The Extended Health Benefits Calculator can help you understand your eligibility for benefits and calculate your potential contribution based on your income.

Disclaimer

Please note, the results provided by Extended health Benefits Calculator are not the final income assessments. The accuracy of the results depends on the information you enter.

Definitions

Prescription Drug Benefits

Household Net Income

Your household net income is the total of your net income, and (if applicable) your spouse’s net income.

Annual Family Deductible

Each year, you (or your family, if applicable) must cover 100% of your eligible prescription drug costs until you reach your deductible. Once your drug costs have reached this amount, the government begins covering a percentage of your eligible costs until you reach your annual family maximum.

Annual Family Maximum

This protects you from high expenses. Once your contribution towards eligible drug costs reaches the annual family maximum, the government covers 100% of any additional drug costs for the rest of the benefit year.

Copayment/Cost Share

After you reach your deductible, you pay 30% of eligible costs. The government covers the remaining 70% until the end of the year or until you reach your annual family maximum.

Dependent

A dependent is someone under the age of 19 years who is legally dependent at the time of applying for benefits. Dependents do not have their income included in the household net income.

Spouse

A spouse is someone who:

• is married to another person; or
• is in a marriage-like relationship with another person for two years; or
• has lived in a marriage-like relationship with another person for less than two years, but who has a natural or adopted child with that person.

A marriage-like relationship between two people who are not married is called a common-law relationship. A common-law relationship begins as soon as you are living together.

Note: A spouse with income must have their income included in the household net income along with the program applicant’s income.

Communities by Region

Beaufort Delta Region: Aklavik, Fort McPherson, Inuvik, Paulatuk, Sachs Harbour, Tsiigehtchic, Tuktoyaktuk, and Ulukhaktok

Dehcho Region: Fort Liard, Fort Providence, Fort Simpson, Hay River Dene Reserve, Jean Marie River, Kakisa, Nahanni Butte, Sambaa K'e, and Wrigley

Sahtu Region: Colville Lake, Délı̨nę, Fort Good Hope, Norman Wells, and Tulita

South Slave Region: Enterprise, Fort Resolution, Fort Smith, Hay River, and Łutsel K’e

Tłı̨chǫ Region: Behchokǫ̀, Gamètì, Wekweètì, and Whatì

Yellowknife Region: Dettah and Yellowknife

Medical Supplies and Equipment Benefits

Annual Family Maximum

The annual family maximum for medical supplies and equipment provides protection against high expenses. Family maximums range from $500 to $1500 each year, based on your income level.

Copayment

You pay 25% of eligible costs. The Medical Supplies and Equipment Benefits Program covers the remaining 75% until you reach your annual family maximum.