NIHB Handbook - First Nations Health Council

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What is not covered/ExclusionsPsychiatric ServicesPsychoanalysisEducational and Vocational CounsellingLife skills trainingEarly Intervention Programs (for infants with delayed development.)Any assessment service that is not considered to be a mental health crisis (e.g. fetalalcohol spectrum disorder, learning disabilities, and child custody and access).Court-ordered assessment/therapy services to individuals.When another program or agency is required to provide the service.For additional informationCall your First Nations & Inuit Health Branch (FNIHB) regional office or a designatedFirst Nations health authority. Please refer to the contact list included on the page 32of this handbook.Review the Crisis Counselling Benefits at the address below.http://www.hc-sc.gc.ca/fnih-spni/nihb-ssna/benefit-prestation/crisis-urgence/index_e.html21
7. APPROVED HEALTH SERVICES OUTSIDE OF CANADAWhat is covered?Payment is made to the provider in the areas listed below.SupplementalHealth InsuranceNon-InsuredHealth BenefitsPrivately acquired supplemental health insurance.For approved students or migrant workers.For health services received outside the country, when the individualis medically referred for treatment not available in Canada, and whensuch services are not covered by provincial/territorial health plans.Transportation, accommodation and meals will be considered for paymentin the above situation.Only the difference between the full cost of health services received andthe amount which is recoverable from provincial/territorial or third-partyplans will be considered for payment where services are deemed a Non-Insured Health Benefit.General Principles1. Prior approval is required.2. The individual must:a) be eligible for the NIHB program;b) be currently enrolled in a provincial or territorial health insurance plan and continue tomeet residency requirements for provincial/territorial health coverage;c) be a student following a course of post-secondary training or education or be amigrant worker;d) be a legal dependent of an approved student or migrant worker(s); ore) someone who requires treatment outside of the country because there is no treatmentavailable here, and in terms of primary care, is approved for payment of treatment bythe province.What is coveredThe cost of privately acquired health insurance for approved students or migrant workersand their legal dependents.Transportation benefits, when eligible recipients are medically referred and approved fortreatment outside of Canada by a provincial or territorial health care plan.22
Page 1 and 2: This handbook was developed by the
Page 3 and 4: AFN Health & Social Secretariat Man
Page 5 and 6: 1. EYE AND VISION CARE BENEFITSWhat
Page 7 and 8: Trial of BifocalsTints and Coatingf
Page 9 and 10: 2. DENTAL BENEFITSWhat is covered?P
Page 11 and 12: Remember1. Prior approval or predet
Page 13 and 14: 3. MEDICAL TRANSPORTATION BENEFITSW
Page 15 and 16: Non-MedicalAddictions TreatmentOthe
Page 17 and 18: 4. DRUG BENEFITSWhat is covered?Pay
Page 19 and 20: What is not covered/ExclusionsAnti-
Page 21: Remember1. The rules about what is
Page 26 and 27: What is not covered/ExclusionsAny b
Page 28 and 29: Where to Submit an Appeal for Denta
Page 30 and 31: CONSUMER RIGHTS IN HEALTH CARE1. Yo
Page 32 and 33: Health Canada’s NIHB Privacy Code
Page 34 and 35: NOTES31
Page 36: Having Difficulty QUITTING Smoking?

NIHB Handbook - First Nations Health Council

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