The Non-Insured Health Benefits (NIHB) Directorate is responsible for managing the Non-Insured Health Benefits (NIHB) Program which provides, registered First Nations and recognized Inuit coverage for a range of medically necessary health related benefits to supplement benefits provided through private insurance plans, provincial/territorial health and social programs. Coverage under the NIHB Program includes:
The NIHB Directorate consists of:
The Director General's Office is responsible for the overall coordination and development of Non-Insured Health Benefits (NIHB) Program policy in order to ensure that benefits are provided to First Nations and Inuit in a manner that:
The Benefit Management and Review Services Division (BMRSD) is responsible for the review and adjudication of requests for coverage of pharmacy, dental and orthodontic benefits under the NIHB Program. BMRSD also provides expert advice and recommendations on medical supplies and equipment to Health Canada Regional Offices and establishes and maintains the Program’s dental policies.
The Division consists of the following four units:
The Operational Services and Systems Division is responsible for the development, maintenance and management of the key business processes, systems and services required for Non-Insured Health Benefits (NIHB) Program operations. The division manages the management of the Health Information and Claims Processing Services (HICPS) contract and system, as well as supplier relations, financial controls and accountability, systems, provider communications and governance issues.
The Business Support, Audit and Negotiations Division is responsible for:
The Pharmacy Policy Development Division is responsible for managing the NIHB Program’s pharmacy policy, including the maintenance of the Drug Benefit List, policies regarding safe use of listed medications, and product price negotiations through the pan-Canadian Pharmaceutical Alliance.
The Program Policy and Planning Division is responsible for:
For information on health coverage for First Nations and Inuit visit Non-Insured Health Benefits section.