Non-Insured Health Benefits (NIHB) Program

The NIHB program provides a range of health benefits to meet medical needs not covered by provincial, territorial or other third party health plans. Third party health plans are those usually provided by insurance companies, the benefits and services of the NIHB Program are in addition to provincial and territorial insured health care programs.

The Kanesatake Medical Transportation Program (KMTP) follows the criteria’s set forth by Health Canada’s Non Insured Health Benefits Policy Framework. The KMTP follows the Quebec Highway Safety Code and its regulations. The KMTP follows the obligations from the Commission des Transport du Quebec for the operation of heavy vehicle users.

Non-Insured Health Benefits (NIHB)

(NIHB) Medical Transportation Policy Framework

Some of the benefits provided are under the categories of:

Vision Care

Medical Supplies and Equipment

Drug Benefits

Medical Transportation

Mental Health

Dental Care

Orthodontics

The liaison for NIHB at the Health Center Inc. is the Medical Transportation Coordinator. She also coordinates medical needs with Medi Gas, CEO Medic, as well as dentists, denturologists and opticians as required by clients.

Medical Transportation

The Kanesatake Health Center Inc. Medical Transpotation Program provides transportation for eligible registerd First Nations and recognized Inuit (clients) to access medically required health services not provided in the community of residence. Medical transportation benefits may be provided to access the following types of medically necessary health services:

Medical services defined as insured services by provincial/territorial health plans RAMQ-Medicare Card (e.g. Appointments with physician, hospital care);

Diagnostic tests and medical treatments ordered by a physician or other health professional within his or her scope of practice and which are covered by RAMQ-Medicare Card;

Publically-funded alcohol, solvent, drug abuse and detox treatment;

Non-Insured Health Benefits (Vision Care, Dental Care/Orthodontics, Mental Health, Medical Supplies and Equipment).

The Medical Transportation Coordinator is responsible for verifying service eligibility before authorizing the travel and the Medical transportation benefits. For example: such services not covered are those in a private clinic, chiropractic, laser surgeries, podiatrists, aupuncturists and any appointment for which doctor services are not covered by the provincial/territorial health plans RAMQ (paying the doctor for service).

All medical appointments must be processed and authorized a minimum of 48 hours in advance by the Medical Transportation Coordinator at the Kanesatake Health Center Inc. PRIOR to the date of the medical appointment.

The Kanesatake Health Center Inc. vans are for medical transportation services only and will not be utilized as a taxi service.