Non-Insured Health Benefits

What is NIHB?

Provinces and territories are responsible for delivering health care services, guided by the provisions of the Canada Health Act. Health care services include insured hospital care and primary health care, such as physicians and other health professional services. Like any other resident, First Nations people and Inuit access these insured services through provincial and territorial governments.

However, there are a number of health-related goods and services that are not insured by provinces and territories or other private insurance plans. 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 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 counselling and medical transportation for eligible First Nations people and Inuit.

The Drug Benefit List is a listing of the drugs provided as a benefit by the Non-Insured Health Benefits (NIHB) Program. The listed drugs are those primarily used in a home or ambulatory setting. Benefit Updates to the Drug Benefit List are generally issued on a quarterly basis.

For more information, please see the Health Canada website at http://www.hc-sc.gc.ca/fniah-spnia/nihb-ssna/index-eng.php

Some useful Forms:

Guide to Mental Health Counselling Services:
http://www.hc-sc.gc.ca/fniah-spnia/nihb-ssna/benefit-prestation/crisis-urgence/guide-eng.php

Prior Approval Form;
http://www.hc-sc.gc.ca/fniah-spnia/alt_formats/pdf/nihb-ssna/benefit-prestation/crisis-urgence/mhcp-approv-csmp-autor-form-eng.pdf

Mental Health Counselling Claim Form;
http://www.hc-sc.gc.ca/fniah-spnia/nihb-ssna/benefit-prestation/crisis-urgence/claim-demande-eng.php

Mental Health Counselling Appointment Confirmation Sheet;
http://www.hc-sc.gc.ca/fniah-spnia/nihb-ssna/benefit-prestation/crisis-urgence/confirmation-confirmation-eng.php

Appeal Procedure Section;
http://www.hc-sc.gc.ca/fniah-spnia/nihb-ssna/benefit-prestation/crisis-urgence/guide-eng.php#a5

Mental Health Counsellor Provider Agreement Form;
http://www.hc-sc.gc.ca/fniah-spnia/alt_formats/pdf/nihb-ssna/benefit-prestation/crisis-urgence/mhcpa-efcsm-form-eng.pdf