Coverage for dental services is determined on an individual basis, taking into consideration the current oral health status, recipient history, accumulated scientific research, and availability of treatment alternatives.
What is covered?Footnote 1
Who can provide dental benefits?
Dental services must be provided by a licensed dental professional such as a dentist, dental specialist, or denturist.
See the Dental Benefits Guide section for details on the benefit policies, procedures and resources for health providers.
How do eligible recipients access dental benefits?
Is there an appeal process when a benefit is not covered?
Eligible recipients can appeal a decision to decline coverage for a benefit. Please refer to the Appeal Procedures section.
For more information on NIHB dental benefits provided, see the Non-Insured Health Benefits Program Annual Report 2011/2012.
The Non-Insured Health Benefits Dental Policies clearly define the clinical criteria and guidelines under which the NIHB Program will cover dental services for eligible registered First Nations and recognized Inuit.
Orthodontic Benefits - Questions and Answers
The Non-Insured Health Benefits Program has developed a series of frequently asked questions for recipients.
Visit the Reports and Publications section to access a wide variety of Non-Insured Health Benefits documents.
Predetermination applies for some dental services.