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).
The Blue Choice® plan now includes Flight Delay Service.
Blue Choice® plan members of all levels now have access to Flight Delay Service at no extra cost. Packing peace of mind is even easier now that you have extensive travel insurance.
Hospital
|
Coverage
|
Basic
|
Enhanced
|
Enhanced+
|
Premium
|
|---|---|---|---|---|
| Auxiliary care (per year) | - | - | $1,000 | $1,000 |
| Hospital beds (per lifetime) | - | $1,500 | $1,500 | $1,500 |
| Hospital cash (per day/per year) | - | $20/$400 | $20/$600 | $25/$800 |
| Home nursing (per year) | - | $3,000 | $5,000 | $5,000 |
| Preferred hospital accommodations (per year; semi-private or private rooms) | - | $2,000 | $3,000 | $3,000 |
|
Coverage Auxiliary care (per year) Basic - Enhanced - Enhanced+ $1,000 Premium $1,000 |
|
Coverage Hospital beds (per lifetime) Basic - Enhanced $1,500 Enhanced+ $1,500 Premium $1,500 |
|
Coverage Hospital cash (per day/per year) Basic - Enhanced $20/$400 Enhanced+ $20/$600 Premium $25/$800 |
|
Coverage Home nursing (per year) Basic - Enhanced $3,000 Enhanced+ $5,000 Premium $5,000 |
|
Coverage Preferred hospital accommodations (per year; semi-private or private rooms) Basic - Enhanced $2,000 Enhanced+ $3,000 Premium $3,000 |
Paramedical practitioners
|
Coverage
|
Basic
|
Enhanced
|
Enhanced+
|
Premium
|
|---|---|---|---|---|
| Accidental dental care (per incident) | $2,000 | $2,500 | $3,000 | $3,000 |
| Ambulance services (ground and air) | 100% | 100% | 100% | 100% |
| Audiologist, acupuncturist, homeopath, osteopath, naturopath and occupational therapist (per visit) | - | - | $50 | $50 |
| Combined maximum (per year; includes audiologist, acupuncturist, homeopath, osteopath, naturopath and occupational therapist) | - | - | $350 | $350 |
| Chiropractor (per visit) | - | $35 | $35 | $40 |
| Physiotherapist and massage therapist (per visit) | - | $50 | $50 | $60 |
| Combined maximum (per year; includes chiropractor, physiotherapist and massage therapist) | - | $350 | $500 | $600 |
| Podiatrist and chiropodist (per visit) | - | $25 | $25 | $25 |
| Combined maximum (per year; includes podiatrist and chiropodist) | - | $300 | $300 | $300 |
| Psychologist (including iCBT) (per visit/per year) | $75/$150 | $75/$750 | $75/$750 | $150/$1,800 |
| Speech language pathologist (per visit/per year) | - | - | $80/$500 | $150/$600 |
| Individual Assistance Program (IAP) (per calendar year) | 12 sessions | 12 sessions | 12 sessions | 12 sessions |
|
Coverage Accidental dental care (per incident) Basic $2,000 Enhanced $2,500 Enhanced+ $3,000 Premium $3,000 |
|
Coverage Ambulance services (ground and air) Basic 100% Enhanced 100% Enhanced+ 100% Premium 100% |
|
Coverage Audiologist, acupuncturist, homeopath, osteopath, naturopath and occupational therapist (per visit) Basic - Enhanced - Enhanced+ $50 Premium $50 |
|
Coverage Combined maximum (per year; includes audiologist, acupuncturist, homeopath, osteopath, naturopath and occupational therapist) Basic - Enhanced - Enhanced+ $350 Premium $350 |
|
Coverage Chiropractor (per visit) Basic - Enhanced $35 Enhanced+ $35 Premium $40 |
|
Coverage Physiotherapist and massage therapist (per visit) Basic - Enhanced $50 Enhanced+ $50 Premium $60 |
|
Coverage Combined maximum (per year; includes chiropractor, physiotherapist and massage therapist) Basic - Enhanced $350 Enhanced+ $500 Premium $600 |
|
Coverage Podiatrist and chiropodist (per visit) Basic - Enhanced $25 Enhanced+ $25 Premium $25 |
|
Coverage Combined maximum (per year; includes podiatrist and chiropodist) Basic - Enhanced $300 Enhanced+ $300 Premium $300 |
|
Coverage Psychologist (including iCBT) (per visit/per year) Basic $75/$150 Enhanced $75/$750 Enhanced+ $75/$750 Premium $150/$1,800 |
|
Coverage Speech language pathologist (per visit/per year) Basic - Enhanced - Enhanced+ $80/$500 Premium $150/$600 |
|
Coverage Individual Assistance Program (IAP) (per calendar year) Basic 12 sessions Enhanced 12 sessions Enhanced+ 12 sessions Premium 12 sessions |
Medical device supplies
|
Coverage
|
Basic
|
Enhanced
|
Enhanced+
|
Premium
|
|---|---|---|---|---|
| Blood pressure monitor (per 5 years) | - | $150 | $150 | $150 |
| CPAP sleep apnea appliance (per 5 years) | - | $500 | $750 | $750 |
| Custom braces (70% co-pay; per 2 years) | - | $750 | $750 | $750 |
| Foot orthotics (70% co-pay; per year) | - | $200 | $200 | $200 |
| Hearing aids (per 4 years) | - | $500 | $750 | $750 |
| Ileostomy/colostomy, urinary catheters and supplies (80% co-pay; per year) | - | $1,200 | $1,200 | $1,200 |
| Mastectomy prosthesis (per 2 years, single/double) | - | $200/$400 | $200/$400 | $200/$400 |
| Medical aids (per year; crutches, canes, casts, cervical collars, walkers, splints, trusses and traction kits) | - | $250 | $250 | $250 |
| Orthopedic shoes (per year) | - | $250 | $250 | $250 |
| Oxygen and equipment (per year) | - | $2,500 | $2,500 | $2,500 |
| Prosthetics (per year, including maximum 6 stump socks) | - | $300 | $300 | $300 |
| Surgical brassieres (2 per year) | - | $50 | $50 | $50 |
| Surgical stockings (per year) | - | $200 | $200 | $200 |
| Wheelchair (per 3 years) | - | $1,500 | $1,500 | $1,500 |
| Wigs and hairpieces (per 5 years) | - | $250 | $250 | $250 |
|
Coverage Blood pressure monitor (per 5 years) Basic - Enhanced $150 Enhanced+ $150 Premium $150 |
|
Coverage CPAP sleep apnea appliance (per 5 years) Basic - Enhanced $500 Enhanced+ $750 Premium $750 |
|
Coverage Custom braces (70% co-pay; per 2 years) Basic - Enhanced $750 Enhanced+ $750 Premium $750 |
|
Coverage Foot orthotics (70% co-pay; per year) Basic - Enhanced $200 Enhanced+ $200 Premium $200 |
|
Coverage Hearing aids (per 4 years) Basic - Enhanced $500 Enhanced+ $750 Premium $750 |
|
Coverage Ileostomy/colostomy, urinary catheters and supplies (80% co-pay; per year) Basic - Enhanced $1,200 Enhanced+ $1,200 Premium $1,200 |
|
Coverage Mastectomy prosthesis (per 2 years, single/double) Basic - Enhanced $200/$400 Enhanced+ $200/$400 Premium $200/$400 |
|
Coverage Medical aids (per year; crutches, canes, casts, cervical collars, walkers, splints, trusses and traction kits) Basic - Enhanced $250 Enhanced+ $250 Premium $250 |
|
Coverage Orthopedic shoes (per year) Basic - Enhanced $250 Enhanced+ $250 Premium $250 |
|
Coverage Oxygen and equipment (per year) Basic - Enhanced $2,500 Enhanced+ $2,500 Premium $2,500 |
|
Coverage Prosthetics (per year, including maximum 6 stump socks) Basic - Enhanced $300 Enhanced+ $300 Premium $300 |
|
Coverage Surgical brassieres (2 per year) Basic - Enhanced $50 Enhanced+ $50 Premium $50 |
|
Coverage Surgical stockings (per year) Basic - Enhanced $200 Enhanced+ $200 Premium $200 |
|
Coverage Wheelchair (per 3 years) Basic - Enhanced $1,500 Enhanced+ $1,500 Premium $1,500 |
|
Coverage Wigs and hairpieces (per 5 years) Basic - Enhanced $250 Enhanced+ $250 Premium $250 |
Vision care
|
Coverage
|
Basic
|
Enhanced
|
Enhanced+
|
Premium
|
|---|---|---|---|---|
| Vision care including eye exams (per 2 years) | - | $200 | $250 | $300 |
|
Coverage Vision care including eye exams (per 2 years) Basic - Enhanced $200 Enhanced+ $250 Premium $300 |
Travel
|
Coverage
|
Basic
|
Enhanced
|
Enhanced+
|
Premium
|
|---|---|---|---|---|
| Emergency Medical Care coverage per trip* | $5 million | $5 million | $5 million | $5 million |
| Travel days (per trip) | 10 days | 17 days | 30 days | 30 days |
| Discount on Emergency Medical Care applied to the extra days you need | 15% | 20% | 25% | 25% |
| Discount on Trip Cancellation or Interruption | 10% | 10% | 10% | 10% |
| Access to Flight Delay Service | Included | Included | Included | Included |
| Stability clause | 90 days | 90 days | 90 days | 90 days |
|
Coverage Emergency Medical Care coverage per trip* Basic $5 million Enhanced $5 million Enhanced+ $5 million Premium $5 million |
|
Coverage Travel days (per trip) Basic 10 days Enhanced 17 days Enhanced+ 30 days Premium 30 days |
|
Coverage Discount on Emergency Medical Care applied to the extra days you need Basic 15% Enhanced 20% Enhanced+ 25% Premium 25% |
|
Coverage Discount on Trip Cancellation or Interruption Basic 10% Enhanced 10% Enhanced+ 10% Premium 10% |
|
Coverage Access to Flight Delay Service Basic Included Enhanced Included Enhanced+ Included Premium Included |
|
Coverage Stability clause Basic 90 days Enhanced 90 days Enhanced+ 90 days Premium 90 days |
*This benefit is no longer available at 70 years old.
Life
|
Coverage
|
Basic
|
Enhanced
|
Enhanced+
|
Premium
|
|---|---|---|---|---|
| Accidental Death and Dismemberment (AD&D)** | $15,000 | $20,000 | $25,000 | $25,000 |
| Term life,** (terminates at age 55*) | $10,000 | $10,000 | $10,000 | $10,000 |
|
Coverage Accidental Death and Dismemberment (AD&D)** Basic $15,000 Enhanced $20,000 Enhanced+ $25,000 Premium $25,000 |
|
Coverage Term life,** (terminates at age 55*) Basic $10,000 Enhanced $10,000 Enhanced+ $10,000 Premium $10,000 |
* "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
|
Basic
|
Enhanced
|
Enhanced+
|
Premium
|
|---|---|---|---|---|
| Balance®—online program that promotes wellness and helps you live a healthier lifestyle. | Included | Included | Included | Included |
| Blue Advantage®—discount program for health and wellness products. | Included | Included | Included | Included |
| Care navigation—lifestyle and chronic disease management through our website. | Included | Included | Included | Included |
| Virtual Care—telemedicine program that offers 24/7 access to physical and mental health care professionals | Included | Included | Included | Included |
|
Coverage Balance®—online program that promotes wellness and helps you live a healthier lifestyle. Basic Included Enhanced Included Enhanced+ Included Premium Included |
|
Coverage Blue Advantage®—discount program for health and wellness products. Basic Included Enhanced Included Enhanced+ Included Premium Included |
|
Coverage Care navigation—lifestyle and chronic disease management through our website. Basic Included Enhanced Included Enhanced+ Included Premium Included |
|
Coverage Virtual Care—telemedicine program that offers 24/7 access to physical and mental health care professionals Basic Included Enhanced Included Enhanced+ Included Premium Included |
Optional dental*
|
Coverage
|
Basic
|
Enhanced
|
Enhanced+
|
Premium
|
|---|---|---|---|---|
| Basic and preventive care (3-month waiting period; includes checkups, cleanings, fillings, extractions and root canals) | 70% | 75% | 80% | 90% |
| Dentures (1-year waiting period) | - | 50% | 50% | 60% |
| Periodontics (1-year waiting period) | - | 50% | 80% | 90% |
| Extensive (2-year waiting period; includes crowns, bridges and implants) | - | - | 50% | 60% |
| First year combined maximum (applies to basic and preventive care only) | $600 | $600 | $600 | $750 |
| Second and subsequent years maximum (per year; includes basic, extensive, dentures and periodontics) | $600 | $1,250 | $1,500 | $2,000 |
| Orthodontic (2-year waiting period; per lifetime) | - | - | 50%/$2,000 | 50%/$2,500 |
|
Coverage Basic and preventive care (3-month waiting period; includes checkups, cleanings, fillings, extractions and root canals) Basic 70% Enhanced 75% Enhanced+ 80% Premium 90% |
|
Coverage Dentures (1-year waiting period) Basic - Enhanced 50% Enhanced+ 50% Premium 60% |
|
Coverage Periodontics (1-year waiting period) Basic - Enhanced 50% Enhanced+ 80% Premium 90% |
|
Coverage Extensive (2-year waiting period; includes crowns, bridges and implants) Basic - Enhanced - Enhanced+ 50% Premium 60% |
|
Coverage First year combined maximum (applies to basic and preventive care only) Basic $600 Enhanced $600 Enhanced+ $600 Premium $750 |
|
Coverage Second and subsequent years maximum (per year; includes basic, extensive, dentures and periodontics) Basic $600 Enhanced $1,250 Enhanced+ $1,500 Premium $2,000 |
|
Coverage Orthodontic (2-year waiting period; per lifetime) Basic - Enhanced - Enhanced+ 50%/$2,000 Premium 50%/$2,500 |
*Alberta Blue Cross® Individual Health Plan Usual and Customary Dental Fee List.
Prescription drug
|
Coverage
|
Basic
|
Enhanced
|
Enhanced+
|
Premium
|
|---|---|---|---|---|
| Maximum (per year; includes diabetic supplies and Glucose Monitoring Systems (GMS), contraceptives, smoking cessation and vaccines) | $10,000 | $10,000 | $10,000 | |
| Coverage level | 70% reimbursement | 70% direct bill | 80% direct bill | |
| Blue Care™ Pharmacist's advice to help navigate high-cost drug claims | Included | Included | Included |
|
Coverage Maximum (per year; includes diabetic supplies and Glucose Monitoring Systems (GMS), contraceptives, smoking cessation and vaccines) Basic $10,000 Enhanced $10,000 Enhanced+ $10,000 Premium - |
|
Coverage Coverage level Basic 70% reimbursement Enhanced 70% direct bill Enhanced+ 80% direct bill Premium - |
|
Coverage Blue Care™ Pharmacist's advice to help navigate high-cost drug claims Basic Included Enhanced Included Enhanced+ Included Premium - |
Additional features
Blue Choice® Portability
Change happens, and we can change with you. If you start a new job with employer benefits, switch your Blue Choice® plan to Blue Choice® Portability. If you ever need to switch back to a personal benefits plan, contact us within 30 days of your employer plan ending and resume your coverage without another medical review.
Contact us at 1-800-394-1965 if you have any questions or would like to enroll in the Portability plan.