What isn't covered by the AHCIP

Services not covered

Services not covered under the AHCIP include, but are not limited to:

Medical services

  • non-medically required surgery such as cosmetic procedures, vasectomy reversal, abdominoplasty (tummy tuck)
  • medical advice with a patient by telephone, unless otherwise stated in the Schedule of Medical Benefits or Schedule of Oral and Maxillofacial Surgery Benefits
  • health services provided by health care providers other than physicians (chiropractor acupuncturist, massage therapist, homeopath, nutritionist, psychologist, physician assistant or nurse practitioner)
  • vision care such as routine eye exams for residents 1964 years of age, refractive laser eye surgery, and eyeglasses and contact lenses
  • routine dental care and dentures
  • prescription drugs provided in non-hospital settings.
  • vaccinations for travel purposes and some immunizations.
  • health services requested by a third-party, such as medicals for employment, insurance or sports
  • assisted reproductive technologies, including fertility treatments and in vitro fertilization.
  • medical forms and notes
  • clinical psychologist services

Hospital services

  • private and semi-private hospital rooms (unless medically necessary)
  • Ambulance services (except interfacility transfers)
  • anaesthetic charges for services not covered by the AHCIP. For dental service exceptions, please contact your dentist
  • procedures that are experimental or undergoing clinical trials
  • hearing aids, medical and surgical appliances, prosthetics, supplies, mobility devices, etc.

Other services

  • publicly-funded services
    • services in Alberta funded by Alberta Health Services such as mental health and addiction services, physiotherapy, midwifery services, cancer services, and home care services are NOT covered outside of Alberta.
  • podiatry and optometry services obtained outside Alberta
  • dentistry services obtained outside Alberta, except for medically required oral surgery

This list is not intended to cover all instances. If you are not sure a medical service is covered or not, contact the AHCIP office.

Help with medical expenses not covered by AHCIP

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.