GNWT HSS

Extended Health Benefits Seniors’ Program

 

Coverage for Seniors

The Government of the Northwest Territories (GNWT) sponsors the Extended Health Benefits (EHB) for Seniors Program to provide non- Native and Métis residents of the NWT who are 60 years of age and over, with access to a range of benefits not covered by hospital and medical care insurance. All benefits provided by the EHB program are administered by Alberta Blue Cross on behalf of the GNWT.

Prior to accessing these programs, you must access employer or similar plans first..

You must apply for the program to be eligible for benefits. An application form can be accessed from the Department of Health and Social Services website, www.hss.gov.nt.ca; your local health centre; or the Health Services Administration office.

You will receive an Alberta Blue Cross identification card upon successfully registering for your program.

Please look at your ID card to make sure all information listed is correct. If there are any errors on your ID card or if you need another card, please contact Alberta Blue Cross toll-free at 1-800-661-6995.

Put your ID card in your wallet and keep it with you at all times. You’ll need to show it whenever you obtain benefits through the program.

 

Prescription Drugs

The program provides up to 100 percent coverage for eligible prescription drug products as defined in the Health Canada NIHB drug benefit list, when the drug is prescribed by a health care professional and dispensed by a licensed pharmacist.

If a drug prescribed for you is not included in the Health Canada NIHB drug benefit list, your health care professional or pharmacist may submit a request to Alberta Blue Cross on your behalf for prior authorization through this program.

 

Dental Services

You are eligible for 100 percent coverage of the cost of eligible dental services, as defined by the NIHB Schedule of Dental Benefits and subject to plan limitations and exclusions.

Covered services include check-ups, cleanings, fillings, extractions, root canals, crowns, bridges and dentures.

The dental benefit year runs from January 1 to December 31 annually.

You can contact Alberta Blue Cross to confirm your coverage levels for certain services.

 

Vision Care

You are eligible for one pair of eyeglasses every two years. Benefits include the cost of frames up to the maximum as defined in the contract with NWT optical companies and the cost of standard lenses as defined in the contract with NWT optical companies.

Contact Alberta Blue Cross to obtain current contract rates. Also, you are encouraged to ask the opticians what the covered amount is and what you will be responsible for. Seniors with group insurance for glasses do not receive any further coverage unless it is below the covered amount.

Persons who are financially burdened by this cost can contact Health Services Administration for more information on our indigent health benefits.

 

Medical Supplies and Equipment

Medical Supplies and Equipment benefits must be prescribed by a physician, a nurse practitioner, or a health professional licensed to prescribe in the NWT.

Some benefits are limited, so please contact Alberta Blue Cross for verification.

Note: If your medical condition requires medical-surgical appliances, supplies and/or prosthetics, submit a letter from your physician or occupational therapist and obtain approval from Alberta Blue Cross prior to purchasing these items.

For Claiming and Benefit Inquiries, please contact:

Alberta Blue Cross
Blue Cross Place
10009 108th Street NW
Edmonton, Alberta T5J 3C5
Toll-Free: 1-800-661-6995
Website: www.ab.bluecross.ca

Please have your Alberta Blue Cross identification card on hand when you call.

For information on the EHB for Seniors Program, please contact:

Health Services Administration
Department of Health and Social Services
Government of the Northwest Territories
Bag #9, Inuvik, NWT X0E 0T0
Toll-free: 1-800-661-0830
Phone: (867) 777-7400
Fax: (867) 777-3197
Email: hsa@gov.nt.ca

 

Resources

Medical Travel

 

Application Forms and Publications