Health Canada provides eligible First Nations people and Inuit with a specified range of medically necessary health-related goods and services when they are not covered through private insurance plans or provincial/territorial health and social programs.
Non-Insured Health Benefits (NIHB) include prescription drugs, over-the-counter medication, medical supplies and equipment, short-term crisis counselling, dental care, vision care, and medical transportation.
A benefit will be considered for coverage when:
An eligible recipient is someone who is entitled to receive benefits such as vision care, prescription drugs or other benefits or services from the NIHB Program.
An eligible recipient must be identified as a resident of Canada and one of the following:
When recipients are eligible for benefits under a private health care plan, or public health or social program, claims must be submitted to these plans and programs first before submitting them to the Non-Insured Health Benefits Program.
Source: Status Verification System (SVS) adapted by Program Analysis Division
Service providers are encouraged to bill the Program directly so that recipients do not face charges at the point of service when receiving health care goods or services.
When a recipient does pay directly for goods or services, he or she may seek reimbursement from the NIHB Program. Requests for reimbursement must be received on a NIHB Client Reimbursement Request Form, within one year from the date of service or date of purchase.
The form information is available in HTML and Portable Document Format (PDF). The HTML version of the NIHB Client Reimbursement Request Form is not an actual form. It displays the information found on the form for viewing purposes only and will not be accepted if used to request reimbursement.
If you wish to submit a request, you must use only the PDF version of the NIHB Client Reimbursement Request Form.
For more information, consult the NIHB Client Reimbursement Question and Answer page.
To obtain a print version of the NIHB Client Reimbursement Request Form, contact the nearest Regional Office, or a local First Nations and Inuit Health Authority.
A client, their parent/legal guardian or representative may initiate an appeal when a benefit has been denied by the NIHB Program. In the event that they are unable, a client may have someone act on their behalf to initiate an appeal as long as written authorization is obtained from the person seeking coverage.
To initiate an appeal, a signed letter from the client, their parent/legal guardian or representative, accompanied by supporting information from a health care provider(s) or prescriber must be submitted to the NIHB Program.
A written explanation of the decision taken will be provided to the client or parent/legal guardian, at each level of the appeal process.
Refer to the Non-Insured Health Benefits Appeal Procedures for more information.
Eye and Vision
Medical Supplies and Equipment
NIHB Program Information