Forms for government-sponsored program participants
Listed below are the forms most frequently used by government-sponsored program participants including Coverage for Seniors (Group 66), Non-group Coverage (Group 1) and the Optical Assistance for Seniors Program (Group 101) sponsored by Alberta Health, and the following Government of the Northwest Territories programs: Seniors Programs (Group 60), Specified Disease Condition Program (Group 21992) andMétis Health Benefits Program (Group 19866).
Please contact Customer Services with your questions about the eligibility of products or service.
To be eligible for reimbursement, claims must be received by Alberta Blue Cross within 12 months of the service date. The service must have been provided after the effective date of your coverage.
If you have any questions about your own claim please call Alberta Blue Cross. The identification number of the individual who receives the service should be quoted on all claims and correspondence sent to Alberta Blue Cross. This number is displayed on the back of your Alberta Blue Cross card.