Alberta Health

8/6/2019 Alberta Health

1/32

1

Essential Information for

Albertans from Alberta

Health and Wellness


2/32

2

Alberta Health Care

Insurance Plan

The Alberta Health Care Insurance Plan

provides eligible residents of Alberta and their

dependants with:

coverageformedicallyrequired

servicesprovidedbyphysicians;

coverageformedicallyrequiredoral

andmaxillofacialsurgeryand

medicallyrequireddentalservices;

coverageformedicallyrequiredstays andservicesinAlbertahospitals;and

somecoverageforservicesprovided

byoptometrists,chiropractorsand

podiatrists(servicesmustbeprovided

in Alberta).

TheScheduleofBenets,whichlistservices

andratespaidfortheseservices,are

available on the Alberta Health and Wellnesswebsite at www.health.alberta.ca.

Alberta Personal Health Card

Personal Health Number

Gender Birthdate

Year Mo Day

You are eligible for health insurance coverage provided you are a resident of Alberta.

Please protect this card.

12345-0000

Jane Lisa Doe

1960/11/16

Sample

F


3/32

3

Table of

Contents

Eligibility

Registration

Changes to Coverage

Benets

Exclusions

ProgramsandBenetsforSeniors

SupplementaryCoverage

(Alberta Blue Cross)

TravelandTemporaryAbsence

Moving

Other Health Care ServicesContact Alberta Health

and Wellness

4-5

6

7-8

9-12

13-14

15

16-18

19-23

24-25

26-27back

cover


4/32

4

Allpermanentresidents

ofAlbertamustregister

themselvesandtheir

dependants (if applicable) with the

Alberta Health Care Insurance Plan.MembersoftheCanadianArmedForces,

theRoyalCanadianMountedPolice,and

federalpenitentiaryinmatesarenoteligible

forcoverage,buttheirdependantswho

residein Alberta are.

An Alberta resident is dened as aperson who is:

legallyentitledtobeortoremainin

Canadaandmakeshis/herpermanent

homeinAlberta;

committedtobeingphysicallypresent

inAlbertaforatleast183daysina 12-monthperiod.(Note:AlbertaHealth

andWellnessconsiderstemporary

absencesasperiodsofphysicalpresence);

notclaimingresidencyorobtaining

benetsunderaclaimofresidencyin anotherprovince,territoryorcountry;

anyotherpersondeemedbythe

regulations to be a resident but not

includingatourist,transientorvisitorto Alberta.

For the purpose of Alberta Health Care

Insurance Plan coverage, a dependant is

dened as:

aspouse(marriedcouplesthatreside

togethermustregistertogether;

Eligibility


5/32

5

separatedcouplesmayregistertogether

orseparately;divorcedcouplesmust

registerseparately);

anadultinterdependentpartner*

(mayregistertogetherorseparately) asinglechildand/oranadoptedchild,

under21yearsofageandwholly

dependentonhis/herparent(s).Incases

ofseparationordivorce,thecustodial

parent should register the child. In cases

ofjointcustody,thechildisregisteredon

theaccountagreedtobybothparents,

generallywiththeparentthechildresides

withthemost;

afosterchildand/orwardofthecourt,

ifanincometaxdeductionwasclaimed;

asinglechild21yearsofageorolder

andwhollydependentontheparent(s)

becauseofaphysicalormentaldisability;and

asinglechildunder25yearsofageand

enrolledinthreeormorecoursesatan

accredited educational institute. Proof of enrolmentmayberequired.

*An adult interdependent partneris a personwho lives with another person in a relationship ofinterdependence:

foracontinuousperiodofnotlessthan threeyears;or

ofsomepermanence,ifasaresultofthe relationshipthepartnershaveachildby birthoradoption;or

ifthepartnershaveenteredintoanadult interdependentpartneragreementas

provided for in theAdult InterdependentRelationships Act. TheAdultInterdependent Relationships Actmaybe

viewedatwww.qp.gov.ab.ca. 5


6/32

6

Registration

AllresidentsofAlbertamustregister

themselvesandtheireligibledependantswith

the Alberta Health Care Insurance Plan.

Newandreturningresidentsarerequiredto

providedocumentsthatprovetheiridentity,legalentitlementtobeinCanadaandAlberta

residencywiththeirregistrationforms.

Registrationformsareavailablefrom

employers,associations,unions,anAlberta

HealthandWellnessofce,orfromtheAlberta Health and Wellness website at www.

health.alberta.ca.

Registration is required by law,however,

Albertansmaychoosetoformallyoptoutof the Alberta Health Care Insurance Plan.

Please contact an Alberta Health and

Wellnessofcefordetails.

Followingregistration,AlbertaHealthandWellness sends each person their Alberta

Personal Health Card with their personal

healthnumber.YourAlbertapersonalhealth

carenumberandcardareyourpersonal

keytopublicly-fundedhealthservices,and

theyarealinktoyourhealthinformation.No

oneelsehastherighttousethem.Toreport

casesofsuspectedmisuseofahealthcare

cardornumbercalltoll-free:

1-866-2785104

Please note:Youmaybeaskedtoshow

pictureidenticationaswellasyourpersonalhealthcardwhenyouobtainhealthservices.


7/32

7

Changes to Coverage

Toensurethatregistrationinformationstays

current,pleasenotifyAlbertaHealthand

Wellnessofanychangesthatmayaffectyour

coverage.Thisincludesaddingorremovinga

dependantfromyouraccountandchangesofnameoraddress.

Adding a dependant (Referbacktopages4and5foralistofwhoqualies

as a dependant.)If Alberta Health and Wellness receives

noticationwithinonemonthoftheevent

(e.g.marriage,adultinterdependentpartner

relationship),thedependantisaddedtothe

accountthedateoftheevent.Otherwise,thedependantisaddedtherstdayofthemonth

followingnotication.

Deleting a dependant

If Alberta Health and Wellness receives

noticationwithinonemonthoftheevent

(e.g.divorce,childleaveshome),the

dependantisdeletedfromtheaccount

thedaybeforetheevent.Otherwise,thedependantisdeletedthelastdayofthe

monthinwhichnoticationisreceived.


8/32

8

Newborn baby

Most babies born in

Alberta hospitals are

registeredbythehospital

and coverage is effective

the date of birth. If the

hospitaldidnotregisterthebaby,coverage

can still be effective the date of birth if

noticationisreceivedwithinthreemonthsfromthedateofbirth.Otherwise,theeffective

dateisdeterminedatthetimeofnotication.

IfthebabysAlbertaPersonalHealthCardis

notreceivedwithinamonthofregistration,or

iftheinformationonthecardisnotcorrectorcomplete,pleasecontactanAlbertaHealth

andWellnessofce.

Name and address changes

ItisimportanttonotifyAlbertaHealthand

Wellness of changes as soon as possible.

ChangescanbemadebyllingoutaNotice

of Change formavailablefromemployers,

associationsorunions,oranAlbertaHealthandWellnessofce.Changescanalsobe

madeatanyAlbertaRegistryAgentorfrom

the Alberta Health and Wellness website at

www.health.alberta.ca.


9/32

9

Benets

Albertans who are registered with the Alberta

Health Care Insurance Plan are entitled to

anumberofhealthcarebenets.These

benetsmaybepaiddirectlybytheAlberta

HealthCareInsurancePlanortheymaybeprovidedbyahealthregionortheAlberta

CancerBoard.Benetsforhealthservices

covereddirectlybytheAlbertaHealthCare

InsurancePlanarepayablewhetherthey

are obtained within Alberta or elsewhere inCanada,withtheexceptionofprivatefacility

fees. The Alberta Health Care Insurance

Planpaysmedicalbenetsaccordingtothe

ratesestablishedbyotherprovincial/territorial

health plans.

Physician services

The Alberta Health Care

Insurance Plan provides full

coverageformedicallyrequired

servicesprovidedbyphysicians.

Physiciansareinthebestpositiontoadvise

which health care services are covered.

Alternatively,thisinformationisintheScheduleofMedicalBenets,whichare

available on the Alberta Health and Wellness

website at www.health.alberta.ca.

Oral and maxillofacial surgery anddental services

Somespecicdental/oralandmaxillofacial

surgeryservicesperformedbyadentistare

fullycovered.Examplesofinsuredservices

includecystremoval,jointandjawsurgeryandbonegrafts.Toothrelatedtreatmentsare


10/32

10

Benets

Continued ...

not an insured service. Dentists cannot

charge their patients for insured services

coveredbytheAlbertaHealthCare

InsurancePlan.However,dentistscan

charge for uninsured services (such asx-rays)theyperforminassociationwithan

insuredservice.Askyourdentistformore

details.

Chiropractic servicesBenetsforchiropracticvisitsandx-rays

arepayableatspecicratesperserviceto

amaximumof$200perpersoninabenet

yeariftheservicesareprovidedinAlberta.

ChiropractorscanchargemorethanwhattheAlbertaHealthCareInsurancePlanpays.

Thepatientortheirsecondaryinsureris

responsibleforpayingtheseadditionalcosts.

Askyourchiropractorformoredetails.

Podiatry services (foot care)

Benetsforsomeservices

providedbyapodiatristare

payableatspecicratesperservicetoamaximumof$250

perpersoninabenetyearifthe

services are provided in Alberta.

Podiatristscanchargemorethan

what the Alberta Health Care Insurance Planpays.Thepatientortheirsecondaryinsurer

isresponsibleforpayingtheseadditional

costs.Askyourpodiatristformoredetails.


11/32

11

Optometric services (vision)

Benetsarepayableifthe

services are received in

Alberta.Benetsarelimited

toonecompleteexam,onepartialexamandonediagnostic

procedureperbenetyearforchildren

under19yearsofageandseniors65

yearsofageandover.Thereareadditional

benetsforsomeconditions.Optometrists

cannot charge their patients for services


InsurancePlan.Askyouroptometristfor

moredetails.

Hospital services

Alberta Health and Wellness provides

fundingtohealthregionsformedically

requiredinpatientandoutpatienthospitalservices. There is no additional charge to

Albertans for insured hospital services.

However,ahospitalcanchargefornon-

insuredservices(e.g.private/semiprivate

room).

Insured hospital services include:

medicallyrequireddiagnostic,clinical

laboratoryandnursingservices;

medicationsgiventohospitalinpatients (patientsmayhavetopayfor

prescriptionmedicationsprovidedin

hospitaloutpatientdepartments);and

accommodationatastandardward

rate(semi-privateorprivate

accommodationandsomeother

services are not covered).


12/32

12

Services covered by the Alberta Health

Care Insurance Plan and the amounts

paid for health services are subject to

change. Discuss coverage with a doctor

or other health care provider, refer tothe Alberta Health and Wellness website

at www.health.alberta.ca, or contact

an Alberta Health and Wellness ofce

about coverage for a treatment before

proceeding.

Statement of Benets Paidis a list of

practitioner services a person received

duringaspeciedperiod.Astatementcan

beobtainedfreeofchargeforthemostrecentcompletebenetperiod(July1to

June30),plusthecurrentyeartodateby

calling the Alberta Health and Wellness

automatedrequestsystemat780-427-0845

withinEdmonton.Tocalltoll-freefromwithin

Albertadial310-0000,then780-427-0845

whenprompted.Statementscanalsobe

requestedforuptosevenbenetyearsat

achargeof$63.60perrequest. Requestsfor statements that cover more than

the free period must be in writing and

accompanied by a cheque or money

order.

Please note:TheStatementofBenetsPaid

does not include hospital services. The cost

oftheseservicescanbeobtainedfromthe

hospitalthatprovidedthem.


13/32

13

Exclusions

SomeservicesareNOTcoveredbythe

Alberta Health Care Insurance Plan.These

include,butarenotlimitedto:

cosmeticsurgery,

experimentalprocedures,

researchprogramprocedures,

transportationcosts(contactyour

healthregion),

medicaladvicebytelephone(unless

otherwise stated in the Schedule of

MedicalBenetsorScheduleofOraland

MaxillofacialSurgeryBenets),

medical-legalservices,

anestheticchargesforservicesnot


Insurance Plan (for dental service

exceptions,pleasecontactthedentist performingtheservices),

routineeyeexamsforresidents19to64

yearsofage,

routinedentalcare,dentures,

eyeglasses,

hearingaids(contact780-427-0731

inEdmontonortoll-freewithinAlbertaat

310-0000,then780-427-0731when promptedtodetermineifcoveragefor

these services is available through the

AlbertaAidstoDailyLivingprogram),


14/32

14

Exclusions

Continued...

medicalandsurgicalappliances/supplies

(contact780-427-0731inEdmonton

ortoll-freewithinAlbertaat310-0000,

then780-427-0731whenpromptedto

determineifcoveragefortheseservices is available through the Alberta Aids to

DailyLivingprogram),

clinicalpsychologistservices,

prescriptiondrugs(government sponsoredsupplementarycoverageis

availablefromAlbertaBlueCrosssee

pages16and18),

third-partymedicalservices(e.g.for employment,insuranceorsports

purposes;andfordriverslicensesfor

individualsunder74.5yearsofage),

immunizations(contactyourlocalhealth

regionforexceptions),

servicesprovidedbyanacupuncturist,

licensedmassagetherapist,midwife,

homeopath,socialworkerornutritionist,

chiropracticservicesprovidedunder

theDiagnosticandTreatmentProtocols

Regulation for the diagnosis and

treatmentofminorinjuriesresultingfrom

motorvehicleaccidents, somehospitalservices,suchasaprivate

orsemi-privateroom,

chiropractic,podiatryandoptometric

services obtained outside Alberta.


15/32

15

Programs and Benets

for Seniors

Alberta Blue Cross Coverage forSeniors

Alberta Health and Wellness provides

seniors and the dependants covered on their

accounts with Alberta Blue Cross coverage atnocost.Thisissupplementarycoveragefor

prescription drugs and other services. Seniors

mustprovideproof of their age to receive this

benet.

Optical and Dental Assistance for Seniors

ProgramsareavailablethroughSeniorsand

CommunitySupports.Formoreinformation

onthesetwoprograms,contacttheSeniors

InformationLineinEdmontonat

780-427-7876,toll-free for the rest of Alberta

at1-800-642-3853, or visit the website at

www.seniors.gov.ab.ca.

Acomprehensivelistofservicesforseniors

is in the Seniors Programs and Services

Information Guide.Toobtainacopy,contact

theSeniorsInformationLineinEdmontonat

780-427-7876,toll-freefortherestofAlbertaat1-800-642-3853,orvisitthewebsiteat

www.seniors.gov.ab.ca.


16/32

16

Supplementary Coverage

(Alberta Blue Cross)

Alberta Health and Wellness funds the

following Alberta Blue Cross non-group

supplementaryhealthcareplans.

Alberta Blue Cross Non-GroupCoverage

Coverage is available to residents under

theageof65yearssubjecttothepayment

ofpremiums.Thiscoverageprovidesthe

followingbenetswithsomerestrictionsand/ormaximumlimits:prescriptiondrugs;

ambulanceservices;clinicalpsychological

services;homenursingcare;prostheticand

orthoticbenets;mastectomyprosthesisand

hospitalaccommodationinaprivateorsemi-

privateroom.

Multiple Sclerosis (MS) drug coverage is also

available under the Alberta Blue Cross

Non-Groupplansubjecttopriorapproval

fromtheMSDrugReviewPanel.Coverage

isprovidedforspecicdrugsusedin

thetreatmentofrelapsing/remittingMS.

ApplicationsandmoreinformationareavailablebycontactinganAlbertaHealthand

WellnessofceorfromtheAlbertaHealth

and Wellness website at www.health.alberta.

ca.

Alberta Blue Cross Coverage forSeniors

Seepage15forinformationaboutthis

coverage.


17/32

17

Payment Options

Pre-Authorized Payment Plan

ThePre-AuthorizedPaymentPlanprovidesa

convenientandreliablewaytopaypremiums

monthly.Applicationsareavailableby

contacting an Alberta Health and WellnessofceorfromtheAlbertaHealthand

Wellness website at www.health.alberta.ca.

Premium Subsidy Program

Non-seniorAlbertanswithlowerincomes

areencouragedtoapplyforthePremium

SubsidyProgram,whichmayreduceyour

non-groupBlueCrossPremiums.Eligibility

forthisprogramisbasedontheaccountholders(and,ifapplicable,theirspouses

orpartners)taxableincomeforthetaxation

yearimmediatelybeforethesubsidyperiod

(April 1 to March 31).

Applicationsforthisprogrammaybe

submittedforthecurrentsubsidyperiod,plus

twopreviousperiodsimmediatelybefore

thecurrentsubsidyperiod.Applicationsand

informationregardingqualifyingtaxableincomelevelsareavailablebycontactingan

AlbertaHealthandWellnessofceorfrom

the Alberta Health and Wellness website

atwww.health.alberta.ca.Information

andapplicationsarealsoavailablefromemployers.


18/32

18

Supplementary Coverage

Continued ...

Alberta Blue Cross Palliative CareDrug Coverage

AlbertaHealthandWellnessofferspremium-

free Alberta Blue Cross coverage for drugs

requiredbyresidentswhoarediagnosedaspalliative;whosephysiciansornurse

practitioner have applied for the coverage on

theirbehalf;andwhoarereceivingtreatment

athome.Applicationsandmoreinformation

areavailablebycontactinganAlbertaHealth

andWellnessofceorfromtheAlberta

Health and Wellness website at www.health.

alberta.ca.

Please note: Claims for any of the

government sponsored Alberta Blue

Cross Plans must be received by

Alberta Blue Cross within 12 months of

the service date to be considered forpayment.

Private health care insurance

Albertanscanpurchasesupplementaryhealthinsurancecoveragefromprivate

insurers to help with costs for services that

areonlypartiallycoveredornotcovered

bytheAlbertaHealthCareInsurancePlan.

Individuals interested in purchasing additionalhealthinsurancecoverageshouldspeak

withtheiremployerorcontactaprivate

insurerdirectlytodeterminewhatcoverage

is available. Supplementary health

insurance coverage cannot be purchased

through the Alberta Health Care Insurance

Plan.


19/32

19

Travel and Temporary

Absence

Whentraveling,Albertansshouldalwayscarry

their Alberta Personal Health Card and show it

whentheyobtainhealthservices.

WhentravelingoutsideAlberta,itisimportantto note that the Alberta Health Care Insurance

Plandoesnotcoversomehealthservicesand

therearemaximumbenetsonsomeservices

thatarecovered.Hospitalservicesmustbe

providedinageneralorauxiliaryhospitaltobeeligible for coverage.

Tobeeligiblefortreatmentofdrugand/

oralcoholabuse,eatingdisordersorother

behaviordisordersoutsideAlberta,prior

approvalmustbeobtainedfromAlbertaHealth

and Wellness.

ResidentswhowillbeabsentfromAlbertaformorethansixmonths,arerequiredto

contactanAlbertaHealthandWellnessofce

before leaving to ensure Alberta Health Care

InsurancePlancoverageismaintained.

MoreinformationonAlbertaHealthCare

Insurance Plan coverage while traveling

outside Alberta is available on the Alberta

Health and Wellness website at www.health.

alberta.ca,inthebrochureTravel Health Insurance Matters,orby

contacting an Alberta Health

andWellnessofce.


20/32

20


Absence Continued ...

Travel within Canada

Claimsformedicallyrequiredphysician

and hospital services received elsewhere

inCanadaareusuallybilledautomatically

to the Alberta Health Care Insurance Plan(exceptphysicianservicesinQuebec).Travel

insuranceisrecommendedtocovercostsfor

ambulanceservices,privateandsemi-private

roomaccommodations.Medicalclaimsare

paid at the established rates of the province

orterritorywheretheserviceswereobtained.

Apatientmaybeaskedtopaydirectlyfor

oral surgical services received outside

Alberta.AclaimmaybesubmittedfortheseserviceexpensestotheAlbertaHealthCare

InsurancePlanforreimbursementatAlberta

rates.

Travel outside Canada

Costs for health care services obtained

outside Canada are high. Alberta Health

and Wellness recommends that everyone

purchase travel health care insurance,

even for short trips. To ensure travelinsuranceisadequate,travelersshould

considerallpre-existingconditionstheymay

have.Thiswillgreatlyreducetheriskofany

unexpectedmedicalcostsforthetraveler.

Travel health insurance is not available

through the Alberta Health Care Insurance

Plan. See private health insurance section

onpage18forinformation.

MoreinformationonAlbertaHealthCareInsurance Plan coverage while traveling

outside Alberta is available on the Alberta

Health and Wellness website at


21/32

21

www.health.alberta.ca,inthebrochure

Travel Health Matters,orbycontacting an

AlbertaHealthandWellnessofce.

Out-of-countrypractitionerservices

arepayableatthesamerateanAlbertapractitionerwouldreceiveforthesame

orasimilarservice,ortheamountpaid,

whicheverisless.Themaximumamount

paid forinpatient hospital care provided

outsideCanadais$100perday(inCanadianfunds),andinpatienthospitalbenetsarenot

payableforthedayofdischarge.Amaximum

benetof$50(inCanadianfunds)ispayable

for one outpatient hospitalvisitperday.

Hospitalbenetsareinclusiveofx-rays,lab

tests,roomandboard,etc.

Temporary absence

ResidentsmustmaintaintheirAlberta

HealthCareInsurancePlancoverageifthey

temporarilyleaveAlbertaforanotherpartof

Canada and intend to return to Alberta within

12months,ortemporarilyleaveCanadaand

intendtoreturntoAlbertawithinsixmonths.

Iftheyleaveforalongerperiodoftime,but

intendtoreturntoAlbertatolivepermanently,

theymayapplyforthefollowingextensionsof

coverage:

uptotwoyears(24months)fortravel, personal visits or educational leave (sabbatical);or

uptofouryears(48months)for absencesduetowork,businessor

missionaryservice;or thedurationoftimetheresidentis enrolledasafull-timestudentatan

accredited educational institute.


22/32

22


Absence Continued ...

Temporary absence continued ...

ResidentsnormallyinAlberta183daysof

theyearremaineligibleforcoverage.Ifthey

areawaylonger,butAlbertaisstilltheir

permanentplaceofresidence,theyneedtocontact an Alberta Health and Wellness

ofce to apply for continued coverage.

Submitting a claim

Claimsforhealthservicesreceivedoutside

Albertaandpaiddirectlybytheindividual,

mustbesubmittedwithin365daysofthe

servicedate.Thiscanbedonebyllingout

theOut-of-ProvinceClaimforPhysician/PractitionerServices(AHC0693).Thisformis

availablebycontactinganAlbertaHealthand

WellnessofceorfromtheAlbertaHealth

and Wellness website at www.health.alberta.

ca.Copiesofpaidbill(s)mustbeincludedtobe processed.

Please note: Separate bills are needed

for hospital services and for practitioner

services.IfthebillsarenotinEnglish,theymustbetranslatedintoEnglishbeforethey

aresubmitted.

Claimformscanbesubmittedbyfaxto780-422-1958ormailedto:

Alberta Health and Wellness

Out-of-Country/Out-of-Province

Claims

POBox1360,StnMain EdmontonABT5J2N3


23/32

23

Special out-of-country benetprograms

TheOut-of-CountryHealthServices

Committeemayapproveadditionalfunding

forpatientswhorequiremedicallynecessaryphysician,oralsurgeryandhospitalservices

not available in Canada. Applicants

requireareferralfromtheirphysicianwith

appropriatesupportingdocumentation.All

insuredelectivehealthservicesrequirepriorapprovalbytheCommitteetobeeligible

forpayment.Formoreinformationonthe

programvisittheAlbertaHealthandWellness

website at www.health.alberta.ca or call

780-422-0969inEdmonton,ortoll-freein

Albertaat310-0000thendial780-422-0969

whenprompted.


24/32

24

Moving

Moving to Alberta

Whenmovingto Alberta

from another province or

territory,AlbertaHealth

Care Insurance Plancoverageiseffectivetherst

dayofthethirdmonthfollowingthedateof

arrival.Registrationmustoccurbeforethe

rstdayofthefourthmonthafterthedateof

arrival.Ifanapplicationforregistrationislate,AlbertaHealthandWellnesswilldetermine

thedatecoveragebecomeseffective.

Whenmovingtoorreturningto Alberta from

outside Canada,coveragemaybeeffectiveon the date of arrival if the application for

registrationissubmittedwithinthreemonths

of arrival. If the application for registration

islate,AlbertaHealthandWellnesswill

determinethedatecoveragebecomeseffective.Todetermineeligibilityrequirements

forthoseholdingtemporaryimmigration

documents,pleasecontactanAlbertaHealth

andWellnessofce.

Newandreturningresidentswhoare

applyingforcoveragewiththeAlbertaHealth

CareInsurancePlanarerequiredtoprovide

documentsthatprovetheiridentity,legal

entitlementtobeinCanadaandAlbertaresidency.Coveragecannotbeprovideduntil

Alberta Health and Wellness receives these

documents.

Please Note:IfapersonmovestoAlberta

priortotheirfamilyandthefamilyplanstomovetoAlbertawithin12months,coverage

mustbemaintainedintheprovince


25/32

25

orterritorythefamilyislivingin.Alberta

Health Care Insurance Plan coverage should

beappliedforwithinthreemonthsofthe

arrivalofallfamilymembers.Coverageis

effectiveontherstdayofthethirdmonthafterthefamilysarrival.Ifthefamilywillnot

jointhepersoninAlbertawithin12months,

thepersonscoverageiseffectivetherst

dayofthe13thmonthfollowinghis/herarrival

in Alberta.

Moving from Alberta

Temporary move

Seetemporaryabsencesectiononpage22and23forinformation.

Permanent move

Whenmovingfrom Alberta to another

province or territory,AlbertaHealthCareInsurancePlancoverageremainseffective

forthebalanceofthemonthofdeparture,

plusthetwomonthsimmediatelyfollowing

departure. This ensures continuous health

care coverage until coverage in the newprovince/territorybegins.Anextramonthof

coveragefortraveltimecanberequestedif

required.

Whenmovingpermanentlyfrom Albertato another country,arrangementscan

bemadetoextendAlbertaHealthCare

Insurance Plan coverage for up to three

monthsfromthedateofdeparture.


26/32

26

Other Health Care Services

Public health servicessuchashomecare,speech-languagepathology,early

intervention,nutrition,immunization,

communityhealthnursingandenvironmental

healthareavailablethroughyourhealthregion.Somechargesmayapply.Contact

yourhealthregionfordetails.

Mental health servicesprovidedby

psychiatristsandotherphysicianswithinAlbertaatgovernment-fundedmentalhealth

clinics,communityagenciesorhospitalsand

areusuallyavailableatnocost.Theremay

beanaccommodationchargeforlong-term

treatment.Contactyourhealthregionformoreinformation.

Physical therapy services receivedinAlbertamaybecoveredbyyourhealth

regionsCommunityRehabilitationProgram.

Pleasecontactyourhealthregionformore

details.Physicaltherapyservicesprovided

outsideAlbertaareonlypayableinahospital

and paid in accordance with the out-patient

rateonly.


27/32

27

Questionsabouthospital,clinicallaboratory

orphysicaltherapybenets

shouldbedirectedtoyour

healthregion.Informationon

howtodeterminethehealthregionyouliveinorhowto

contactyourhealthregion,is

available on the Alberta Health

and Wellness website at www.

health.alberta.caorinyourlocaltelephonebook.

Coverage for services provided out-of-

province/out-of-countryaresubjectto

ratemaximums.SeethesectionsinthisbrochureonTravelandTemporaryAbsence

onpages21to25,as well as the prior

approvalrequirementsfortreatmentsrelating

toalcoholabuse,drugabuse,andeating

disorders on page 21.


28/32

28

Notes


29/32

29

Notes


30/32

30

Notes


31/32

31

Notes


32/32

Contact Alberta

Health and Wellness

Whenapplicable,pleasequoteyourAlbertapersonalhealthnumberwhenmakinganinquiry.Inquiriescanbemadethroughoneofthefollowingmethods:

MailAlberta Health and Wellness

POBox1360,StationMainEdmontonAB,T5J2N3

In person

Tolocatetheofcenearestyou,pleasetelephoneourofceorvisitourwebsite.

Phone

780-427-1432inEdmonton

Toll-free from other areas of Alberta

310-0000,thendial780-427-1432whenprompted

Deaf/hearing impaired callers with a TDD/TTY

IntheEdmontonareapleasecall780-427-9999.

Tocalltoll-freefromotherareasofAlberta,dial1-800-232-7215.Thisisnotavoiceline.

Fax

780-422-0102Edmonton

Websitewww.health.alberta.ca

E-mail

[email protected]

For your protection, please do not transmit

your personal health number or other

personal information by e-mail.

Date post:	08-Apr-2018
Category:	Documents
Upload:	tim-williams
View:	215 times
Download:	0 times

Alberta Health

Documents