove That You Make Nova Scotia Your Permanent Home
    • Are present in the province for 183 days out of the calendar year
    • Are registered with MSI

    Renewing or Replacing Your MHSIP Card

    While most provinces offer an online option for renewing or replacing their health cards, Nova Scotia does not. In order to renew or replace your MSI card, you must either fill out a paper renewal via mail, or call the MSI office.

    Renewals

    Your Nova Scotia Health Card must be renewed every 4 years. There are no fees to renew your card. You will receive a notice via mail 3 months prior to the expiration date. The renewal notice comes in paper form and you will have to complete, sign it and return it to MSI. You may also telephone the MSI office.

    Replacements

    In the event of a damaged, lost, or stolen card, you must reach out to MSI via telephone.

    Toll-free: 1 800 563 8880
    Telephone: 902 496 7008

    Please note, there is a $10 fee for card replacements.

    Changing the Address on Your Card

    In case there are changes in your personal and family info (e.g., new address, divorce, legal separation, birth, death, or adoption) your need to provide MSI with up-to-date information. Visit the Government Online Services Website to notify MSI of your change of address online.

    What Nova Scotia MSI Does Not Cover

    Cosmetic surgery
    Dental services performed in a dentist's office
    Eye exams are only covered once every two years for those aged 0-9, and 65+, or those with specific medical conditions
    Care services provided by non-licensed facilities
    Some physiotherapy services
    Preferred hospital accommodation, unless specifically prescribed by a physician
    Private duty nursing
    Prescription renewals done over the phone
    Completion of forms and certificates you may need for school, work, insurance, etc.
    Testimony in court

    Common Procedures and Coverage

    There is much confusion regarding the Nova Scotia MSI Plan and the extent of the coverage. The following are common diagnostic services or procedures that aren’t covered by the Nova Scotia Health Plan.

    Dental
    X-Rays and Exams In approved facilities when ordered by a physician
    Wisdom teeth No
    Vision
    Eye Exams One visit to the optometrist every two years for those younger than 9 and older than 65 years of age.
    Glasses No
    Laser Eye Surgery No
    Surgery
    Rhinoplasty Yes, if recommended by a doctor for medical reasons and with an approval from MSI
    Breast Reduction Yes, if recommended by a doctor for medical reasons and with an approval from MSI
    Hospital
    Hospital stays Yes
    Ambulance transportation No
    Giving birth Yes
    Therapy and Counselling
    Therapy is covered if done by a MD or a Nurse Practitioner. Counselling is not covered.
    Sexual Health
    Gynecologist Yes
    Erectile Dysfunction No
    Birth Control (including IUD) Yes
    Fertility Treatment Yes
    Specialists
    Dermatologist Yes
    Physiotherapy Yes
    Massage Therapy No
    Podiatrist and Foot Care No
    Allergist and Allergy Testing Yes
    Sleep Physician and CPAP Machines Yes

    Extending MSI Health Plan Coverage

    Nova Scotia provincial health coverage grants its residents access to basic medical services at no cost. But when it comes to specific services (such as dental care, home care, hearing health care, prescription drugs, optometrist exams, etc.), the provincial health plan requires co-payment on a personal insurance plan.

    Although Nova Scotia residents can receive essential medical benefits, there is still a lot of ground left uncovered. The Insurdinary health insurance plan will provide coverage for various medical emergencies and everyday health needs. Our supplemental personal insurance health plan is there to fill the gaps that are left by the provincial health plan.

    blue triangle linear accent
    yellow circle dots grid accent
    Find the best private health insurance with Insurdinary
    Receive personalized quotes from Canada’s top insurance companies directly in your inbox. Compare health coverage and find the right insurance for your needs in minutes.
    Get Some Quotes
    linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram