FNIHB – Ontario Coverage of Chiropractic Care for First Nations

The First Nations and Inuit Health Branch (FNIHB) – Ontario Region of Health Canada provides coverage of chiropractic services to First Nations people as follows:

• Coverage will continue to be available to a maximum of $150 per year, with the patient responsible for any charges once this maximum has been reached; 
   
• FNIHB will pay $13.00 for the initial visit and $11.75 per subsequent visit (to a maximum of $150 per year). The patient is responsible for all other payments. 
   
• To access funding, the patient must submit a physician or nurse practitioner referral (original) accompanied by the number of sessions, rate per session and Health Canada share. Funding is available on the date the physician/nurse practitioner referral is made. 
   
• Providers wishing to provide services to FNIHB clients and bill Health Canada direct, must register/enroll with Express Scripts Canada. For additional information please consult the Express Scripts Canada Non-Insured Health Benefits Claims Services Provider Web site (www.provider.esicanada.ca) or call the Express Scripts Canada Provider Claims Processing Call Centre at 1-888-511-4666. All applications for registration as an NIHB provider are subject to review by the program. NIHB Provider numbers are processed based on the administrative needs of the NIHB Program. The procedures for submitting an NIHB claim are outlined in the Claims Submission Kits found on the Express Scripts Canada Non-Insured Health Benefits Claims Services Provider Web site (www.provider.esicanada.ca). The site also contains claim forms, newsletters, and much more.
   

Contact Information:

NIHB Ontario Region Client Information line
1-800-640-0642