The eligibility criteria for the Coverage for Seniors program is changing. Effective March 1, 2020, family members younger than 65 years of age will no longer be covered by the Coverage for Seniors program. Albertans 65 years of age and older will continue to be covered by the program. If you have questions, contact the AHCIP Office.
Seniors, their spouses/interdependent partners and dependants registered on the same Alberta Health Care Insurance Plan (AHCIP) account receive a premium-free benefit to provide coverage for prescriptions and other health-related services not covered under the AHCIP.
- Alberta Blue Cross administers the Coverage for Seniors program and claims.
- AHCIP manages eligibility and registration.
The Coverage for Seniors program does not provide travel insurance.
If you are planning to travel outside of the province or country, you are advised to purchase travel insurance to cover emergency hospital and medical expenses.
To be eligible for Coverage for Seniors, you must provide proof of being 65 years of age or older.
When AHCIP records indicate an Albertan will be turning 65, a package is mailed to the address on their AHCIP file providing information about programs and services for seniors.
- This package will include a letter asking you to submit proof-of-age documents if required.
- If you did not receive the package, or have further questions, contact the AHCIP office.
- If we have a proof-of-age document on your AHCIP file, Coverage for Seniors is automatically added to your AHCIP account.
- If we do not have a proof-of-age document on your AHCIP file, you will need to submit a proof-of-age document and a completed Proof-of-Age Declaration form (PDF, 149 KB)
Acceptable proof-of-age documents include:
- birth certificate
- old-age pension entitlement form
- passport or immigration record
- Canadian citizenship certificate
Take your proof-of-age document and declaration to an AHCIP authorized registry agent for processing. You can also mail the completed form and a copy (both sides) of the proof-of-age document to the AHCIP office.
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.
There are a few cases when you might have to pay more than the $25 co-payment maximum:
- If your drug is not listed in the Alberta Drug Benefit List, or
- If you want a more expensive brand of drug than the least cost alternative or generic product, or
- If the brand of drug you want costs more than the maximum cost set by the Alberta government for that drug.
To avoid surprises, ask your pharmacist about the cost of your prescription before it is filled.
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.
If you are a low-income senior, learn about Special Needs Assistance for Seniors, if you have reached your $600 limit for the benefit year.
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.
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
Connect with Alberta Blue Cross.