MEMBERSHIP FORMS
MEMBERS!
Do we have your up-to-date contact information?
Ensure we have your up-to-date contact and banking information.
need to update us?
Email: Office@nuchatlaht.com
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MEMBERS!
Do we have your up-to-date contact information?
Ensure we have your up-to-date contact and banking information.
need to update us?
Email: Office@nuchatlaht.com
|
WHAT IS COVERED? |
WHAT IS NOT COVERED? |
Your MT Benefits provide assistance with the cost of meals, accommodation and transportation to help you travel to a medical appointment outside your community of residence. MT coverage is intended as a supplement and may not cover the full cost of your travel.
You can access medical transportation benefits if you are traveling to:
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Some types of travel are Exclusions. Exclusions cannot be covered as an exception and cannot be appealed.
MT benefit Exclusions include, but are not limited to:
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Daily rate for same-day travel
over six hours $17.00 per person |
Nightly Rate for short-term travel
up to 6 nights $68.00 per night per person five years old and over $29.00 per night per person under five years old |
Weekly Rate for overnight trips
of seven nights or more $283.00 per week per Client $425.00 per week per Client and approved escort* |
Patient Travel
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Confirmation Client Attended
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Q. What is the Membership Support Application?
A. The Membership Support application allows our membership to access Emergency Hardship Funding to ease financial hardship and assist paying off bills or purchasing items of need. The Membership Support Application is available for members that are experiencing financial hardship. Application may be accessed once per fiscal year/per member, and must be filled out completely before submitting to the office. |
For registered Youth/children to attend the annual Fair events.
APPLICATION PROCESS: Reimbursement. We will issue a reimbursement to cover the costs of admission and ride passes. Please ensure your banking information is up-to-date. *Proof of payment must be submitted to Office@nuchatlaht.com (in form of receipt and/or photo of wrist band) |
REGISTER CHILD/YOUTH
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REGISTER ADULT
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STATEMENT OF CONSENT FOR TRANSFER OF AN ADULTThis document is for individuals wanting to transfer from a 3rd-Party First Nation to the Nuchatlaht First Nation. Use this document if you are of age 16 years or older.
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STATEMENT OF CONSENT FOR TRANSFER OF A CHILDThis document is for parents that want to transfer their child(ren) from a 3rd-Party First Nation to the Nuchatlaht First Nation. Parents please use this document if your child is 15 years or younger.
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