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Did you leave a health benefit plan within the last 90 days?

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29 and under 30 to 64 65 and over

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Have you or anyone listed on your Provincial Health Care account ever been diagnosed with a condition or illness below?

Cancer in the last 5 years, excluding basal cell
Diabetes insulin dependent
Hepatitis B or C
Stroke, heart attack or heart surgery in the last 3 years
AIDs or HIV positive
Alcohol or drug abuse in the last 3 years
Rheumatoid Arthritis
Major organ dysfunction or transplant
Chronic Lung Conditions or require oxygen
Major Neurological Disorders (Multiple Sclerosis/ALS/Alzheimers/ Huntington’s chorea/Parkinson’s)

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What is your age range?

49 and under 50 and over

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Have you or anyone listed on your Provincial Health Care account ever been diagnosed with a condition or illness below?

Cancer in the last 5 years, excluding basal cell
Diabetes insulin dependent
Hepatitis B or C
Stroke, heart attack or heart surgery in the last 3 years
AIDs or HIV positive
Alcohol or drug abuse in the last 3 years
Rheumatoid Arthritis
Major organ dysfunction or transplant
Chronic Lung Conditions or require oxygen
Major Neurological Disorders (Multiple Sclerosis/ALS/Alzheimers/ Huntington’s chorea/Parkinson’s)

Yes No

Please select one.

Previous Next

Have you or anyone listed on your Provincial Health Care account ever been diagnosed with a condition or illness below?

Cancer in the last 5 years, excluding basal cell
Diabetes insulin dependent
Hepatitis B or C
Stroke, heart attack or heart surgery in the last 3 years
AIDs or HIV positive
Alcohol or drug abuse in the last 3 years
Rheumatoid Arthritis
Major organ dysfunction or transplant
Chronic Lung Conditions or require oxygen
Major Neurological Disorders (Multiple Sclerosis/ALS/Alzheimers/ Huntington’s chorea/Parkinson’s)

Yes No

Please select one.

Previous Next

To help us tailor our recommendation, which age range applies to the oldest applicant? This could be you or your spouse.

64 and under 65 and over

Please select one.

Previous Next

To help us tailor our recommendation, which age range applies to the oldest applicant? This could be you or your spouse.

64 and under 65 and over

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How important is travel coverage to you?

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How important is travel coverage to you?

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Alberta Blue Cross^®
Head office
10009 108 St NW
Edmonton, Alberta
T5J 3C5

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Land acknowledgement

We begin by acknowledging that we are on traditional lands, referred to as Treaty 6, Treaty 7 and Treaty 8 territory, and all the people here are beneficiaries of these peace and friendship treaties.

This territory is the home for many Indigenous Peoples, including the Blackfoot, Cree, Dene, Saulteaux, Ojibwe, Stoney Nakota Sioux, and Tsuut’ina peoples, and the Métis Nation of Alberta and the Métis Settlements.

We respect the Treaties that were made on these territories, we acknowledge the harms and mistakes of the past, and we dedicate ourselves to moving forward in partnership with Indigenous communities in a spirit of reconciliation and collaboration.

©Copyright 2025 ABC Benefits Corporation. All rights reserved. ®* The Blue Cross^® symbol and name are registered marks of the Canadian Association of Blue Cross Plans^®, an association of independent Blue Cross^® plans. Licensed to ABC Benefits Corporation for use in operating the Alberta Blue Cross Plan^®. ®† Blue Shield is a registered trade-mark of the Blue Cross Blue Shield Association.

Life, disability and travel insurance plans are underwritten by various underwriters. For information, visit ab.bluecross.ca/underwriters.

Alberta Blue Cross^®
Head office
10009 108 St NW
Edmonton, Alberta
T5J 3C5

About us
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Contact us
Community
Blog

Accessibility and inclusion commitment
Sitemap
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The Wellness Summit
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Workplace Wellness
Feelings over phones

Connect with us

Facebook

Twitter

Instagram

Vimeo

Download our member app

Land acknowledgement

We begin by acknowledging that we are on traditional lands, referred to as Treaty 6, Treaty 7 and Treaty 8 territory, and all the people here are beneficiaries of these peace and friendship treaties.

This territory is the home for many Indigenous Peoples, including the Blackfoot, Cree, Dene, Saulteaux, Ojibwe, Stoney Nakota Sioux, and Tsuut’ina peoples, and the Métis Nation of Alberta and the Métis Settlements.

We respect the Treaties that were made on these territories, we acknowledge the harms and mistakes of the past, and we dedicate ourselves to moving forward in partnership with Indigenous communities in a spirit of reconciliation and collaboration.

©Copyright 2025 ABC Benefits Corporation. All rights reserved. ®* The Blue Cross^® symbol and name are registered marks of the Canadian Association of Blue Cross Plans^®, an association of independent Blue Cross^® plans. Licensed to ABC Benefits Corporation for use in operating the Alberta Blue Cross Plan^®. ®† Blue Shield is a registered trade-mark of the Blue Cross Blue Shield Association.

Life, disability and travel insurance plans are underwritten by various underwriters. For information, visit ab.bluecross.ca/underwriters.

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