Health and
Social Services

Nunavut Health Care Plan - Coverage

The Nunavut Health Care Plan covers the costs of certain doctor and hospital services.

Physician Services

The Nunavut Health Care Plan covers the cost of seeing a licensed doctor registered with the College of Physicians and Surgeons in Canada.

Doctor Services Covered
  • Diagnosis and treatment of illness and injury
  • Surgery, including anaesthetic services and surgical assistance, where necessary
  • Obstetrical care, including prenatal and postnatal care
  • Eye examinations, treatment and operations provided by an ophthalmologist

Limitations and restrictions may apply.

Doctor Services
Not Covered
  • Yearly physicals between the ages of 10 and 65
  • Cosmetic surgery
  • Services that are considered experimental
  • Prescription drugs
  • Physical examinations done at the request of a third party for: preschool or insurance medicals, food handlers or driver’s license examinations, or obtaining a passport or pre-employment requirements, etc.
  • Optometric services
  • Dental services other than specific procedures related to jaw injury or disease
  • The services of chiropractors, naturopaths, podiatrists, osteopaths, and acupuncture treatments
  • Physiotherapy, speech therapy and psychology services received in a facility that is not an insured hospital
  • Any service to which a resident is entitled under legislation, such as Workers’ Compensation Act, Public Health Act or treatments as a result of service in the Armed Forces

Hospital Services

The Nunavut Health Care Plan covers the cost of certain hospital services provided while in the hospital or receiving services on an outpatient basis.

Hospital
Services
Covered
  • The standard ICU (Intensive Care Unit) ward rate
  • Nursing services, when provided by the hospital
  • Laboratory, x-ray and diagnostic procedures, and interpretation
  • Drugs prescribed by a physician and administered in the hospital
  • Use of the operating room, case room, and anaesthetic facilities required for diagnosis and treatment, including necessary equipment and supplies
  • Radiotherapy treatment, occupational therapy, and physiotherapy when provided by an insured facility

Limitations and restrictions may apply.

Hospital
Services
Not Covered
  • Hospital charges above the standard ward rate for private or semi-private accommodation
  • Services that are not medically required, such as cosmetic surgery
  • Services that are considered experimental
  • Ambulance charges (except inter-hospital transfers)
  • Dental services, other than specific procedures related to jaw injury or disease
  • Alcohol and drug rehabilitation

Medical Travel

If a doctor, nurse, dentist or other health care professional tells you that you have to leave your home community for medical treatment, you may be entitled to medical travel benefits.

The Nunavut Health Care Plan will pay your airfare less a $250 round trip deductible (co-payment) from your home community to the nearest centre where treatment is available.

Click here for more information on medical travel.