Service Directory

Benefits provided

Prescription drugs

Prescription drugs listed in the Alberta Drug Benefit List are covered. The co-payment is 30% to a maximum of $25. A co-payment is the portion of the prescription cost you pay to your pharmacy when you have your prescription filled. For most prescriptions, you will not pay more than $25 for each prescription. Prescription drugs covered under the plan are listed in the Alberta Drug Benefit List.

Diabetic supplies

Diabetic supply coverage is for insulin-treated diabetics only. Up to a maximum of $600 per eligible person each benefit year is covered for diabetic supplies purchased from a licensed pharmacy. Diabetic supplies include needles, syringes, lancets, and both blood glucose and urine testing strips.

Ambulance services

Seniors, age 65 and over, enrolled in the Coverage for Seniors program do not receive a bill for ambulance services. AHCIP pays the complete cost of ambulance services.

Ambulance services are covered to the maximum rate established by the Alberta government for treatment, and transportation to and from a general, active treatment hospital in the event of illness or injury.

Transportation must be provided in a ground vehicle approved under the Emergency Health Services Act and regulations. It does not include interfacility transfer by ambulance.

Clinical psychological services

Coverage for clinical psychological services are up to $60 per visit, to a maximum of $300 per family each benefit year for treatment of mental or emotional illness by a registered chartered psychologist.

Home nursing care

Coverage for home nursing care is up to $200 per family each benefit year for nursing care provided in the patient’s home by written order of a physician. Home nursing care must be provided by a registered nurse or licensed practical nurse who is not a relative of the patient.

Chiropractic services

Coverage for chiropractic services is up to $25 per visit to a maximum of $200 per person each benefit year. The chiropractor must be a licensed Alberta practitioner.

What is not covered

The following are not covered under the Coverage for Seniors program:

• claims for benefit expenses incurred prior to the effective date of coverage
• claims for benefit expenses received by Alberta Blue Cross more than 12 months after the service was provided
• services covered by the AHCIP
• charges for drugs supplied directly and charged for by a physician, with the exception of allergy serums
• registration, admission or user fees charged by a hospital
• drug products not listed in the Alberta Drug Benefit List – ask your pharmacist or physician if your prescribed medication is on this list
• semi-private or private hospital room
• travel insurance for emergency hospital and medical expenses outside of the province or country