This consolidation is unofficial and is for reference only. For the official version of the regulations, consult the original documents on file with the Registry of Regulations, or refer to the Royal Gazette Part II. Regulations are amended frequently. Please check the list of Regulations by Act to see if there are any recent amendments to these regulations filed with the Registry that are not yet included in this consolidation. Although every effort has been made to ensure the accuracy of this electronic version, the Registry of Regulations assumes no responsibility for any discrepancies that may have resulted from reformatting. This electronic version is copyright © 2015, Province of Nova Scotia, all rights reserved. It is for your personal use and may not be copied for the purposes of resale in this or any other form.
Ambulance Fee Regulations
made under Section 17A of the
Health Services and Insurance Act
R.S.N.S. 1989, c. 197
N.S. Reg. 133/2002 (October 24, 2002, effective April 1, 2000)
as amended to N.S. Reg. 179/2015 (March 24, 2015, effective April 1, 2015)
1 These regulations may be cited as the Ambulance Fee Regulations.
2 In these regulations
“acute home care” means the home care program established by the Minister for the acute care of individuals;
“air ambulance” means an aircraft approved by the Minister to transport persons by air for the purposes outlined in these regulations;
“approved facility” means a facility listed in Schedule “A” to these regulations;
“ground ambulance” means a motor vehicle approved by the Minister to transport persons by land for the purposes outlined in these regulations;
“ambulance transportation” means the transportation of a person by ground ambulance;
“inter-facility transportation” means ambulance transportation
(i) between or among approved facilities, and
(ii) from an approved facility to a person’s residence, if the person is receiving acute home care;
“long-term-care facility” means a nursing home, home for the aged or residential care facility licensed by the Minister of Health and Wellness under the Homes for Special Care Act;
Definition added: N.S. Reg. 138/2012.
“medically essential transportation” means ambulance transportation that begins or ends at an approved facility, and for greater certainty, does not include inter-facility transportation or transport of a mobility challenged individual for transportation purposes;
Definition amended: N.S. Reg. 138/2012.
“mobility challenged individual” means a person who, because of a mental or physical limitation that has been verified by a physician, requires ambulance transportation for transportation purposes;
“new Canadian” means a person who is legally entitled to remain in Canada and moves to Nova Scotia from a place outside of Canada but is not a resident of Nova Scotia;
“non-Canadian” means a person who is not legally entitled to remain in Canada;
“non-Nova Scotian” means a person who is not a resident of Nova Scotia but is a resident of a Canadian province or territory;
“Nova Scotia health card number” means the health card number issued by the Province of Nova Scotia that entitles residents to insured health care services under the Health Services and Insurance Act;
“patient care record” means a record of the care provided by a service provider during ambulance transportation;
“resident” means a person who is legally entitled to remain in Canada and makes their home and is ordinarily present in Nova Scotia and has lived in Nova Scotia for a period of not less than 3 months, and for greater certainty, does not include a tourist, a transient, or a visitor who ordinarily resides outside of Nova Scotia;
“service provider” means a private corporation that has contracted with the Minister of Health for the delivery of ambulance transportation;
“stipulated third party insured” means a resident or non-Nova Scotian who is
(i) a member of the Royal Canadian Mounted Police,
(ii) a member of the Canadian Forces,
(iii) a veteran of the Canadian Forces who is eligible for health care benefits from Veterans Affairs Canada,
(iv) an inmate of a Federal prison or penitentiary,
(v) a person with a work related illness or injury and who is eligible for coverage under the Workers Compensation Act,
(vi) a person involved in a motor vehicle collision.
Section 2 amended: N.S. Reg. 138/2012.
3 Fees for transportation by ambulance shall be billed according to the following table:
Medically Essential Transportation Fee
Inter-facility Transportation Fee
Resident living in a long-term-care facility
Stipulated third party insured
Section 3 replaced: N.S. Reg. 155/2004; amended: N.S. Reg. 138/2012; N.S. Reg. 179/2015.
Section 4 repealed: N.S. Reg. 155/2004.
Fees for ground ambulance when combined with air ambulance
5 (1) Ambulance transportation from an air ambulance to an approved facility is deemed to be inter-facility ambulance transportation.
(2) Ambulance transportation to an air ambulance is deemed to be medically essential transportation.
Fee for transportation of mobility challenged individual
6 (1) A mobility challenged individual who is a resident shall be billed $108.95 for ambulance transportation that begins or ends at the individual’s place of residence and is to or from an approved facility, physician’s office, dentist’s office, physiotherapy facility or respite care facility.
Subsection 6(1) amended: N.S. Reg. 179/2015.
(2) A mobility challenged individual who is a resident shall, while an admitted patient of an approved facility, be billed $108.95 for ambulance transportation that begins or ends at the approved facility and is to or from a physician’s office, dentist’s office, physiotherapy facility or respite care facility.
Subsection 6(2) amended: N.S. Reg. 179/2015.
Section 6 replaced: N.S. Reg. 138/2012.
Fee for transportation of human remains
7 (1) Ambulance transportation of human remains is only permitted if requested by the Office of the Medical Examiner.
(2) The fee for ambulance transportation of human remains is $534 and shall be billed to the Office of the Medical Examiner.
Subsection 7(2) amended: N.S. Reg. 181/2007
Ambulance transportation outside of Nova Scotia
8 The fee for ambulance transportation in circumstances not covered by these regulations shall be determined by the service provider and billed to the person requesting the service.
9 All fees must be billed directly to the individual who is transported, except in the case of a person who is under the age of 19 years and who continues to reside with a parent or guardian, in which case the parent or guardian will be billed directly.
Single ambulance transportation for each patient care record
10 Each ambulance transportation that results in the completion of a patient care record is deemed to be a single ambulance transportation.
Proof of residency
11 A Nova Scotia health card must be given to a service provider to prove residency.
Persons on student visas
12 (1) A person in Nova Scotia on a student visa is deemed to be a resident upon the 1st day of the 13th month after the student arrived in Nova Scotia, as long as the student has not been absent from Nova Scotia for more than 31 consecutive days during that period.
(2) A person in Nova Scotia on a student visa is deemed to be a non-Canadian, until the student becomes, or is deemed to be, a resident.
(3) A dependant of a person on a student visa is deemed to be a resident on the same basis as the student, as set out in subsection (1).
(4) If a person in Nova Scotia on a student visa or their dependant is absent from Nova Scotia for greater than 31 consecutive days, the student or their dependant is longer deemed to be a resident [sic].
13 (1) An international student, who
(a) has a student authorization issued by the federal department of Citizenship and Immigration Canada;
(b) is living in Nova Scotia; and
(c) is working as either a teaching or research assistant at any university in Nova Scotia
and the dependants of the student are deemed to be residents on the first day of the 7th month after the student’s arrival in Nova Scotia.
(2) The deemed residency described in subsection (1) is retroactive to the date of the student’s arrival, if the student presents to the Executive Director of Emergency Health Services a certificate, signed by the Dean of the university faculty at which the student is employed, verifying the student’s employment and the period of time for which the student is employed.
Subsection 13(2) amended: N.S. Reg. 139/2012.
(3) An international student, as described in subsection (1), is a non-Canadian until the student becomes, or is deemed to be, a resident.
(4) A dependant of an international student, as described in subsection (1) who is living in Nova Scotia, is deemed to be a resident once the student upon whom they are dependant has proven the student’s entitlement to residency in accordance with subsections (1) and (2).
Fee dispute resolution
14 (1) A person who disagrees with a fee charged in their bill for ambulance transportation may appeal the bill to the service provider within 30 days after the date the service provider mails the bill to the person.
Subsection 14(1) replaced: N.S. Reg. 139/2012.
(2) If, after appealing to the service provider, there is no resolution of the amount of fees billed, a person may appeal, in writing, to the ambulance fee appeal committee established by the Executive Director of Emergency Health Services.
Subsection 14(2) amended: N.S. Reg. 139/2012.
Appeal based on financial hardship
15 (1) A person may, on the basis of financial hardship, appeal their bill for ambulance transportation to the service provider within 90 days after the date the service provider mails the bill to the person.
(2) Before appealing a bill on the basis of financial hardship, a person shall submit the bill for payment through any available assistance program or third party insurance.
(3) On receipt of an appeal under this Section, a service provider may waive or reduce the billed fee.
(4) If, after appealing to the service provider, there is no resolution of the amount of the billed fee, a person may appeal, in writing, to the ambulance fee appeal committee established by the Executive Director of Emergency Health Services.
Section 15 added: N.S. Reg. 139/2012.
All Saints Springhill Hospital
Annapolis Community Health Centre
Bayview Memorial Hospital
Buchanan Memorial Hospital
Cape Breton Regional Facility
Cobequid Multi-Service Centre
Colchester Regional Hospital
Cumberland Regional Health Care Centre
Dartmouth General Hospital
South Shore Regional Hospital
Eastern Memorial Hospital
Eastern Shore Memorial Hospital
Eskasoni Community Health Centre
Fishermen’s Memorial Hospital
George DuMont Regional Hospital
Moncton, New Brunswick
Glace Bay Community Hospital
Guysborough Memorial Hospital
Hants Community Hospital
Harbour View Hospital
Inverness Consolidated Memorial Hospital
IWK Health Centre
Lillian Fraser Memorial Hospital
Moncton City Hospital
Moncton, New Brunswick
Musquodoboit Valley Memorial Hospital
New Waterford Consolidated Hospital
North Cumberland Memorial Hospital
Northside Harbourview Hospital Corporation
Nova Scotia Hospital
Queen Elizabeth II Health Sciences Centre
Queen’s General Hospital
RT McCallum Hospital (CFB Stadacona)
Sackville Memorial Hospital
Sackville, New Brunswick
Sacred Heart Hospital
St. Anne Community & Nursing Care Centre
St. Martha’s Regional Hospital
St. Mary’s Memorial Hospital
Soldier’s Memorial Hospital
South Cumberland Community Care Centre
Strait Richmond Hospital
Sutherland Harris Memorial Hospital
Twin Oaks Memorial Hospital
Valley Regional Hospital
Victoria County Memorial Hospital
Western Kings Memorial Hospital
Yarmouth Regional Hospital