Akwesasne Non-Insured Health Benefits

The ANIHB Program is a benefit program based on the 1979 Indian Health Policy, the 1997 NIHB Renewed Mandate, and the Health Canada/MCA Transfer Agreement of 1995. The program provides a range of health benefits to meet medical or dental needs not covered by provincial or other third party health plans. These benefits and services complement provincially insured health care programs such as doctors’ visits, diagnostic tests and hospital services. The ANIHB program is not a substitute for provincial health plan coverage. A valid Health card and status number are required for all services available.

Eligibility Criteria for ANIHB coverage:

  • Registered with the Mohawks of Akwesasne
  • Be a resident of Canada
  • Possess a valid provincial health card (OHIP, RAMQ/QHIP, etc)

Vision Care

  • Eyeglasses that are prescribed by a vision care professional
  • Eye Examinations

Frequency Guidelines: 1-17yrs & 65+ old: 1 frame per year; 18-64 years old: 1 frame per 2 years

Dental Care

  • Preventative services: Polishing, scaling, exams, radiographs (x-rays)
  • Restorative Services: fillings, crowns
  • Orthodontic Services: Braces (0-17 years)
  • Dentures, extractions, root canal treatments

Pharmacy Benefits

Steps for Exception Drugs:

1. Obtain prescription

2. Go to pharmacist. The pharmacist will contact the ANIHB to obtain approval

3. The ANIHB will process approval and your pharmacist will contact you when the decision is made

Medical Supplies and Equipment

  • Pressure garments and compression stockings
  • Medical supplies (eg. Dressings and bandages)
  • Medical equipment (eg, walkers)
  • Orthotics and custom footware
  • Oxygen supplies and equipment
  • Hearing aids

 Medical Co-Pay Program: 

  • QHIP/RAMQ patients seeking medical services in Ontario.
  • Physician must be registered with the ANIHB program and not be registered to bill to RAMQ directly

Medical Transportation

  • Travel cost and living expenses if needed (meal and accommodations) for medically necessary health services that are not available in the residence location: to the nearest professional.
  • Medically necessary health services include: appointments with physicians, hospital care, medical treatments
  • Emergency transportation (eg ambulance)

ANIHB Appeals Process

Services that are not covered: 

  • US Medical Bills
  • Dental Implants
  • Medical Marijuana
  • Fertility Medications
  • Weight-loss Medications
  • Benefits that are covered under federal or provincial health cards
  • Cosmetic procedures