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UNINSURED HEALTH BENEFITS (NIB) VISION PROVIDER TRAVEL ACTIVITY
REPORT NR
DCI number / Fiscal year: HCP079 (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
How to fill out non-insured health benefits program
01
To fill out the non-insured health benefits program, follow these steps:
02
Obtain the application form for the program.
03
Fill in your personal information, such as your full name, address, date of birth, and contact details.
04
Provide information about your marital status, if applicable.
05
Indicate your household income and the number of dependents in your family.
06
Specify the type of health services or products you require that are not covered by other health insurance plans.
07
Attach any supporting documents, such as medical prescriptions or receipts, if required.
08
Review the completed form for accuracy and sign it.
09
Submit the form by mail or in person to the appropriate non-insured health benefits office.
10
Keep a copy of the completed form for your records.
Who needs non-insured health benefits program?
01
The non-insured health benefits program is designed to assist individuals who are not eligible for provincial, territorial, or federal health insurance plans in Canada.
02
The program is intended for:
03
- First Nations individuals and recognized Inuit
04
- Inuit under the land claims agreement
05
- Refugees and refugee claimants
06
- Resettled refugees and refugee claimants
07
- Victims of human trafficking
08
- Registered Indian individuals and recognized Inuit who do not qualify for the Indian Residential School Settlement Agreement Health Support Program
09
- Eligible Métis individuals
10
If you fall into one of these categories and do not have access to health insurance coverage, you may be eligible for the non-insured health benefits program.
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What is non-insured health benefits program?
The Non-Insured Health Benefits (NIHB) program provides eligible First Nations and Inuit individuals access to a range of medically necessary health benefits not covered by other health plans or insurance.
Who is required to file non-insured health benefits program?
Individuals who are eligible for the NIHB program, including First Nations and Inuit, must file claims to access the benefits provided under the program.
How to fill out non-insured health benefits program?
To fill out the NIHB program claim, eligible individuals need to obtain a claim form, provide personal information, detail the services received, and attach receipts for services or products purchased.
What is the purpose of non-insured health benefits program?
The purpose of the NIHB program is to ensure that First Nations and Inuit have access to necessary health services that are not covered by other insurance plans, promoting health equity and better health outcomes.
What information must be reported on non-insured health benefits program?
The information reported on the NIHB program includes the claimant's personal details, the type of service received, the date of service, the total cost, and any supporting documentation such as receipts.
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