Health Department – Non-Insured Health Benefits & Medical Transportation

Health Services Clerk – Trudy Maness

picture of Trudy Maness

 

 

 

 

 

 

The main focus of Trudy’s position is to help you with your medical transportation needs and to help you navigate Health Canada’s Non-Insured Health Benefits System.

The Non-Insured Health Benefits (NIHB) Program has launched an email subscription service that allows clients and other web users to receive e-mail notifications when NIHB posts new Program Updates.  These quarterly updates provide the latest news about NIHB coverage, and share tips and reminders to help clients access benefits (the next update will be posted on March 13).

You can access the subscription page at the following link: https://www.canada.ca/en/health-canada/services/non-insured-health-benefits-first-nations-inuit/subscribe-updates.html

Please read this important information regarding the Non-Insured Health Benefits (NIHB) Program Update!!

Your Voice Matters!

The Assembly of First Nations (AFN), working in partnership with Health Canada – First Nations Inuit Health Branch (FNIHB) is undertaking a review of the Non-Insured Health Benefits (NIHB) program across nine regions, and would like to request participation of community members in the review. The national review will be conducted on six benefit areas:

  • Medical Transportation (also known as Patient Travel)
  • Dental
  • Vision
  • Pharmacy
  • Medical Supplies & Equipment.
  • Short Term Crisis Mental Health Benefits.

Kāhui Tautoko Consulting Ltd (KTCL) has been contracted by the AFN to undertake this review.  KTCL is a consultancy based in Vancouver, BC, specializing in First Nations health and community development projects and has undertaken NIHB reviews previously.

The AFN and KTCL wants to hear from you!  Please see the following link to make your voice heard.  We would like to see change happen, but in order to make these changes, we need to know how NIHB has been for you and your family and what difficulties and/or suggestions for improvement you feel would make a difference.

Thank you.

Link:  AFN/FNIHB Joint Review of NIHB

NIHB Program Updates…

Please see the following links for updates regarding the NIHB Program.  Of special interest to all will be the June 2016 Client Newsletter – Please check this out as your Pharmacist may now be able to prescribe or recommend certain products/medications that you may need.  You will not have to go to your physician first to obtain a prescription.  Simply take your status card with you to the pharmacy and speak to him/her about your needs.

Link:  Health Canada – First Nations and Inuit Health – Non-Insured Health Benefits Program Update

Alternate PDF Format Links:

 

Non-Insured Health Benefits Explained

There are a number of health-related goods and services that are not insured by provinces and territories or other private insurance plans, for example, OHIP.  To support First Nations people and Inuit in reaching an overall health status that is comparable with other Canadians, Health Canada’s Non-Insured Health Benefits (NIHB) Program provides coverage for a limited range of these goods and services when they are not insured elsewhere.  The NIHB Program is also designed to help First Nations maintain their health, prevent disease and detect and manage illnesses, injuries and disabilities.

The Non-Insured Health Benefits Program is Health Canada’s national, medically necessary health benefit program that provides coverage for benefit claims for a specified range of drugs, dental care, vision care, medical supplies and equipment, short-term crisis intervention-mental health counseling and medical transportation for eligible First Nations people and Inuit.

The NIHB Program will provide coverage for a limited range of medically necessary goods and services to registered members.  It may repay some or all of the costs incurred when health care programs, products or services are purchased.  This includes a range of medical, dental and pharmacy services when they are not covered by provincial or other third party health plans.

Benefits of the NIHB Program include:

  • Drugs
  • Dental
  • Medical Supplies and Equipment
  • Medical Transportation
  • Eye & Vision Care
  • Short-term Crisis Intervention Mental Health Counselling
  • Health Benefits Outside of Canada; and,
  • Chiropractic Care

Important Client Information

When you call or see a health care service provider, there are certain things you need to keep in mind.  You need to make sure you are eligible for benefit coverage for the health program, service or product you need.  You do not want to end up with out-of-pocket expenses for something that was provided to you by one of the NIHB service providers.

Please ask the provider if:

  • They bill directly to the NIHB Program and/or,
  • If the service is an eligible benefit with the NIHB Program.

If you have any concerns or questions about your eligibility for a medical item, supply, service and/or travel provided under the NIHB Program, please call:

  • Your local community health worker (Health Services Clerk) who works with the NIHB Program, or,
  • The NIHB Client Information Line at 1-800-640-0642; this number is for questions about all benefit areas except dental benefits. Please have your 10-digit status number handy when calling.
  • For all Dental Benefit questions, please call the NIHB Dental Client Information Line at 1-888-283-8885.

We will also be posting links to much of the information that Health Canada has published regarding benefits in the coming months.  You will want to check back often to see these links.  In this information, you will find the answers to many of the questions you may have regarding benefits also.

Medical Transportation Benefit Information

Aamjiwnaang First Nation has two benefit areas in the Medical Transportation Program.  They are:

  • Regular Medical Transportation – Services all members of Aamjiwnaang who are living on-reserve who travel to any location within our catchment areas. Exceptions apply though – transportation to Dialysis, Cancer Treatments and/or Methadone Maintenance Program will need to be Prior Approved.  Please call the Health Centre and speak to the Health Services Clerk for this.
  • Prior Approved Medical Transportation – Services all members of Aamjiwnaang who are living on-reserve and/or off-reserve.
  • Off-reserve members will need their transportation prior approved in all cases. The Health Services Clerk can help you with this.  Please note:  Inner City transportation is not a benefit.
  • On-reserve members need Prior Approval for transportation to: any area outside our catchment areas, dialysis, cancer treatments or methadone treatments.
  • **New** – Wheelchair Accessible Van

Please watch the new, up-and coming Aamjiwnaang First Nation Website for future links to additional information regarding Medical Transportation Benefits.  We will be posting links to the Medical Transportation Policies.  These policies will help to further explain everything you need to know about your medical transportation benefits.