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Pacific Blue Cross Transition

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Coming Sept. 16: A New Health Benefits Plan for Dental, Vision and Medical Supplies & Equipment

The First Nations Health Authority (FNHA) is set to launch a new health benefits plan that will be more convenient to use and expand benefit coverage in key areas.

On Sept. 16, the FNHA will transition dental, vision, and medical supplies and equipment (MS&E) benefits off the federal Non-Insured Health Benefits (NIHB) program. The FNHA's new partner, BC-based benefits provider Pacific Blue Cross, will administer these benefits as of this date.

FNHA clients and their health care providers will find the new system easier to use, with fewer requirements for pre-approvals and quicker turnarounds for adjudications and payments.

There will be no reduction to existing coverage, and coverage will be improved for many preventive health services and special needs. The new plan includes:

Dental

 a dental fee guide in line with the British Columbia Dental Association's suggested rates

 more coverage for preventive dental care services, such as scaling and cleaning

 fewer restrictions on dentures

​ pay-direct claims at most dental clinics in BC

Vision

 no pre-approvals required for routine eye exams or standard prescriptions (within frequency limits)

 $100 every two years for routine eye exams​

 $275 every two years for prescription eyewear ($415 for high-index lenses)

​ pay-direct claims at participating optical stores

Medical Supplies & Equipment (MS&E)

 similar coverage for all equipment and supplies

 ability to see exactly what is covered, and how much is covered

​ simpler and faster pre-approvals

How did we gather feedback?

The FNHA gathered information on how to improve dental, vision and MS&E health benefits using an approach based on its first Directive, to be "Community-Driven and Nation-Based". This principle is rooted in the goal of enhancing the autonomy and authority of First Nations.

The FNHA led 51 focus groups across the province that involved 98 communities. It also asked Health Directors and health care providers what needed to change. Discussions with health care providers included education about cultural safety and humility, which is one of the topics identified as a concern by clients and health leaders. 

Community members, Health Directors and health care providers shared similar views on how to improve the First Nations Health Benefits Program.

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Why Pacific Blue Cross?

 PBC is a not-for-profit health benefits society based in BC.

 PBC shares the FNHA's values and has signed a Declaration of Commitment to Cultural Safety and Humility in Health Services. This entails providing training in cultural safety and humility to all PBC frontline staff.

 The organization provides fast claims processing, reimbursement, as well as electronic coordination of benefits if you are covered by more than one plan.

​ As one of BC's largest benefits organizations, Pacific Blue Cross has strong relationships and fast payment systems established with health care providers. Read more about the decision to partner with Pacific Blu​e Cross.

Would you like to learn more?

Do you have questions about your benefits or what's covered by the First Nations Health Benefits Plan? Call our support line at 1.855.550.5454 or email HealthBenefits@fnha.ca.

Health Benefits Community Relations Representatives are also hosting information sessions and attending events to talk about the new plan. To find out what's happening in your region, contact your local representative or email CommunityRelations@fnha.ca.

 

Fraser ​Salish Region

James Delorme

James.Delorme@fnha.ca

778-684-1886

Interior Region

Joyce Kenoras

Joyce.Kenoras@fnha.ca

250-318-6634

Northern Region

Lindsey Larsen

Lindsey.Larsen@fnha.ca

250-960-9201​

Vancouver Coastal Region

Jenny Smith

Jennifer.Smith@fnha.ca

604-693-6588

​Vancouver Island Region

Candy-Lea Chickite

Candy-Lea.Chickite@fnha.ca

250-830-7346​


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Download an Info​sheet Poster ​PDF here (977 KB)

 Do you have questions?

​Contact us at 

HealthBenefits@fnha.ca 

or call 

1.800.317.7878 (Toll Free)

 How was your experience?

We want to hear from you about your experience with FNHA Health Benefits. Please take 5-10 minutes to fill out our survey here:

​Feedba​ck ​

​This client satisfaction survey will help us understand BC First Nations experiences accessing FNHA Health Benefits. We will use this information to improve the quality of our services.​​​

Downlo​ad a print version of the FNHA Health Benefits Client Satisfaction Survey​

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Click here

​Client Satisfaction Survey FAQs

​Click here
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