First Nations Health Authority Clients

First Nations Health Authority Clients

BC PharmaCare is the province’s drug insurance program. It helps B.C. residents with the cost of prescription drugs, some medical supplies and pharmacy services.

On Oct. 1, 2017, B.C. will become the first province to deliver drug coverage to First Nations clients through its provincial program.

On that date, First Nations Health Authority (FNHA) clients who are currently covered by Health Canada’s Non‑Insured Health Benefits (NIHB) program will be eligible for a new BC PharmaCare plan.

 

 

Who will be covered by the new PharmaCare plan?

You will be eligible for coverage under the new PharmaCare plan 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.

Your eligibility for the plan is confirmed by the FNHA; PharmaCare cannot authorize coverage under the new plan.

All FNHA clients who currently have their MSP paid for by FNHA will automatically have coverage under the new plan as of Oct.1, 2017.

A very small number of clients do not have MSP paid for by FNHA, and will continue to have interim coverage with NIHB. To enrol in MSP, just contact your FNHA representative as usual.

The FNHA and BC PharmaCare are working together to make sure the switch to the new plan is as seamless as possible. As a result, most clients will see no change in the way their coverage is delivered at their pharmacy.

If the FNHA pays for your prescription claims through NIHB before Oct. 1, 2017, PharmaCare will cover your claims after that date. You do not need to do anything to get coverage under the new plan.

After Oct. 1, 2017, to fill a prescription, just present your BC Services Card. In most cases, you will not need to show your status card. Your pharmacist will submit your prescription online as usual and your BC PharmaCare coverage will be applied immediately.

The new plan was created to

  • streamline and increase the ease of access to your benefits and services
  • reduce health care provider confusion between federal and provincial services
  • bring health-care decisions affecting First Nations people closer to home in B.C. and enable future improvements.

No. To enrol in MSP, contact your FNHA representative as usual—but note that you must be enrolled in MSP through FNHA before you can get coverage under the new PharmaCare plan.

Yes. FNHA clients will be eligible for all other PharmaCare plans if they meet the criteria for that plan.

Detailed information will be provided later this summer. In the meantime, contact FNHA if you have questions or concerns.

Call the FNHA toll-free Health Benefits Support line at 1 855 550 5454 or email the FNHA at HealthBenefits@fnha.ca.