Diabetic supply coverage
Albertans using insulin to treat diabetes are now eligible for diabetic supply coverage, up to $600 per year. To be eligible, you must be an insulin-treated diabetic who is registered with one of Alberta’s supplementary health benefit plans:
- Alberta Health supplementary health benefit plan administered by Alberta Blue Cross
- Coverage for Seniors
- Non-Group Coverage
- Palliative Care Drug Coverage
- Alberta Human Services assistance programs
Alberta Monitoring for Health program extended
Alberta Monitoring for Health (AMFH) program has been extended until October 15, 2016, for former clients who were enrolled in the AMFH program before March 31, 2015 and who are not eligible for coverage of diabetic supplies under other Government of Alberta sponsored supplementary health benefit programs or private plans.
- For more information, call AMFH at 1-800-267-7532 or 780-423-2634 in the Edmonton area.
Questions and answers
Why is the government only covering $600 per year for diabetic supplies?
This amount is intended to reduce the cost burden of diabetes on individuals. The $600 figure considered information from the Canadian Agency for Drugs and Technologies in Health (CADTH), the diabetes population and supply need. CADTH suggested that in adults with type 2 diabetes using basal insulin, self-monitoring of blood glucose should be individualized but testing of up to 14 times per week should suffice in most cases.
Is there a co-payment amount similar to when I purchase my drugs?
No. A co-payment will not be applied to diabetic supplies purchased (co-payment means the portion of the cost paid by you to the pharmacy). You do not pay for diabetic supplies until you have reached the $600 per year limit.
What diabetic supplies are covered by the Alberta Health supplementary health benefit plans?
Diabetic supplies covered include:
- Blood glucose test strips
- Urine test strips
- Syringes and
Is the insulin pump covered?
Insulin pumps and related supplies are eligible for coverage under the Insulin Pump Therapy Program.
Is there a difference in diabetic supply prices at different pharmacies?
Yes. Prices may vary and there may be sales at different pharmacies, so you can choose to shop around for the best price. However, it is in your best interest to stay with the same pharmacy for patient monitoring and care purposes.
Is there a limit or restriction when purchasing diabetic supplies at the pharmacy, for example, a 3-month supply only?
No, there is no limit or restriction to the amount of diabetic supplies purchased at one time. The only time a restriction may be implemented is if there is an expiration date on the product.
What happens when I reach my $600 limit for the benefit year?
If you are a low-income senior you can contact the Special Needs for Seniors’ program. If you are a non-senior, you can contact Human Services.
Otherwise, Albertans who do not qualify for programs based on income eligibility may be able to claim some of the costs of diabetic supplies as a medical expense on their annual federal income tax return.