Extended Health
The total for all extended health claims is $5,000 per year (excluding Accidental Death and Dismemberment, travel insurance and Term Life Insurance).
Hospital
| Coverage | Level A | Level B | Level C |
|---|---|---|---|
| Auxiliary care (per year) | - | - | $1,000 |
| Hospital beds (per lifetime) | - | $1,000 | $1,500 |
| Hospital cash (per day/per year) | - | $20/$400 | $20/$600 |
| Home nursing (per year) | - | - | $2,500 |
| Preferred hospital accommodations (per year; semi-private or private rooms) | $1,000 | $2,000 | $3,000 |
Paramedical practitioners
| Coverage | Level A | Level B | Level C |
|---|---|---|---|
| Ambulance services (ground and air) | 100% | 100% | 100% |
| Accidental dental care (per incident) | $2,000 | $2,500 | $3,000 |
| Acupuncturist, homeopath, osteopath and naturopath (per visit) | - | - | $50 |
| Combined maximum (per year; includes acupuncturist, homeopath, osteopath and naturopath) | - | - | $350 |
| Chiropractor (per visit) | - | $35 | $35 |
| Physiotherapist and massage therapist (per visit) | - | $50 | $50 |
| Combined maximum (per year; includes chiropractor, physiotherapist and massage therapist) | - | $350 | $500 |
| Podiatrist and chiropodist (per visit) | - | $25 | $25 |
| Combined maximum (per year; includes podiatrist and chiropodist) | - | $300 | $300 |
| Psychologist (including iCBT) (per visit/per year) | $75/$150 | $75/$450 | $75/$750 |
| Speech language pathologist (per visit/per year) | - | - | $80/$500 |
| Individual Assistance Program (IAP) (per calendar years) | 12 sessions | 12 sessions | 12 sessions |
Medical device supplies
| Coverage | Level A | Level B | Level C |
|---|---|---|---|
| CPAP sleep apnea appliance (per five years) | - | $500 | $750 |
| Custom braces (per two years) | - | 70%/$750 | 70%/$750 |
| Foot orthotics (per year) | - | $200 | $200 |
| Hearing aids (per four years) | - | $500 | $750 |
| Ileostomy/colostomy, urinary catheters and supplies (per year) | - | $1,200 | $1,200 |
| Mastectomy prosthesis (per two years) | - | $200 for single/$400 for double | $200 for single/$400 for double |
| Medical aids (per year; crutches, canes, casts, cervical collars, walkers, splints, trusses and traction kits) | - | $250 | $250 |
| Orthopedic shoes (per year) | - | $250 | $250 |
| Oxygen and equipment (per year) | - | - | $1,000 |
| Prosthetics (per year) | - | $300 | $300 |
| Surgical stockings (per year) | - | $200 | $200 |
| Wheelchair (per three years) | - | $1,500 | $1,500 |
Vision care
| Coverage | Level A | Level B | Level C |
|---|---|---|---|
| Vision care including eye exams (per two years) | $100 | $200 | $300 |
Travel
| Coverage | Level A | Level B | Level C |
|---|---|---|---|
| Emergency Medical Care coverage per trip* | $5 million | $5 million | $5 million |
| Trip length | 10 days | 17 days | 30 days |
| Discount on Emergency Medical Care applied to the extra days you need | 15% | 20% | 25% |
| Discount on Trip Cancellation or Interruption | 10% | 10% | 10% |
| Length of time pre-existing conditions must be stable before departure date | 90 days | 90 days | 90 days |
*This benefit is no longer available at 65 years old.
Life
| Coverage | Level A | Level B | Level C |
|---|---|---|---|
| Accidental Death and Dismemberment (AD&D)** | $15,000 | $20,000 | $25,000 |
| Final Expenses**, terminates at age 65* (one year waiting period) | - | $4,000 | $6,000 |
* "Terminates at age" references the age when a benefit is no longer available for that specific individual
**Underwritten by Blue Cross Life Insurance Company of Canada®.
Wellness
| Coverage | Level A | Level B | Level C |
|---|---|---|---|
| Balance®—online program that promotes wellness and helps you live a healthier lifestyle. | Included | Included | Included |
| Blue Advantage®—discount program for health and wellness products. | Included | Included | Included |
| Care navigation—lifestyle and chronic disease management through our website. | Included | Included | Included |
Dental***
| Coverage | Level A | Level B | Level C |
|---|---|---|---|
| Basic and preventive care (three-month waiting period; includes checkups, cleanings, fillings, extractions and root canals | 70% | 75% | 80% |
| Dentures (one-year waiting period) | - | 50% | 50% |
| Periodontics (one-year waiting period) | - | 50% | 80% |
| Extensive; includes crowns, bridges and implants (two-year waiting period) | - | - | 50% |
| First year combined maximum (applies to basic and precentive care only) | $600 | $600 | $600 |
| Second and subsequent years combined maximum (per year; includes basic, extensive, dentures and periodontics) | - | $1,250 | $1,500 |
| Orthodontic (two-year waiting period; per lifetime) | - | - | 50%/$2,000 |
***Alberta Blue Cross® Individual Health Plan Usual and Customary Dental Fee List.
Prescription Drug (optional)
With Blue Assured®, you have the option of including prescription drugs in your benefit coverage.
| Coverage | Level A | Level B | Level C |
|---|---|---|---|
| Maximum (per year; includes diabetic supplies and Glucose Monitoring Systems (GMS), contraceptives, smoking cessation and vaccines) Please contact a Personal Benefit Consultant for higher prescription coverage options. |
$250 | $500 | $1,500 |
| Coverage level (three month waiting period) | 70% direct bill | 70% direct bill | 70% direct bill |
Additional features
Blue Advantage®
You will also enjoy access to Blue Advantage®, a program that enables Alberta Blue Cross® plan members to save on medical, vision care and many other products and services regardless of whether the item is covered under your benefit plan or not.