Every permanent NWT resident should apply for health or medical care coverage. Residents are eligible if;
Note: You need to be 19 years and above to apply. The Health Services Administration Office might accept an application if you're 16 years and can prove you reside permanently and alone in NWT.
The following groups of individuals shouldn't apply for the NWT Health Care Card;
Those that have come to NWT for work on a short-term stint (under 12 months) should also not apply for the NWT Health Care because chances are high you'll return to your territory or home province within the year. If you'll need to visit a health centre or hospital or consult a doctor while in NWT, the health care card from your territory or home province is acceptable and it'll be unnecessary to pay for the needed services upfront.
It is necessary to inform the Health Services Administration Office if you intend to travel outside the NWT for over 90 days. You can do this by submitting a Temporary Absence Form. The notification is handy at preventing any form of delays in the payment of any medical services that might be necessary while you're temporarily out of the country or territory.
The following documents should be attached to the Temporary Absence Form anytime you're outside the NWT temporarily because you are:
For residents of NWT that are travelling outside the country, the cost of medically-necessary services for sudden or emergency illness is reimbursed at the NWT rates (only in CAD). It is your obligation to pay for the difference between the amount reimbursed and the amount charged.
The difference can be considerable. Consequently, it is prudent to have travel insurance when outside the country.
For NWT residents going outside the territory but within the country, the cost of the medically-necessary services received from a hospital or doctor in Canada is covered. Nonetheless, things such as medevacs or ground ambulances aren't covered. For this reason, it is wise to get travel insurance if travelling outside the territory.
What happens if you move outside the NWT? When you move outside the territory to reside permanently in another region but within Canada, you'll continue to enjoy coverage for all medically necessary services for 3 months after you've left NWT. It is your obligation to register in your new territory/province within one month of arrival to prevent any interruptions in your healthcare coverage.
If you move outside the country, the coverage ends on your departure date from the NWT. Inform the Health Services Administration Office when moving from the territory permanently.
If you recently moved to the NWT from other parts of Canada, you'll become eligible for the health care card NWT on the maiden day of the 3rd month immediately after the month you became an NWT resident. For instance, if you arrive on 4th July, you'll become eligible for coverage on 1st October.
If you have any questions concerning your travel out of the territory, whether temporarily or permanently, it is prudent to contact the Health Services Administration Office.
Any permanent Northwest Territories resident can apply for an NWT Health Card. Residents are eligible if they're entitled to remain or be in Canada lawfully. Secondly, you're eligible for applying for the card if you make your home in and are normally present in the Northwest Territories.
You can apply for the NWT health care coverage by completing and submitting the NWT Application for Health Care form. Application is done through three main ways;
You can apply for the healthcare card in person by sending a mail to this address;
Note: If applicable, ensure you provide all the necessary documentation indicating you're Métis, First Nations, Inuit, or Inuvialuit. These documents are an indication of your legal right to be Canadian.
Here are the forms and documentation required;
When it comes to residency, you need to provide valid documents that indicate your name as well as your current NWT home address. On top of the documents listed, other Government-issued documents to be considered (include but not limited to);
Note: Make sure that the name on all your supporting documents matches the name on your application. If you've recently moved to the NWT and have plans of residing here for over a year but can't obtain two documents from the list, you need to contact the Health Services Administration Office via phone - at 1-800-661-0830 (toll-free) or email - email@example.com.
When it comes to forms, you can get the NWT Application Health Care forms at the eServices Portal. PDF forms are also available at health centres, health clinics, hospitals as well as the Health Services Administration Office.
If your NWT Health Card has expired, you can renew it stress-free. Replacement for lost or damaged cards is equally a breeze.
So when does it become necessary to renew your card? Renewal can be done in any of these scenarios;
Note: It is your responsibility to renew your card. This can be completed four months prior to the expiry date. For those with a Temporary Absence Form on file, the NWT Health Care Card Renewal Form is acceptable.
Your card cannot be renewed unless the completed renewal form is received. If the card is expired for over one year, then you'll need to submit a brand new application for the card coupled with proof that you are a resident of the NWT.
Have you sent your renewal form but haven't received a new card in the mail? If yes, then the staff will verify that your registration is updated if you require services at an NWT health centre or hospital.
If you have any questions regarding card renewal, check the FAQs on Health Care Card Renewal.
If you've damaged or lost your card, contact the Health Services Administration Office and make a request for a new card. Filling out a form, in this case, isn't necessary. Upon verification of your identity, the Health Administration Office issues a new card via mail.
You don't need to pay for anything to have your card replaced. The Health Services Administration Office takes care of everything.
You'll need to update the information on your health card if you change your;
Note: In case you change any of the above, you must notify your Health Services Administration regarding the changes to personal information to avoid any disruption to your coverage.
To change the address information on your card, complete and submit this form. The change form is always available at the Health Services Administration Office. You'll need to have a valid NWT Health Care Card to effect the changes.
The NWT Health Plan covers basic medical and hospital treatment. Anyone with a binding NWT Health Care Card can receive treatment in an NWT medical clinic, health centre, or hospital and won't have to pay for the medically-necessary health services.
Here's what is covered by NWT Health Plan (registration is necessary to receive these services);
Other restrictions and limitations might apply.
The NWT Health Care Plan only covers prescription drugs if prescribed by a doctor and administered in a hospital. Nevertheless, prescription drugs might be covered for eligible expenditures under the Metis Health Benefits as well as Extended Health Benefits.
The GNWT sponsors a senior's program tailored to offer eligible NWT residents of ages 60 and above access to an array of benefits not covered by medical and hospital insurance. Through the program, senior citizens receive coverage for eligible dental services, prescription drugs, medical equipment, and supplies as well as vision care. Seniors also get benefits touching on medical travel like ambulance services, travel, accommodation, and meals.
To enjoy the benefits of the extended program for seniors, anyone of age 60 and above should apply for the Extended Health Benefits for Seniors Program.
Note: Comparable coverage touching on seniors is offered to indigenous Metis residents of NWT via the Metis Health Benefits Program. It is available to First Nations and Inuit NWT residents via the Indigenous Services Canada's NIHB program.
Certain services offered by the health professionals aren't covered in the plan. Furthermore, the plan does not offer coverage for extended benefits such as medical supplies, dental services, eyeglasses, and medicine from a drugstore.
Nonetheless, extended health benefits might be available through;
If ineligible for these programs, some private insurance companies might provide coverage for any extended health benefits service.
The services not covered in the plan include;
If you need more information on what's covered and what is not covered, then contact the Health Services Administration.
NWT Health also provides extended health benefits to Metis and non-aboriginal residents for certain diseases. Coverage is entirely for medical equipment/supplies and prescription drugs. Through the Extended Health Benefits program, the GNWT offers extended benefits for conditions with particular benefits not provided by medical care and hospital insurance.
The program provides coverage for eligible medical equipment and supplies as well as prescription drugs. You can also enjoy benefits touching on medical travel like accommodation and meals. For more information on extended health benefits.