Pathways | First Nations Health Benefits

First Nations Health Benefits – Plan W

Financial and Indigenous Services

Provided by Government of British Columbia

A pharmacare plan available for individuals who identify as first nations.

Plan W covers 100% of eligible prescription costs and certain medical supplies, certain over-the-counter drugs, some natural health products, and pharmacy services. Covered services are:

Dental
Vision care
Medical Transportation
Medical Supplies and equipment
Mental Health
Pharmacy
Treatment center
Ambulance bill

You are eligible for coverage under the Plan W if you:

have active Medical Services Plan (MSP) coverage, and
are a registered Indian under the Indian Act, or are a child of less than 1 year of age who has at least one parent who is a registered Indian under the Indian Act, and
are not an individual who is eligible to receive comprehensive drug coverage through: a treaty and land claims agreement under the Constitution Act, 1982 (Canada) (unless that treaty and land claims agreement has been identified by the provincial Minister of Health as not resulting in ineligibility), or a written contribution arrangement between a First Nations organization and a government or province of Canada under which the government provides funding and which has been identified by the provincial Minister of Health as resulting in ineligibility for enrolment.

If FNHA paid for your Medical Services Plan (MSP) premiums before Oct. 1, 2017, and you meet the eligibility criteria above, you automatically have coverage under Plan W as of Oct.1, 2017. You do not need to apply.

If you meet the eligibility criteria above, but FNHA is not paying your MSP premiums (for instance, if it is paid by your employer or by Veterans Affairs Canada), please contact the FNHA. To enrol in MSP, just contact your FNHA representative as usual.

For more information, refer to the health benefits guide with detailed information for each category and clear steps for accessing each.

FNHA health benefits have now partnered with Pacific Blue Cross. Provide Status number and PHN to service provider for coverage. Service provider bills directly to Pacific Blue Cross. Like any health insurance, certain things in each category are covered and others are not, as well as up to a certain amount is covered. It is best to always ask the service provider to submit a prior approval in order to ensure no unexpected charges.

Toll Free: 1-855-550-5454

Public email: HealthBenefits@fnha.ca

Website: https://www2.gov.bc.ca/gov/content...

Cost: No cost

Referral options: