Medical Care Plan
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The Newfoundland and Labrador
Medical Care Plan (MCP) was
introduced on April 1, 1969. It is a comprehensive plan of medical care insurance designed
to cover the cost of physician services for bona fide residents of the province. On April 1, 2000, MCP merged with the Department of Health and Community Services. However, MCP will continue to provide medical claims services to residents as it has in the past.
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Physicians who treat beneficiaries may submit claims for insured services directly to MCP. Such claims must be in accordance with an established schedule of fees and will be
processed by MCP against established claim assessment rules.
The Medical Care Insurance Insured Services Regulations stipulate
the general categories of medical services covered under the Plan; these include:
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visits to a physician's office, hospital or beneficiary's residence |
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surgical, diagnostic and therapeutic procedures, including anaesthesia |
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pre- and post-operative care |
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complete maternity care |
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radiology interpretive services |
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certain surgical-dental procedures which are medically necessary to be
performed in hospital by a dentist or oral surgeon |
The specific procedures and services covered under the Medical Care Plan are listed in
Schedule A (Medical Payment Schedule) and Schedule B (Surgical-Dental Payment Schedule) of
the Medical Care Insurance
Physicians and Fees Regulations.
The Medical Care Insurance Insured Services Regulations also list specific services
which are not insured under the Medical Care Plan; these include:
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physician's advice given by telephone |
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drugs and vaccines |
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provision of medical appliances |
![](/web/20061101092318im_/http://www.health.gov.nl.ca/mcp/images\squarebu.gif) |
writing of prescriptions |
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preparation of records, reports or certificates |
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services available under other provincial or federal legislation |
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physician's travel time and expenses |
![](/web/20061101092318im_/http://www.health.gov.nl.ca/mcp/images\squarebu.gif) |
ambulance services or other transportation |
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acupuncture and subsequent related services |
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non-medically necessary examinations or examinations required by third
parties (e.g. annual check-up, employment, pre-school or drivers' medicals, etc.) |
![](/web/20061101092318im_/http://www.health.gov.nl.ca/mcp/images\squarebu.gif) |
surgery for cosmetic purposes |
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physician's testimony given in a court |
![](/web/20061101092318im_/http://www.health.gov.nl.ca/mcp/images\squarebu.gif) |
eye examinations for corrective lenses |
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routine, in-hospital, dental extractions |
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the difference between general practice and specialist rates for
non-referred patients |
![](/web/20061101092318im_/http://www.health.gov.nl.ca/mcp/images\squarebu.gif) |
services provided by chiropractors, optometrists, podiatrists,
naturopaths, osteopaths, physiotherapists, nurses or other paramedical personnel |
![](/web/20061101092318im_/http://www.health.gov.nl.ca/mcp/images\squarebu.gif) |
newborn circumcisions |
![](/web/20061101092318im_/http://www.health.gov.nl.ca/mcp/images\squarebu.gif) |
hypnotherapy |
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consultations required due to hospital policy |
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alcohol / drug dependency treatment outside Canada |
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Services provided in private
non-approved Canadian diagnostic imaging facilities (e.g. MRI, CT, X-ray,
etc.) |
![](/web/20061101092318im_/http://www.health.gov.nl.ca/mcp/images\squarebu.gif) |
therapeutic abortions performed outside Canada, or at a non-approved
Canadian facility |
![](/web/20061101092318im_/http://www.health.gov.nl.ca/mcp/images\squarebu.gif) |
sex change surgery, unless recommended by the Clarke Institute of
Psychiatry |
![](/web/20061101092318im_/http://www.health.gov.nl.ca/mcp/images\squarebu.gif) |
in-vitro fertilization and ovarian stimulation and sperm transfer |
![](/web/20061101092318im_/http://www.health.gov.nl.ca/mcp/images\squarebu.gif) |
reversal of a previous sterilization procedure |
(this list has been compiled for information purposes only and is not the official
list of uninsured services)
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