Accessing GAC in Nova Scotia

Most people start their GAC journey by informing the family doctor/nurse/healthcare professional that they wish to access GAC. Typically, an individual can access basic services such as Hormone Replacement Therapy (HRT) or hormone blockers through their family healthcare professional if this is necessary for their own transition goals. We recognize that many Nova Scotians do not have a family healthcare professional, and that limits their ability to access these services; we recommend to those individuals that they contact a Sexual Health Centre which may help connect you with a provider. 

To access services beyond HRT and hormone blockers, an individual will require a letter from a WPATH certified healthcare provider, all within Nova Scotia. If you are a student at a Nova Scotia college or university, you may be able to access services through your school's health centre. Schools like Dalhousie University offer WPATH trained healthcare professionals who may provide you a referral. If your primary healthcare provider is not WPATH certified, you will require an additional letter from a WPATH certified healthcare professional.

For gender affirming surgeries, you will require a healthcare professional to provide aftercare. You must confirm your aftercare BEFORE you access other services, such as referrals. If you do not have a family healthcare professional, or your healthcare professional is unable to provide aftercare, please contact a Sexual Health Centre in Nova Scotia, which may be able to provide you someone for aftercare support. 

To have GAC covered by MSI, you must submit your request for GAC with your referrals BEFORE receiving surgery and/or other procedures; this form may be accessed here. If you are denied coverage by MSI, you are able to appeal that decision by emailing MSI@medavie.ca or calling 1-800-563-8880. To review all official requirements, please visit the NSHA website covering the topic.