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 |
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