NIHB Handbook (PDF) - First Nations Health Directors Association
NIHB Handbook (PDF) - First Nations Health Directors Association
NIHB Handbook (PDF) - First Nations Health Directors Association
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Endodontic<br />
services<br />
(root canals)<br />
Prosthodontic<br />
removable<br />
services<br />
(dentures, partials)<br />
Anterior root canals (front teeth):<br />
• y Root canals may be completed on anterior teeth without<br />
predetermination; however, the <strong>NIHB</strong> Program’s Endodontic policy must<br />
be met.<br />
Posterior root canals (premolars and molars):<br />
• y Root canals for posterior teeth must be predetermined and must meet<br />
the <strong>NIHB</strong> Program’s Endodontic policy.<br />
Pulpotomies and pulpectomies (root therapy mostly performed on baby<br />
teeth):<br />
• y Primary posterior (canines and molar teeth): eligible without<br />
predetermination.<br />
• y Pulpotomies and pulpectomies are not eligible on teeth number 51, 52,<br />
61, 62, 71, 72, 81, 82 (baby front teeth).<br />
Open and drain (pain relief emergency service):<br />
• y Eligible without predetermination.<br />
• y Dentures (complete and partials) are eligible once (1) in any eight (8)<br />
year period. Predetermination is required.<br />
• y Coverage includes three (3) month post-insertion care including<br />
adjustments and modifications.<br />
• y For immediate dentures (post surgical dentures) an additional reline<br />
is permitted.<br />
• y Replacement of dentures within an eight (8) year period requires<br />
supporting rationale.<br />
y • Appliances to replace a single missing posterior tooth are not a<br />
covered benefit under the <strong>NIHB</strong> Program.<br />
10<br />
Your <strong>Health</strong> Benefits n A GUIDE FOR FIRST NATIONS TO ACCESS NON-INSURED HEALTH BENEFITS
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