ONTARIO REGION SECTION 6.2 OF THE NIHB MEDICAL TRANSPORTATION POLICY FRAMEWORK BECOMES EFFECTIVE ON JUNE 1, 2018
In January 2016, a moratorium was placed on Section 6.2 of the Non-Insured Health Benefits (NIHB) Medical Transportation Policy Framework (MTPF) following a commitment made with the Assembly of First Nations.
At the time section 6.2 of the medical transportation policy stated:
“When a client does not attend a scheduled appointment and medical transportation benefits have been provided, the client may have to assume the cost of the return trip or of the next trip to access medically required health services unless proper justification is provided to explain why the client was unable to attend or to notify the appropriate public carrier of the cancellation.”
Until now, Section 6.2 of the MTPF was temporarily not enforced so that analysis on missed appointments could be conducted. After a thorough review and follow-up discussions with the AFN, Indigenous Services Canada has decided to reinstate Section 6.2, with minor changes that clarify potential exceptions to the rule.
Section 6.2 now states:
When a client does not attend a scheduled appointment and medical transportation benefits have been provided, the client may have to assume the cost of the return trip or of the next trip to access medically necessary health services unless justification is provided to explain why the client was unable to attend or to notify the appropriate public carrier of the cancellation. Justification may include, but is not limited to, unforeseen circumstances such as health service delivery delays, severe weather conditions, family or personal emergencies.
NIHB will continue to work with partners and the NIHB Navigators to ensure that clients are aware of their responsibilities while travelling and will apply section 6.2 only when justification for missed travel has not been received.
Should you have any questions please do not hesitate to contact us.
FNIHB Ontario Region NIHB contacts:
Ontario Region Client Information Line 1-800-640-0642
Heather Larsen, Senior Manager Heather.firstname.lastname@example.org, (613) 941-6253
Julie Mirau, Manager, Program Delivery Julie.email@example.com, (613) 952-0139
Cynthia Lucier, Manager Sioux Lookout
firstname.lastname@example.org, (807) 737-5822
Sandra Freund, Manager Thunder Bay
Sandra.email@example.com, (807) 346-3530
Thunder Bay Discharges 1-807-625-6039
All Other Discharges 1-807-737-5080
Sioux Lookout on-Call
Weekends and Holidays 1-807-737-0828 8:00 am to 4:00 pm