Non-Insured Health Benefits for First Nations and Inuit Peoples
While some patients who are Indigenous have access to NIHB coverage, others do not, and this is a conversation that needs to be navigated with care. Many patients will already know whether they are covered, however for those who are unsure, please see Patient Eligibility.
NIHB covers a variety of costs, not only with general health, but also costs associated with things such as gender-affirming garments, hormone prescriptions, travel for appointments, and most mental health services. In all cases, while prior approval may not be necessary, it is recommended for direct billing and to ensure coverage for the client.
We have broken down specific items and coverage that clients may benefit from below, however for those who are looking for more information about the program:
Medical Supplies and Equipment Guide and Benefits List
Prior Approval Forms (Express Scripts)
NIHB Client Reimbursement and Escript Submission for Clients
Many government forms and prior approvals are not user-friendly, and patients may appreciate support in navigating forms. It should be noted that status cards have an expiry date, and patients will not be covered through NIHB after this date unless they reapply.
To be eligible, a client must be a resident of Canada, and identify as one of the following:
Registered First Nations must be registered Indian according to the Indian Act.
An Inuk recognized by one of the Inuit Land Claim Organizations.
A child that is less than two (2) years old, whose parent is an eligible client (Special Provision for First Nations and Inuit Children under Two Years Old).
To facilitate claim verification, patients will need the following information:
Surname (under which the Client is registered).
Given names (under which the client is registered).
Date of birth (date format YYYY-MM-DD).
Client identification number
One of the following identifiers is required for recognized Inuit Clients:
Government of the Northwest Territories (GNWT) Health Plan Number: Inuit Clients from the Northwest Territories may present a health plan number issued by the GNWT. This number is valid in any region of Canada and is cross-referenced to the NIHB client identification number. This number begins with the letter T and is followed by seven (7) digits.
Government of Nunavut (GNU) Health Plan Number: Inuit Clients from Nunavut may present a health plan number issued by the GNU. This number is valid in any region of Canada and is cross-referenced to the NIHB client identification number. This is a nine (9) digit number starting with a one (1) and ending with a five (5).
NIHB Client Identification Number (N-Number): This is a client identification number issued by NIHB to recognized Inuit clients. This number begins with the letter N and is followed by eight (8) digits.
The NWT/NU Health Care card or Government of Canada NIHB N-number letter (ISC or Government of Canada letterhead) identifying the individual and accompanied by picture identification is sufficient identification for clients.
One of the following identifiers is required for registered First Nations Clients:
Registration number: This is a 10-digit number, issued by the Government of Canada (issued by the Indian Registrar of ISC) to clients registered under the Indian Act. It is commonly called a status card. The registration number is the preferred method of identifying First Nations Clients.
NIHB Client identification number (B-number): In specific and exceptional cases, some First Nations Clients may have numbers issued by NIHB. This number begins with the letter B and is followed by eight (8) digits.