Can I continue to use my current provider (e.g., oral health provider or optometrist) if they do not bill PBC directly?
Why should I keep my private insurance if I am eligible for Health Benefits through the FNHA?
Does Health Benefits provide out-of-country coverage?
What is the difference between an Exception and an Exclusion?
If a client has exceptional needs or circumstances, Health Benefits may provide additional coverage for an item or service as an Exception. Exception requests are determined on a case-by-case basis. Exclusions are items and services that are excluded from Health Benefits coverage under all circumstances. Excluded items and services are not available through the exceptions process and cannot be appealed.
Can I appeal a decision and how would I go about it?
Why have I received a bill for ambulance services?
I received an ambulance and hospital bill for medical care incurred in the United States and, unfortunately, I did not buy travel insurance for travel outside of Canada. Can Health Benefits assist in paying?
I filed my income tax return and the Canada Revenue Agency is indicating that I owe for unpaid MSP premiums. Why?
Which services are not covered by MSP?
What's the difference between a BC Care Card and a BC Services Card?
The provider (e.g., oral health provider, optometrist) is charging me for treatment. Why?
I have been prescribed a drug and the pharmacist has told me that it is not covered through Health Benefits. Why?
Is my local pharmacy an approved PharmaCare site?
Why does my oral health provider have to send in a request before performing some services?
Are chiropractic, massage therapy, naturopathy, physical therapy, or podiatry services covered through Health Benefits?
Are FNHA clients covered outside of BC?
Are all First Nations in BC covered by PharmaCare?
No, not all First Nations individuals in BC are eligible for PharmaCare Plan W. There are still a small number of people who are clients of the federal NIHB (Non-Insured Health Benefits) program, or who are insured under another benefit plan provided by a First Nations organization pursuant to self-government agreements (e.g., Nisga'a). First Nations individuals residing outside the province who are visiting BC are covered by NIHB and not PharmaCare. Your pharmacy point-of-sale system should adjudicate FNHA clients appropriately based on their PHN. Questions related to Plan W enrollment can be directed to Health Benefits at 1-855-550-5454.
1-855-550-5454 (Toll Free)
Download a print version of the FNHA Health Benefits Client Satisfaction Survey
Client Satisfaction Survey FAQs