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UNINSURED HEALTH BENEFITS (NIB) DENTAL PROVIDER TRAVEL ACTIVITY REPORT NR DCI number / Fiscal year: HCP073 (20242025) NOTE: This document is a representation of the reporting requirements for DCI
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How to fill out non-insured health benefits program

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Step 1: Obtain the non-insured health benefits program application form.
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Step 2: Fill out the personal information section, including your full name, address, and contact details.
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Step 3: Provide your date of birth, gender, and social insurance number.
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Step 4: Specify your marital status and indicate if you have any dependents.
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Step 5: Declare your income and employment status.
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Step 6: Provide details of your health condition and any disabilities or medical conditions you may have.
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Step 7: Indicate if you have any existing insurance coverage, such as private insurance or provincial health insurance.
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Step 8: Attach any supporting documents required, such as medical reports or documents proving your status in Canada.
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Step 9: Review the completed application form for accuracy and completeness.
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Step 10: Sign and date the application form.
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Step 11: Submit the completed application form to the designated office or address mentioned in the program guidelines.

Who needs non-insured health benefits program?

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The non-insured health benefits program is designed for individuals who are not eligible for provincial, territorial, or federal health insurance coverage.
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This program is specifically meant for First Nations individuals, recognized Inuit or Innu individuals, and non-status Indians who do not have access to other health insurance plans.
03
People who fall under these categories and require essential health services, medical supplies, prescription drugs, dental care, vision care, and other medically necessary benefits can benefit from the non-insured health benefits program.
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The Non-Insured Health Benefits (NIHB) program provides funding for eligible First Nations and Inuit individuals to access health benefits not covered by other health plans, including prescription drugs, dental care, vision care, and medical transportation.
Eligible First Nations and Inuit individuals who wish to claim benefits under the NIHB program are required to file. Additionally, health service providers may need to file on behalf of the beneficiaries to receive payments.
To fill out the NIHB program application, eligible individuals need to complete the appropriate form, providing personal information, health benefit details, and any required supporting documents, and then submit it to the NIHB Program.
The purpose of the NIHB program is to provide essential health care services and ensure access to health benefits for First Nations and Inuit who may not have other coverage, thus promoting health equity.
When filing for the NIHB program, individuals must report personal identification details, health benefit types being claimed, providers involved, and any relevant supporting documentation.
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