Dentists That Accept NIHB in North York
First Nations and Inuit patients with NIHB coverage can receive their dental care at Walk In Family Dentistry in North York with no out-of-pocket cost for eligible services. Our team treats NIHB clients and manages the claim process for you through direct billing.
Non-Insured Health Benefits (First Nations & Inuit)
The Non-Insured Health Benefits program is a federal program run by Indigenous Services Canada that helps eligible First Nations and Inuit clients with dental costs. If patients also hold a provincial or private plan, they should use that coverage first. NIHB assists with eligible costs left over. Express Scripts Canada processes the program’s dental claims.
Walk In Family Dentistry Accepts NIHB Patients
Who Qualifies for NIHB First Nations & Inuit Dental Coverage
NIHB dental coverage is open to eligible clients in these groups:
- First Nations people registered under the Indian Act (status Indians)
- Inuit recognized by an Inuit land claim organization
- Children under 2 years old whose parent is an eligible NIHB client
If you belong to any of these groups, you don’t need an application. Anyone who meets one of these criteria can use their NIHB dental benefits right away.
NIHB Dental Coverage List
NIHB pays for a wide range of everyday and medically necessary dental care, including:
- Diagnostic services such as exams and X-rays
- Preventive services such as cleanings and fluoride
- Sealants for eligible ages
- Fillings and other restorative treatments
- Root canal treatment for most teeth
- Simple and surgical extractions
NIHB Dental Coverage Amount & Fee Guide
NIHB dental fees in Ontario are set by the province’s NIHB Regional Dental Benefit Grid. When you are eligible, and we bill the program directly, there is no deductible and no co-payment on covered services. Express Scripts Canada publishes the current grid; we confirm the details that apply to your treatment beforehand.
Predetermination for Certain Services
A few treatments are covered but need predetermination, which means NIHB must review and approve the plan before treatment. Crowns and orthodontic treatment are common examples. Our office submits this request to Express Scripts Canada, then books your care after receiving the approval.
| Dental Service | NIHB Coverage | Notes |
|---|---|---|
| Exams and X-rays | Covered | Frequency limits apply by age |
| Cleanings, scaling, polishing | Covered | Frequency limits apply |
| Fluoride | Covered | — |
| Sealants | Covered | Up to age 18 |
| Fillings | Covered | — |
| Extractions (simple and surgical) | Covered | — |
| Root canals (most teeth) | Covered | Wisdom teeth need pre-approval |
| Complete dentures | Covered | Typically once in any 8 years per arch |
| Denture repairs | Covered | — |
| Crowns | Covered with pre-approval | Typically once in any 3 years |
| Initial partial dentures | Covered with pre-approval | — |
| Root canals on wisdom teeth | Covered with pre-approval | — |
| Braces | Covered with pre-approval | Strict criteria, ages 0 to 17 |
| General anaesthesia | Covered with pre-approval | — |
| Veneers | Not covered | — |
| Mouth guards and night guards | Not covered | — |
| Bone grafts | Not covered | — |
| Teeth whitening and cosmetic work | Not covered | — |
Covered Pre-approval needed before treatment starts Not covered
How to Access NIHB Services
Book a visit online or by phone.
Bring your status card or NIHB client identification with you.
We check your eligibility and confirm what NIHB covers for your treatment.
We submit the claim to Express Scripts Canada, so eligible services are billed to the program.
NIHB Dentists Near Toronto
Our North York clinic is easy to reach for NIHB patients across Toronto and the surrounding area. First Nations and Inuit patients across Toronto can book online or call our office to get started. We will verify your coverage and submit your claim to Express Scripts Canada.