Extended Health Benefits

Income Thresholds and Cost Sharing Arrangement

NOTE: The new EHB Policy does not apply to residents who access Non-Insured Health Benefits or Métis Health Benefits. Seniors will continue to receive the same benefit coverage under the new policy.

 

Pursuant to the Extended Health Benefits Policy 49.07 sections 5(2)(a)(i), the Minister is required to approve the Income Thresholds and Cost Sharing Arrangement for the Extended Health Benefits program.

Income thresholds have been established to align with the most recent Northern Market Basket Measure (2023) published by NWT Bureau of Statistics.

This is the first Income Thresholds and Cost Sharing Arrangement for the new Extended Health Benefits Policy set to come into effect September 3, 2024.

The Income Thresholds and Cost Sharing Arrangement tables attached set out the Income Thresholds and Cost Share Arrangement effective September 3, 2024:

  • Income Thresholds are established in 30 income bands to reflect adjustments for family size and region of residence. Individuals are assessed for benefits based on their income band.
  • Cost Sharing Arrangement is the financial contribution expected of the eligible person, through co-payment or deductible, based on their assessed income band. 

Income Thresholds and Cost Sharing Arrangement

Effective September 3, 2024

Income Thresholds by Region

Band Tłı̨chǫ South Slave Yellowknife

Dehcho

Beaufort 
Delta

Sahtú

1

$34,794

$34,774 $35,147 $36,741 $42,258 $42,908

2

$34,795 $34,775 $35,148 $36,742 $42,259 $42,909

3

$37,208 $37,186 $37,585 $39,290 $45,189 $45,884

4

$39,788 $39,765 $40,191 $42,014 $48,323 $49,066

5

$42,547

$42,522 $42,978 $44,927 $51,673 $52,468

6

$45,497

$45,471 $45,958 $48,043 $55,256 $56,106

7

$48,651 $48,623 $49,145 $51,374 $59,088 $59,997

8

$52,025 $51,995 $52,553 $54,936 $63,185 $64,157

9

$55,632 $55,600 $56,197 $58,745 $67,566 $68,606

10

$59,490 $59,456 $60,093 $62,819 $72,251 $73,363

11

$63,615 $63,578 $64,260 $67,175 $77,261 $78,450

12

$68,026 $67,987 $68,716 $71,832 $82,619 $83,889

13

$72,743 $72,701 $73,481 $76,813 $88,347 $89,706

14

$77,787 $77,742 $78,576 $82,140 $94,473 $95,926

15

$83,181 $83,133 $84,025 $87,835 $101,024 $102,578

16

$88,948 $88,897 $89,851 $93,926 $108,029 $109,691

17

$95,116 $95,061 $96,081 $100,438 $115,520 $117,297

18

$101,711 $101,653 $102,743 $107,403 $123,530 $125,430

19

$108,764

$108,702 $109,868 $114,850 $132,096 $134,127

20

$116,306 $116,239 $117,486 $122,814 $141,255 $143,428

21

$124,370 $124,299 $125,632 $131,330 $151,050 $153,373

22

$132,994 $132,918 $134,344 $140,436 $161,523 $164,008

23

$142,216 $142,134 $143,659 $150,174 $172,723 $175,380

24

$152,077 $151,990 $153,620 $160,587 $184,700 $187,541

25

$162,622

$162,529 $164,272 $171,722 $197,507 $200,545

26

$173,899 $173,799 $175,663 $183,629 $211,202 $214,451

27

$185,957 $185,850 $187,843 $196,362 $225,847 $229,321

28

$198,851 $198,737 $200,868 $209,978 $241,507 $245,222

29

$212,639 $212,517 $214,797 $224,538 $258,253 $262,226

30

 $227,384 $227,253 $229,691 $240,107 $276,161 $280,408

 

Drug Benefits

Band

Family Deductible

Cost Share

Family Maximum

1

$ -

100%



 

 $ -  

2

$ -

$ - 

3

$ -

$ - 

4

$ -

 $ - 

5

$ -

$ - 

6

$ -

$ - 

7

$ -

$ - 

8

$ -

$ - 

9

$ -

$ - 

10

$ -

 $ - 

11

$365.00

Program pays 70%
User pays 30%

$550.00

12

$420.00

$630.00

13

$475.00

$720.00

14

$540.00

$820.00

15

$620.00

$930.00

16

$700.00

$1,050.00

17

$800.00

$1,200.00

18

$900.00

$1,380.00

19

$1,040.00

$1,570.00

20

$1,180.00

$1,790.00

21

$1,340.00

$2,040.00

22

$1,530.00

$2,320.00

23

$1,740.00

$2,640.00

24

$2,000.00

$3,000.00

25

$2,260.00

$3,425.00

26

$2,600.00

$3,900.00

27

$3,000.00

$4,400.00

28

$3,400.00

$5,000.00

29

$4,200.00

$6,500.00

30

$5,000.00

$8,000.00

 

Medical Supplies and Equipment Benefits

Band

Family Deductible

Cost Share

Family Maximum

1

$ -

100%

$ -  

2

$ -

$ - 

3

$ -

$ - 

4

$ -

$ - 

5

$ -

$ - 

6

$ -

$ - 

7

$ -

$ - 

8

$ -

$ - 

9

$ -

$ - 

10

$ -

$ - 

11

$ -

Program pays 75%
User pays 25%

$500.00

12

$ -

$500.00

13

$ -

$500.00

14

$ -

$500.00

15

$ -

$500.00

16

$ -

$1,000.00

17

$ -

$1,000.00

18

$ -

$1,000.00

19

$ -

$1,000.00

20

$ -

$1,000.00

21

$ -

$1,000.00

22

$ -

$1,000.00

23

$ -

$1,000.00

24

$ -

$1,000.00

25

$ -

$1,000.00

26

$ -

$1,000.00

27

$ -

$1,000.00

28

$ -

$1,000.00

29

 $ -

$1,500.00

30

 $ -

$1,500.00

 

Vision Care Benefits

Band Cost Share Family Maximum
1 No user cost -

Benefits only available to eligible residents in Income Band 1

Dental Benefits

Band Cost Share Family Maximum
1 No user cost -

Benefits only available to eligible residents in Income Band 1