Out-of-province health services

The Alberta Health Care Insurance Plan (AHCIP) provides coverage for insured physician and hospital services elsewhere in Canada.

In most cases, if you present your valid Alberta health card to an out of province medical or hospital service provider and receive insured services, there is no cost to you.

Physician services outside Alberta

Alberta has reciprocal agreements with all provinces and territories, except Quebec, for insured physician services. If you visit a physician in Quebec, you may have to pay up front.

You can visit a physician in almost every province or territory and in most cases you will not have to pay up front for insured services.

Physicians outside Alberta will bill their own provincial health plan for insured services provided to you when you present your valid Alberta personal health card. Physicians outside Alberta are not required to bill reciprocally, and may choose to bill you directly for their services.

When you are required to pay up front for insured physician services, you can submit your receipt to AHCIP for reimbursement.

Reimbursement for physician services

If you submit a claim to AHCIP, you will be reimbursed for the amount that a physician would be paid in the province where the service was provided.

If you choose to have treatment at a private facility in another province, you will be responsible for the cost of physician services over the amount covered by the AHCIP.

Hospital services outside Alberta

Alberta has reciprocal agreements with all provinces and territories for insured hospital services.

You can get insured health services at any publicly funded or general hospital in Canada. In most instances, the bill will go straight to the AHCIP office.

If you choose to have treatment at a private facility in another province or territory, you will have to pay the facility fees, including laboratory services, MRIs and accommodation.

If AHCIP doesn’t cover a service in Alberta, AHCIP won’t cover it outside Alberta. You will only be reimbursed for services insured under the AHCIP.

Find out what services are covered.

Out-of-province surgery

If you choose to have elective (non-emergency) health services in another province or territory, coverage may be limited.

Before you book any elective health services outside of Alberta:

  • call the Out-of-Province/Out-of-Country unit at 780-422-1954
  • talk to the facility where you are having your surgery to be clear about what will be billed to AHCIP and what you can expect to pay

AHCIP does not cover food, travel, accommodation or other costs related to obtaining health services outside Alberta.

How to submit a claim

Learn how to submit an insured medical expense claim.

Contact

Connect with the Alberta Health Care Insurance Plan office.