Coverage for Seniors

Alberta Health provides premium-free coverage for health-related services not covered by the Alberta Health Care Insurance Plan (AHCIP). This coverage is available to all Albertans 65 years of age and older and their dependants.

To qualify for this plan, you must:

  • Be 65 years of age or older
  • Be a resident of Alberta
  • Be registered with the AHCIP, and
  • Have submitted proof of age documentation to Alberta Health (such as a birth certificate, old age pension entitlement, passport, immigration record, or naturalization or citizenship certificate).

Note: An information package will be automatically sent to you 60 days before your 65th birthday.

Benefits covered under this plan

Prescription drugs

A co-payment is required for each prescription. A co-payment is the portion of the prescription cost you pay to your pharmacy when you have a prescription filled.

  • The co-payment is 30% to a maximum of $25. You will not pay more than $25 for most prescriptions.
  • 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
  • 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 Alberta Health for that drug.

Before your prescription it is filled, ask your pharmacist about the cost of the drug.

Diabetic supplies

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.

Ambulance services

Coverage for ambulance services are up to the maximum rate established by Alberta Health for transportation to or from a public, general, active treatment hospital in the event of illness or injury. Transportation must be provided in a ground vehicle licensed under the Emergency Health Services Act and regulations. It does not include inter-facility 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.

Chiropractic services

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.

How to claim for benefits