Claim forms – Health Care Insurance Plan

If you paid for an insured health service outside of Alberta or Canada you may submit a claim to be reimbursed. For reimbursement:
  1. Complete the applicable form below,
  2. Include an itemized statement and proof of payment (mandatory) when you mail in the form.

The form must be sent to Alberta Health within 12 months from the date of service and it may take 8–10 weeks to process your claim. Read about what services are covered.

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Claims submission resources and forms

Important: Due to the sensitive nature of the information required, DO NOT return forms by email. Electronic submission is not available. Print and return your application in person at an authorized registry agent office, or by mail, fax or in person.

Additional forms