Medical Transportation Benefit

plane.jpgAbout this Benefit​ 
What My Plan Covers
How Do I Access Coverage?
Escorts
What My Plan Does Not Cover
Appeals
Client Forms​​​​
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Meal Rates for Medical Transportation to Increase on January 1

In response to feedback from clients and communities, First Nations Health Benefits is increasing meal rates for clients who are travelling for medical appointments. Learn more​.

​​COVID-1​9 and Medical Transportation 

In response to the COVID-19 pandemic, Health Benefits continues to provide MT benefits to support clients needing to self-isolate. Contact 1-888-305-1505 to request support for self-isolation. The Health Benefits Isolation Support team is available seven days a week from 8:30 a.m. to 4:30 p.m. 

For more information, see COVID-19 Guide to Medical Transportation Benefits for Self-Isolation​

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About this B​​enefit

For many First Nations people living in rural or remote areas, it can be challenging to access necessary medical care. Health Benefits offers supports to help with these challenges through the medical transportation (MT) benefit.

Health Benefits works with First Nations communities to deliver the MT benefit. Community Patient Travel Clerks or FNHA Assessors are your connections to help you access your MT benefits.

What My Plan Covers

Your MT benefits provide assistance with the cost of meals, accommodation and transportation to help you travel to a medical appointment outside your community of residence. MT coverage is intended as a supplement and may not cover the full cost of your travel.

You can access medical transportation benefits if you are traveling to:

• medical services covered by MSP or a public health agency
• services covered by the Health Benefits Program (eg, dental, vision, etc)
• traditional healers
• treatment at a NNADAP funded or referred facility.

MT benefits covers travel to the closet appropriate provider, using the most efficient and economical type of transportation appropriate for your needs and medical condition. 

How Do I Acce​​ss Coverage?

Most clients should contact their community’s Patient Travel Clerk to access medical transportation benefits. If your community does not have a Patient Travel Clerk or you do not know who to contact, call Health Benefits at 1-855-550-5454.​

1. Submit a Medical Transportation Request Form​ at least 5 business days before your trip to get prior approval before travelling. You will also need to submit written confirmation of your appointment from your provider. If you do not get prior approval for your trip, or if you do not submit your request form ahead of time, you may have to reschedule your appointment or pay for your travel costs yourself and then request reimbursement. 

2. Your community Patient Travel Clerk​ makes you travel arrangement and sends you the details. 

3. Attend your appointment as scheduled.

4. After your trip, submit a written confirmation of attendance. You must provide confirmation from your provider that you attended your appointment. If you need to request reimbursement, you will need to submit your written COA with your request. Clients who do not attend their appointment may be asked to pay back the cost of their travel.

If you have any questions about your medical transportation benefits, how to access coverage, or why a claim was denied, call Health Benefits at 1-855-550-5454.

Esco​rts

If you need someone to accompany you on your trip to your appointment, you may be eligible to travel with an escort. Escorts are covered under certain conditions, including if you: 

• are a minor​
• need help with activities of daily living (eg, dressing, eating, or bathing)
• are undergoing a medical procedure (eg, day surgery) or have a medical condition that means you need help to get home
• will face a language barrier
• are travelling to give birth

You may be asked to provide documentation from your health care provider​​​​ to show you need an escort.

What My Plan Does Not ​Cover

Some types of travel are Exclusions. Exclusions cannot be covered as an exception and cannot be appealed. MT benefit Exclusions include, but are not limited to:

• compassionate travel (eg, travelling to visit a family member who is receiving medical treatment)
• payment of fees for a doctor’s note
• travel back to your community of residence if you became sick or injured while away from home
• travel when the medically-necessary service is available in your community
• travel to access medical appointments located outside of Canada
• travel to access services that are not considered medically necessary
• travel where the only purpose is to pick up items that do not need to be fitted (eg, prescriptions, prescription glasses or contacts and some medical supplies and equipment).

You can call Health Benefits at 1-855-550-5454 to learn more about what is covered. 

Appeal​s

When a coverage request for travel has been denied, you have the right to appeal the decision. Items and services that are Exclusions cannot be appealed. See the Appeals page for more information about the appeals process.

Client Forms

The forms below are for clients whose travel is being arranged by Health Benefits. If a Patient Travel clerk is arranging your travel contact them for the appropriate forms.  

Medical Transportation Check List
Medical Transportation Request Form
Medical Transportation Confirmation of Appointment Form
Medical Transportation Escort Form
Medical Transportation Confirmation of Attendance Form


 Contact Health Benefits

Phone (toll-free):
1-855-550-5454​​​
Email:
healthbenefits@fnha.ca
Fax:
1-888-299-9222

Mailing Address
FNHA Health Benefits
#540 – 757 West Hastings Street
Vancouver, BC V6C 1A1

In-Person Enquiries
Note: Currently closed to external guests
#701 – 1166 Alberni Street
Vancouver, BC V6E 3Z3

Health Benefits Community Relations Team

Fraser Salish Region: 
Vacant (Inquiries: Jenny Smith Phone: 604-693-6588)
Interior Region: 
Joyce Kenoras
Phone: 250-318-6634
Northern Region: 
Lindsey Larsen
Phone: 250-960-9201
Vancouver Coastal Region: 
Jenny Smith
Phone: 604-693-6588
Vancouver Island Region: 
Darrell Thorne
Phone: 778-689-0720​​​​​​​​​​

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