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| Why is NHIP mandatory? |
| For NHIP to work for anyone, it must include everyone. If enrollment was voluntary, those who are young and don't need much care might choose not to enroll. This would mean only the sicker individuals would join the Plan and everyone would have to pay much more. This would make NHIP unaffordable. Also, if it was voluntary, as these young people aged and needed medical care, they would need to join the Plan and then there would not be enough money to pay for their services. |
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| Why are we introducing NHIP now? |
| NHIP needs to be in place six months before the new Interhealth Canada facilities are operational in early 2010 to allow adequate reserves so that we can pay for health care services as they are delivered. This is important, even with the significant amount of the money that the Government is contributing to the NHIP. |
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| How will I know if my private doctor is signed up with the NHIP? |
| NHIP will provide a list of all private doctors who have signed contracts. An updated list will be available on the NHIP website. The names of contracted private doctors can also be accessed by calling NHIP Customer Services. |
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| Who will decide which services I can get overseas under the NHIP? |
| The construction of the two hospitals should significantly reduce the need for medical referrals. However, the decision to send a person overseas is first a medical one, but it also has financial implications. Once the new hospitals are operational, Interhealth Canada will determine if it can provide the medical services required by the patient. If they cannot, they will recommend that the patient be sent overseas for care. The Medical Director of NHIP, who will be a doctor, will review this recommendation to determine if the care for which the patient is being referred, is covered by NHIP. If the care is covered, the NHIP will approve the referral for overseas care, in consultation with Interhealth Canada. In this case the NHIP will be responsible for paying the overseas provider directly. NHIP will monitor overseas care to control costs. The patient will be responsible for paying the co-payment and any non-covered expenses, directly to the overseas provider. |
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