MSI Out-of-province Claims

Out-of-province services (within Canada)

Nova Scotia residents who are temporarily away from the province, or medically referred outside the province for insured treatment, are eligible for coverage under the provincial plan. Coverage in Canada is in accordance with the terms and conditions that apply to residents who receive insured services within Nova Scotia. Services must be received in an accredited public hospital and billed reciprocally in accordance with the Interprovincial Reciprocal Billing Agreements.

All residents are required to present a valid Nova Scotia Health Card when accessing insured services in other provinces or territories. Uninsured services, as outlined under the provincial plan, are not funded outside the province.

Prior approval is required from the Nova Scotia Department of Health and Wellness before referring a patient out of province for addiction or psychiatric treatment, unless the treatment is provided in an accredited public hospital. Approval must be sought through the Medical Consultant, Medavie Blue Cross.


Out-of-country services

In order for a patient to be referred outside Canada for treatment, prior written approval is required from the Department of Health and Wellness. The referral must be from a specialist registered in Nova Scotia. If the claim receives prior approval from the Department of Health and Wellness for out-of-country treatment, all medically necessary services, whether provided on an in-patient or out-patient basis, will be insured at 100 per cent. Preferred accommodation, take home drugs, etc., are not covered under the provincial health plan.