Submitting a claim to AHCIP for reimbursement

Alberta residents may submit claims to the Alberta Health Care Insurance Plan for insured health services received when travelling outside Alberta. Claims for health costs incurred outside Alberta or Canada must be submitted within 365 days from the date of service.

Claims for services within Canada

To submit a claim for reimbursement of the cost of insured health services received outside Alberta in another Canadian province or territory, complete the form below and submit it along with itemized statements and proof of payment.


Contact us

If you have questions on submitting claims, call 780-422-1954 in Edmonton, or toll-free within Alberta at 310-000, then 780-422-1954.

Send completed claim form along with supporting documents to:

Alberta Health
Out-of-Country / Province Claims
P.O. Box 1360 Stn. Main
Edmonton, Alberta T5J 2N3
Fax: 780-422-1958


Income tax credits

Some medical expenses not covered by government programs or private insurers may be included on your income tax return as a medical expense towards a tax credit. For more information, go to the Canada Revenue Agency website or call them toll-free at 1-800-959-8281.


Related Information

 

Claims for services outside Canada

For reimbursement under the AHCIP for costs incurred outside Canada, complete the form below and send it, along with an itemized statement and proof of payment.

To ensure the prompt adjudication of your claim, documents provided must contain the following information. If this information is not included, the claim will not be processed.

Information needed

For hospital services:

  • facility name and address;
  • the day the insured person was admitted;
  • the date of discharge;
  • the CPT billing codes and diagnosis of the condition for which the insured person was admitted;
  • the nature of any treatment, procedure or surgery that was performed;
  • the kind and number of any laboratory, radiological or other diagnostic tests performed;
  • the amount being claimed and proof of payment.

For physician services:

  • physicians name and specialty
  • the CPT billing codes and diagnosis of the condition for which the insured person was treated;
  • the nature of any treatment, procedure or surgery that was performed;
  • the date or dates when the insured person was treated; and
  • the amount being claimed and proof of payment.

What else is needed

  • All documents must appear on the service providerís official letterhead.
  • If documents are not in English, they must be officially translated.
  • The UB04 (hospital claim form) and/or CMS 1500 (physician claim form) are required for claims for services provided in the USA.