Non-insured services

Doctor shaking a patient's hand

Non-insured services

Non-insured services are clinical services not covered by MSI. These include services that may not have ever been insured by MSI, as well as those that were once covered by MSI but aren’t covered any longer. Any service requested by a third party is a non-insured service, including administrative and committee work.

Please note: The following resources for physicians and patients on non-insured services were created in 2005. While the principles still hold true, it is important for physicians to ensure third-party billing is based on current market value. It’s also important to note that the Personal Health Information Act (PHIA) was enacted after these documents were created. The act sets out what fees a physician can charge for processing a patient’s request for their own health information.

Work is underway to update the non-insured services materials. The poster and patient brochure have been updated and can be found at the links below.

Resources for physicians and patients

Doctors Nova Scotia receives many requests from physicians looking for more information on non-insured services. The following may be of help to members:

  • Medical notes
    Physicians can use this template letter to inform employers about the impact of requiring medical notes from employees who miss work due to illness, and to request a change in the requesting company’s policy.
    Download medical notes template
  • Guidelines for Medical-Legal Reports
    Lawyers often ask physicians to provide medical-legal reports. This document outlines the obligations of the physician and lawyer, rules around payment and fees, and the type of content that should be included.
    Download guidelines for medical-legal reports
  • Physicians' Guide to Billing for Non-insured Services
    This comprehensive guide is designed to help members carry out direct billing for non-insured services in an efficient and professional manner.
    Download the Physicians' Guide to Billing for Non-insured Services
  • NEW: 2021 Patient’s Guide to Non-insured Services: Services not paid by MSI
    This guide can be used to introduce or clarify non-insured services to patients.
    Download and print the Patient's Guide to Non-insured Services
  • NEW: 2021 Non-insured services poster
    This poster is suitable for display in waiting areas or examination rooms/offices to help introduce or reinforce the idea of non-insured services to patients.
    Download the non-insured services poster

  • Non-insured services fee information for patients
    This template is available to physicians to customize for their own practice and provide to their patients after an office visit.
    Download the non-insured services fee information for patients


Jessica Moore
Compensation manager, Master Agreement and Fee Schedule
1-800-563-3427 ext. 4922

Next steps