MSI (Medical Services Insurance)

Health Care in Nova Scotia

Like all other provinces in Canada, Nova Scotia - with the assistance of the federal government - provides a publicly-funded health services program. The Nova Scotia plan, called MSI (Medical Services Insurance) insures eligible residents of Nova Scotia for all medically required physicians' services provided in the doctor's office, at home or in hospital. All necessary surgical services are insured, including the services of anaesthetists and surgical assistants where necessary, as well as obstetrical care, the treatment of fractures and dislocations, referred specialist services and all diagnostic services. MSI also insures certain dental-surgical procedures performed in a hospital.

In the Nova Scotia system, patients select their own family physician (usually called a general practitioner). If in the course of a treatment a visit to a specialist is required, that appointment is made by one's family doctor, not by the patient directly. The same applies to admissions to hospital, visits to clinics for various types of lab tests, X-rays, physiotherapy, etc.

Private medical plans (such as Blue Cross) are available to supplement the provincial plan both for hospital care and extended health services.

Landed immigrants or Canadians returning from living outside Canada who establish permanent residence in Nova Scotia become eligible on the day they become a resident of the province. A Canadian citizen or a landed immigrant from inside Canada is eligible for MSI on the first day of the third month he/she became a resident of Nova Scotia. (This is because they continue to be covered during their transition by the province where they were living.) People on a work permit can usually apply for MSI on the first day of the seventh month of residence as a worker and coverage will be backdated to the date of arrival. International students are eligible to apply the first day of the thirteenth month following their date of arrival as students, providing they have not been absent for more than 31 consecutive days.

For more information on Nova Scotia's MSI Program, call (902) 468-9700.

Nova Scotia has an optional prescription drug insurance plan for seniors. This program, called the Nova Scotia Seniors' Pharmacare Program, is available to residents of Nova Scotia who are registered under the MSI program, are 65 years of age or over and are not covered under another drug plan. Participants in the program who do not receive a Guaranteed Income Supplement pay a yearly premium of $336. Participants must also pay 33 per cent of the cost of each prescription (or at least $3), but no more than $350 a year. Once the senior has paid their pharmacy $350 in co-payments in a given year, Pharmacare pays 100 per cent of further eligible drugs for the remainder of the year. Seniors may pay more than the $350 yearly co-pay maximum in cases where the drug is not covered by Pharmacare; the senior wants a more expensive brand of drug than the generic brand; or the brand of drug the senior wants costs more than the maximum cost paid by Pharmacare.

For more information on Pharmacare, call (902) 429-6565 or (800) 544-6191.

For more information, visit the Nova Scotia Department of Health web site at www.gov.ns.ca/health.

Copyright © 2002, Province of Nova Scotia, all rights reserved.

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