Nuu-chah-nulth Tribal Council Logo and Graphic
Health Promotion & Social Development

Social Development Program Mission Statement:

To promote the restoration of the health and wellbeing of Nuu-chah-nulth communities, and to provide people with the opportunities to achieve self-sufficiency and self-determination for themselves and for our nation as a whole. To be a truly healthy community or person, this mission must be understood in terms that promote respect, empowerment, and equality.

Victoria MacFarlane
Manager of Social Development and Health Benefits
phone: 250-724-5757

Linda Seitcher
Project Coordinator
Enhanced Service Delivery and First Nations Job Fund
phone: 250-724-5757

Phyllis Francoeur
ESD/FNJF Administrative Assistant
phone: 250-724-5757

  NIHB Mission Statement:

To deliver various components of the Nuu chah nulth Non-Insured Health Benefits (NIHB) in coordination with community development/initiatives, and provincial agencies/resources. To test future management options for the delivery of the NIHB programs in a manner that is conducive to an effective and efficient information process.

This document is designed to pass on Non-Insured Health Benefit information to Nuu chah nulth communities. My contact with the communities and First Nations and Inuit Health Branch, Vancouver, keeps me up to date on changes that affect NIHB. This contact will help me inform the First Nations CHR or Health Clerk on changes to benefits. The developments created in our communities at this time of transfer, will determine the future of our NIHB program.

Contact Number - 1 888 407-4888

Robert Cluett
NTC CHS NIHB Program Coordinator

Patricia Little
NIHB Accounts Payable

Jolene Anker
NIHB Clerk

Optical Program
Medical Patient Travel
Mental Health Services
Medical Equipment and Supplies
Status Card/Care Card/Medic Alert/CNIB

Optical Program
Eyeglasses Replacement

- Minimum change of .5 diopter to change eyeglasses
- High index (thinner lenses) 7.00 diopters or more - The NTC CHS NIHB Program (cost may be lower than what is charged)
-24 months for 18 years and up
-12 months for 17 and under
- Physiological change related to physical need

Eye Exam frequency and Care Card
- Eye examinations limited to once every 24 months. The limit does not
apply to persons under 19, over 65, or with a medical condition requiring
more frequest examinations

- The NTC CHS Program now pays a maximum of $46.38 for eye exams for
persons between the age of 19 and 64. Eye specialists and Optometrists
may charge a range of $90 to $120 per exam.

Contact Lenses
- Hard Lens may be approved under the following criteria:
- Aphakia (post cataract surgery)
- Cornea Irregularities
- Astigmatism (inadequately corrected by eyeglasses)

Contact Lens for cataract surgery falls under medical care plan and
currently only approves the hard lens as a replacement. There is a new
state-of-the-art soft acrylic lens with a current cost of $300 per eye.

For CNIB (Canadian National Institute for the Blind) contact Vancouver
Island District at (250) 595-1100

Medical Patient Travel

Medical Travel Policy Framework (OTTAWA 2005)

Medical Travel Policy Framework (Vancouver Regional 2009)

Community Level Patient Travel has to be accessed through the
Community where you are resident. Away from home travel is
administered through through your current community and they will
access re-imbursement through the NIHB Program at NTC.

The Pacific Regional Guidelines medical patient travel sets out minimum benefits
that must be provided to all Nuu chah nulth and  members of other
First Nations normally resident in their community.

The Medical Transportation Policy covers only "medically and legally"
required travel expenses for the client and as medically required escorts.

The current minimum mileage is 29 cents per kilometre for unpaved roads and 23 cents per kilometre for paved roads.

Away from home travel requests administered through your community
office will be reimbursements from NTC NIHB. Reimbursements will be
strictly in accordance with the Pacific Region Regional Medical Patient Travel Guidelines.

Coordination of benefits is strongly enforced with other agencies, and
only provided when a client signs a form assigning benefits to the
First Nation in the amount of the assistance provided.

A client who feels the decision made within the Pacific Region medical patient travel guidelines
are unjust to them have a right to appeal these decisions by going
through the process in the policy and their community appeal panel. Contact your current community for further details.

Mental Health

Program under agreement with First Nations and Inuit Health Branch

Medical Equipment and Supplies

-Under administration and operation of FNIHB (1-800-317-7878)
-Requires a medical prescription, and if required an assessment to be forwarded to the appropriate provider for onward transmission to FNIHB Vancouver Zone for predetermination.
-Lifeline phone and monthly payment are not a benefit under NIHB Program


-Under administration and operation of FNIHB (1-888-321-5003)
-Does not cover for cosmetics
-Assistance given for Dental Braces coverage up to a maximum of $5500 when approved, if cavity free for 6 months
-Community prevention is strongly encouraged if there is a reasonable chance of transferring this program and staying within budget. A highly volatile and cost driven program


-Under the administration and operation of FNIHB Vancouver Zone
-The Prescription Drug Exception Centre is in Ottawa
-When brand-name and generic versions of the same drug are available, the NIHB program will pay for whichever drug has the lowest price. Generic drugs contain the same main ingredient as the brand-name original. Hospitals know the value of generic drugs, they have been using them for years instead of the more expensive brand-name drugs
-If a prescription is denied through the National NIHB Program you have the right to appeal this decision. the appeal begins with the Pharmacist advocating by sending an appeal electronically on a clients behalf to the Drug Exception Centre  (DEC) Ottawa. they will in turn decide if they will process it through the clients family doctor requesting justification for the prescription medicine. the doctor completes a specific form and returns it to DEC Ottawa for a final consideration, at which time they will inform your pharmacy of the decision

Care Card

Call 1-800-663-7100 or visit BC MSP Care Card web site.

Medic Alert - Membership Registration Application

Client gets an application from Band Office or their doctor's office
and completes the form and forwards form direct to:

Canadian Medic Alert Foundation
2005 Sheppard Avenue East
Suite 800
Toronto, Ontario
M2J 5B4


The Canadian National Institute for the Blind (CNIB) is a voluntary,
not for profit organization that provides services to anyone with a
visual impairment, which cannot be corrected by ordinary lenses.
CNIB is not a government agency. Thousands of people receive
services from professional staff supported by volunteers within BC
and the Yukon.

The CNIB Program offers the following services that are intended to
minimize the effects of visual impairment and to learn from others
who have had similar experiences:

-Counseling and Referral (Adjustment to Vision Loss)
-Rehabilitation Teaching (Enhancing Life and Skills)
-Career and Employment Counseling (Find Work)
-Orientation and Mobility (Learning Safe Travel)
-Technical Aids Service (Simple Product Solutions
-Library Services (Access to Information)
-Public Education (Brochures and Videos)
-Volunteer Services (Support and Assist)

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