Non-Insured Health Benefits

Non-Insured Health Benefits (NIHB) is a program provided by the Government of Canada to eligible First Nations and Inuit peoples. The program offers coverage for a range of health benefits not covered by provincial, territorial, or other third-party health insurance plans. These benefits include prescription drugs, over-the-counter medication, medical supplies and equipment, vision care, dental care, short-term crisis intervention mental health counselling, and medical transportation to access medically necessary services not available on or near the beneficiary's residence.

Eligibility

Eligibility for the NIHB program is determined based on status as a recognized First Nations or Inuit person in Canada. This includes individuals who are registered under the Indian Act, Inuit recognized by one of the Inuit land claim organizations, infants under one year of age whose parents are eligible, and certain other groups specified by the program's guidelines.

Coverage

The NIHB program provides a comprehensive range of health benefits. Coverage is designed to complement and supplement other health and wellness programs available to First Nations and Inuit peoples. The program works on a pre-approval basis for many of its services, especially for expensive items or services such as medical transportation and certain medical supplies and equipment.

Prescription Drugs

The NIHB program covers a wide range of prescription medications. The list of covered drugs is managed through a Drug Benefit List, which is regularly updated to reflect current medical practices and availability of new medications.

Dental Care

Dental benefits under the NIHB program include coverage for preventive services, restorative services, orthodontic services, and other dental procedures deemed medically necessary. Pre-approval is often required for many dental services, especially those that are more costly.

Vision Care

Vision care benefits include eye examinations, eyeglasses, and contact lenses. Coverage for these services is typically provided on a routine basis, with specific intervals for eligibility (e.g., one eye exam every two years).

Medical Supplies and Equipment

The program covers a variety of medical supplies and equipment necessary for the treatment and management of medical conditions. This includes items like diabetic supplies, mobility aids, and respiratory equipment. Pre-approval is required for most high-cost items.

Mental Health Counselling

Short-term crisis intervention mental health counselling is available through the NIHB program. This service is intended to provide immediate support for individuals facing a crisis situation.

Medical Transportation

To ensure beneficiaries can access medically necessary services, the NIHB program covers the costs of transportation to and from medical appointments. This is particularly important for those living in remote or isolated communities where local access to healthcare services may be limited.

Administration

The NIHB program is administered by Indigenous Services Canada (ISC), a department of the Government of Canada. ISC works in partnership with First Nations and Inuit communities, as well as provincial and territorial governments, to deliver the NIHB program and ensure beneficiaries have access to the covered benefits.

Challenges and Criticisms

The NIHB program has faced challenges and criticisms, particularly regarding the complexity of the application and approval processes, and the adequacy of coverage. Efforts have been made to streamline processes and improve access to benefits, but challenges remain in ensuring all eligible individuals can easily access the benefits to which they are entitled.