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Costs paid by clients
Most AADL benefits have a cost-share amount that is paid by clients. Respiratory benefits do not have a cost-share requirement and seniors do not pay cost-share on prosthetic, orthotic, breast prosthesis or ocular prosthesis. For all other benefits, client pay 25% of the cost of program benefits up to a maximum of $500 per family per benefit year (July 1 to June 30).
For some benefits, clients may choose an upgraded item and must pay the additional cost of this item. These additional costs are not included in the $500 cost-share maximum.
Low-income Albertans may be exempt from the $500 cost-share. You can apply for a cost-share exemption from AADL directly with the Cost-Share Exemption form.
Seniors and their adult dependents requiring hearing aids can apply for cost-share exemption by filling out the Hearing Aid Benefit Cost-Share Exemption Application for Seniors and Their Adult Dependents form.
- Complete the seniors hearing aid benefit form (PDF 382 KB)
If your financial situation has recently changed or you have extraordinary expenses related to your disability, you may be eligible for temporary cost-share exemption. You can apply for temporary cost-share exemption by filling out the Temporary Cost-Share Exemption form.
You need to contact AADL if you receive assistance from:
- Alberta Widows' Pension
- Assured Income for the Severely Handicapped (AISH)
- Alberta Works Health Benefits
Appeal cost share and benefits
How to appeal cost-share status and benefits received
If you are not exempt from cost sharing and feel that it will cause you financial hardship, you can appeal your cost-sharing status using the Cost-Share Exemption Appeal notice form.
- Cost-Share Exemption Notice of Appeal form (PDF, 117 KB)
Quantity and frequency review
A maximum number of each benefit is available each year. However, AADL will review requests for more than the maximum number (referred to as quantity and frequency).
Your authorizer/specialty supplier must complete the Quantity and Frequency Review form and submit it within 20 days of your assessment.
The Quantity and Frequency Review form is reviewed by the AADL program manager.
If your request is denied by the AADL program manager, it can be referred to the Quantity and Frequency Review Committee (QFRC) at the request of your authorizer/specialty supplier.
If your request is denied by the QFRC, it can be appealed to the AADL director. Either you or your authorizer/specialty supplier can make this final appeal to the director.
For more information on this process, please speak with your authorizer or specialty supplier, or contact AADL.
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