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Stay well with flexible health, dental and drug coverage options. Build a plan that’s right for you with our coverage options below.

Extended Health

The overall maximum for all levels of extended health is $5,000 per year (excludes Accidental Death and Dismemberment, Travel and Term life)

Hospital

Coverage Level A Level B Level C
Auxiliary care (per year) - - $1,000
Hospital beds (per lifetime) - $1,500 $1,500
Hospital cash (per day/per year) - $20/$400 $20/$600
Home nursing (per year) - $3,000 $5,000
Preferred hospital accommodations (per year; semi-private or private rooms) - $2,000 $3,000

Paramedical practitioners

Coverage Level A Level B Level C
Individual Assistance Program (IAP) (per calendar year) 12 sessions 12 sessions 12 sessions
Ambulance services (ground and air) 100% 100% 100%
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
Combinded maximum (per year; inlcudes podiatrist and chiropodist) - $300 $300
Psychologist (including iCBT) (per visit/per year) $75/$150 $75/$750 $75/$750

Medical device supplies

Coverage Level A Level B Level C
Blood pressure monitor (per five years) - $150 $150
CPAP sleep apnea appliance (per five years) - $500 $750
Custom braces (per two years) - 70%/$750 70%/$750
Foot orthotics (per year) - 70%/$200 70%/$200
Hearing aids (per four years) - $500 $750
Ileostomy/colostomy, urinary catheters and supplies (per year) - 80%/$1,200 80%/$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) - $2,500 $2,500
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) - $200 $250

Travel

Coverage Level A Level B Level C
Maximum* (per trip) $5 million $5 million $5 million
Travel days* (per trip) 10 17 30
Travel plan discount (additional coverage) 15% 20% 25%
Stability clause* 90 days 90 days 90 days

*Terminates at age 70—‘Terminates at age’ references the age when a benefit is no longer available for that specific individual.

Life

Coverage Level A Level B Level C
Accidental Death and Dismemberment (AD&D)** $15,000 $20,000 $25,000
Term life,** (terminates at age 55*) $10,000 $10,000 $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 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 preventive care only) $600 $600 $600
Second and subsequent years maximum (per year; includes basic, extensive, dentures and periodontics) - $1,250 $1500
Orthodontic (two-year waiting period; per lifetime) - - 50%/$2,000
Accidental dental care (per incident) $2,000 $2,500 $3,000

Prescription Drug

Coverage Level A Level B Level C
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 bll 80% direct bill
Blue Care Pharmacist's advice to help navigate high-cost drug claims Included Included Included

***Reduces to $2,000 per year once any individual turns 65

Additional features

Blue Choice® Portability

In the future, you may have an opportunity to acquire group benefits through an employer. But there’s no need to leave your Blue Choice® Level Behind. By converting to the Blue Choice® Portability, you maintain the option to resume coverage in the future without a medical review by contacting us within 30 days of when your employer plan terminates. This guarantees you and your family will always have access to an Alberta Blue Cross® individual plan, regardless of what medical conditions may develop.

Contact us at 1-800-394-1965 if you have any questions or would like to enrol in the Portability plan.