International students
Nova Scotia health card essentials: A guide for newcomers

Table of Contents
- Health care coverage in Nova Scotia
- Using the Nova Scotia health card in Ontario
- When does Nova Scotia MSI coverage begin?
- What’s covered under the Nova Scotia MSI?
- What’s not covered under the Nova Scotia MSI?
- Who is eligible for Nova Scotia MSI?
- What documents are required to apply for Nova Scotia MSI?
- How to apply for MSI in Nova Scotia?
- How long does it take to receive your Nova Scotia health card?
Key takeaways
Eligibility Requirements: To qualify for a Nova Scotia health card under the MSI program, you must be a Canadian citizen, Permanent Resident, or Landed Immigrant living in Nova Scotia and residing in the province for at least 183 days per calendar year.
Timely Application: Submit your application with the required documentation to the MSI Registration Department. Once approved, you’ll receive your health card within 10 business days.
One of the key benefits for newcomers to Canada is access to publicly funded health care, which is renowned for its quality and reliability. Each province and territory is responsible for administering its own healthcare services. In Nova Scotia, health care is managed through the Medical Services Insurance Program (MSI). Below, we’ll explain the essentials of the MSI program and the steps required to qualify.
Health care coverage in Nova Scotia
The Medical Services Insurance Program in Nova Scotia is overseen by Medavie Blue Cross on behalf of the provincial government. Under this program, Nova Scotia provides healthcare services to residents at no cost, without requiring any premiums. To access these services, residents must apply for and obtain a Nova Scotia Health Card, which serves as proof of eligibility. This card must be presented whenever visiting a doctor, hospital, or other healthcare provider.
Using the Nova Scotia health card in Ontario
If you’re temporarily visiting Ontario, you can use your Nova Scotia health card to receive medical care. However, this coverage applies only to insured services that are also covered in Nova Scotia, and care must be received at an accredited public hospital. Keep in mind that the scope of services may vary by province, so it’s important to confirm coverage details in advance.
When does Nova Scotia MSI coverage begin?
There is generally a waiting period of up to three months before new residents of Nova Scotia become eligible for MSI coverage. This applies to those moving from other countries or provinces. For example, if you arrive in Nova Scotia on January 15, your MSI coverage would begin on April 1.
Temporary residents, such as individuals on a work permit valid for at least 12 months, are also eligible for MSI coverage, provided they sign a declaration confirming their intent to reside in the province. Students and others with specific permit types are encouraged to contact the MSI office directly to determine their eligibility.
For dependent children under the age of 19, coverage is tied to their parents’ eligibility. Once a parent or guardian is approved for MSI, dependent children will automatically receive coverage under the program.

What’s covered under the Nova Scotia MSI?
The Medical Services Insurance Program (MSI) ensures that Nova Scotia residents have access to essential medical, hospital, and optometric services. Below is a detailed breakdown of what is covered for eligible residents:
- Doctor and specialist visits: Medically necessary consultations with family doctors, physicians, or specialists.
- Diagnostic services: Includes services not available under Insured Hospital Services, such as x-rays, MRIs, and CAT scans.
- Hospital services: Coverage includes surgical procedures, standard hospital accommodations, and meals during your stay.
- Maternity and newborn care: Obstetric services, including prenatal and postnatal care.
- Fractures and dislocations: Treatment for injuries like fractures or joint dislocations.
- Preventive care: Routine physical exams, pap smears, and other preventive tests.
- Specialized care: Includes supervision for home dialysis.
- Pediatric dental care: Basic dental services for children aged 14 and under.
- Vision care: Eye exams for children aged nine and younger, as well as adults aged 65 and older (once every two years).
What’s not covered under the Nova Scotia MSI?
While MSI offers extensive coverage for essential health services, there are certain services that are excluded from the program. Below is a detailed list of what is not covered:
- Cosmetic procedures: Any surgery that is not medically necessary, such as cosmetic enhancements.
- Private accommodations in hospitals: Semi-private or private hospital room upgrades.
- Prescription medication: Excludes coverage for those under 65 years old unless prescribed during hospitalization.
- Vision care exclusions: Routine eye exams for individuals aged 10 to 64 years old.
- Dental care exclusions: Routine dental care for individuals over the age of 14.
- Exams for specific purposes: Physical exams required for employment, insurance, school, or immigration purposes.
- Ambulance transportation: Except when transferring between medical facilities.
- Complementary or alternative therapies: Services from chiropractors, podiatrists, physiotherapists, massage therapists, and osteopaths are not covered.
- Mental health support: Psychologist consultations are excluded.
- Medical aids and equipment: Items like crutches, wheelchairs, or hearing aids are not covered.
Understanding the scope of coverage under MSI helps residents make informed decisions about their healthcare and plan for any out-of-pocket expenses.
Who is eligible for Nova Scotia MSI?
To qualify for the Medical Services Insurance Program (MSI) in Nova Scotia, you must meet certain residency and citizenship requirements:
- Be a Canadian citizen, Permanent Resident, or Landed Immigrant who has settled in Nova Scotia.
- Maintain a physical presence in Nova Scotia for at least 183 days in a calendar year.
- Register with the MSI program to activate your eligibility.

What documents are required to apply for Nova Scotia MSI?
To complete your application for MSI, you’ll need to provide proof of your immigration or residency status in Canada. Acceptable documents include:
- Proof of immigration status, such as a Permanent Resident card, Landed Immigrant documents, or a valid Work Permit.
- Proof of Canadian citizenship, if applicable.
How to apply for MSI in Nova Scotia?
The application process for MSI in Nova Scotia is straightforward but must be initiated directly with the MSI Registration and Enquiry Department. Unlike some other provinces, blank application forms are not available for download or pickup. To start your application:
- Contact the MSI Registration Department:
- Telephone: 902-496-7008
- Toll-free: 1-800-563-8880
- Email: MSI@medavie.ca
- Submit your application:
- Mail it to:
PO Box 500, Halifax, NS, B3J 2S1 - Or deliver it in person to:
230 Brownlow Avenue, Dartmouth, NS
- Mail it to:
How long does it take to receive your Nova Scotia health card?
Once your completed application is received by the MSI Registration Department, your health card will be processed and mailed within 10 business days.
Need help with your application?
If you have any questions or need assistance, you can:
- Reach out to your local community agency or newcomer service for guidance.
- Contact MSI directly:
- Telephone: 902-496-7008
- Toll-free: 1-800-563-8880
- Email: MSI@medavie.ca
Having the correct documentation and following the required steps will ensure a smooth application process for your Nova Scotia health card.
Conclusion
Applying for the Nova Scotia Medical Services Insurance (MSI) program is a vital step for newcomers to access essential health care in the province. By understanding the eligibility requirements, gathering the necessary documents, and following the application process, you can ensure timely health coverage for yourself and your family. MSI offers peace of mind, knowing that your medical needs are supported in Nova Scotia.