The Non-Insured Health Benefit (NIHB) Program may provide assistance so you can access eligible, medically necessary health services that cannot be obtained in the community of residence.
This may include assistance with meals and accommodation expenses.
Access to medical transportation benefits requires approval in advance by the Health Canada regional office.
Medical transportation benefits that were not prior approved will be considered case by case. Emergency travel is post-approved.
In emergency situations, when prior approval has not been obtained, expenses may be reimbursed by FNIHB or a First Nations or Inuit Health Authority or organization when appropriate medical justification is provided to support the medical emergency and approved after the fact.
Medical Transportation benefits may be provided to help you to access the following types of services:
If you are an eligible NIHB client, the following conditions apply:
No. NIHB does not cover Medical Transportation to access appointments within your home community.
The NIHB Program will cover eligible travel costs for medical or non-medical escorts in certain circumstances:
No. Medical Transportation for compassionate travel is not a benefit (exclusion) under the NIHB Program.
Assistance with meals and accommodations may be provided while in transit to access medically necessary health services. Please contact the Health Canada regional office for more information on coverage and rates.
A client, parent, legal guardian or representative may initiate an appeal when an eligible benefit has been denied by the NIHB Program.
For a case to be appealed, a signed note or letter from the client, parent or legal guardian, accompanied by supporting information from the service provider or prescriber (e.g. doctor) must be submitted to the NIHB Program. There are three levels of appeal available.
No. The NIHB Program does not cover transportation to a home community when an injury has caused the cancellation of a trip or transfer clients between hospitals, within a province/territory or from one province/territory to another.
Health Canada's Non-Insured Health Benefits Program is committed to protecting clients' privacy and safeguarding the personal information in its possession. When a benefit request is received, the NIHB Program collects, uses, discloses and retains an individual's personal information according to the applicable federal privacy legislation.
More information about the Medical Transportation Benefit is available on the Medical Transportation fact sheet page of the HC Website or contact your nearest Health Canada regional office.
Medical Transportation Benefit information can also be found under the Benefit Information section of Health Canada's NIHB website.
A complete list of Health Canada regional offices is available on the Health Canada Website.
Source: Framework for Integrated Resource Management System (FIRMS) adapted by Program Analysis Division
For more information on NIHB medical transportation benefits provided, see the Non-Insured Health Benefits Program Annual Report 2012/2013.
Medical Transportation Policy Framework
The Non-Insured Health Benefits Medical Transportation Policy Framework outlines the policies and benefits that help recipients access medical services, the types of medical travel eligible for coverage and the benefits provided.
Visit the Reports and Publications section to access a wide variety of Non-Insured Health Benefits documents.