Alberta Blue Cross - Retiree Plan

The overall maximum for all levels of extended health is $7,500 per year (excludes Accidental Death and Dismemberment and travel)

	Level A	Level B	Level C
Preferred hospital accommodations (semi-private or private rooms)
Preferred hospital accommodations (semi-private or private rooms)	$1,000	$2,000	$3,000
Hospital cash
Hospital cash	-	$400	$600
Hospital beds (lifetime maximum)
Hospital beds (lifetime maximum)	-	$1,000	$1,500
Home nursing
Home nursing	-	$2,500	$2,500
Auxiliary care
Auxiliary care	-	-	$1,000

	Level A	Level B	Level C
Individual Assistance Program (IAP)
Individual Assistance Program	12 sessions	12 sessions	12 sessions
Psychologist per visit
Psychologist per visit	$75	$75	$75
Psychologist maximum
Psychologist maximum	$450	$600	$750
Chiropractor per visit
Chiropractor per visit	-	$35	$35
Phsyiotherapist per visit
Phsyiotherapist per visit	-	$50	$50
Massage therapist per visit
Massage therapist per visit	-	$50	$50
Combined maximum (chiropractor, physiotherapist and massage therapist)
Combined maximum (chiropractor, physiotherapist and massage therapist)	-	$500	$750
Podiatrist and chiropodist per visit
Podiatrist and chiropodist per visit	-	$25	$25
Combined maximum (podiatrist and chiropodist)
Combined maximum (podiatrist and chiropodist)	-	$300	$300
Acupuncturist, homeopath, osteopath and naturopath per visit
Acupuncturist, homeopath, osteopath and naturopath per visit	-	-	$50
Combined maximum (acupuncturist, homeopath, osteopath and naturopath)
Combined maximum (acupuncturist, homeopath, osteopath and naturopath)	-	-	650
Speech language Pathologist per visit
Speech language Pathologist per visit	-	-	$80
Combined Speech language Pathologist maximum
Speech language Pathologist maximum	-	-	$500

	Level A	Level B	Level C
Ambulance services (ground and air)
Ambulance services (ground and air)	100%	100%	100%
Accidental dental care (per incident)
Accidental dental care (per incident)	$2,000	$2,500	$3,000
Custom braces (every two years) visit
Custom braces (every two years)	-	70%; $750	70%; $750
Foot orthotics
Foot orthotics	-	$300	$300
Wheelchair (every three years)
Wheelchair (every three years)	-	$1,500	$1,500
Medical aids (crutches, canes, casts, cervical collars, walkers, splints, trusses and traction kits)
Medical aids (crutches, canes, casts, cervical collars, walkers, splints, trusses and traction kits)	-	$250	$250
CPAP (sleep apnea appliance) (every five years)
CPAP (sleep apnea appliance) (every five years)	-	$500	$750
Hearing aids (every four years)
Hearing aids (every four years)	-	$500	$1,000
Ileostomy/colostomy, urinary catheters and supplies
Ileostomy/colostomy, urinary catheters and supplies	-	$1,200	$1,200
Surgical stockings
Surgical stockings	-	$200	$200
Mastectomy prosthesis (every two years)
Mastectomy prosthesis (every two years)	-	$200 (single)	$200 (single)
	-	$400 (double)	$400 (double)
Prosthetics
Prosthetics	-	$300	$300
Oxygen and equipment
Oxygen and equipment	-	-	$1,000
Wigs and hairpieces (every five years)
Wigs and hairpieces (every five years)	-	$250	$250
Balance online wellness program
Balance online wellness program	Included	Included	Included

	Level A	Level B	Level C
Vision care including eye exams (every two years)
Vision care including eye exams (every two years)	$150	$300	$500

	Level A	Level B	Level C
Travel per trip maximum, terminates at age 85*
Travel per trip maximum, terminates at age 85*	$5 million	$5 million	$5 million
Travel days per trip
Travel days per trip	30	45	60
Travel plan discount (additional coverage)
Travel plan discount (additional coverage)	15%	20%	25%
Stability clause
Stability clause	90 days	90 days	90 days

*"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.

	Level A	Level B	Level C
Accidental Death and Dismemberment
Accidental Death and Dismemberment (AD&D)**	$15,000	$20,000	$25,000

*Underwritten by Blue Cross Life Insurance Company of Canada.

	Level A	Level B	Level C
Basic and preventive care (2-month waiting period) includes checkups, cleanings, fillings, extractions and root canals
Basic and preventive care includes checkups, cleanings, fillings, extractions and root canals	70%	75%	80%
Dentures
Dentures	-	50%	50%
Periodontics
Periodontics	-	50%	80%
Extensive includes crowns, bridges and implants
Extensive includes crowns, bridges and implants	-	-	50%
Combined annual dental maximums
Combined annual dental maximums	$750	$1,500	$2,000

	Level A	Level B	Level C
Coverage level direct bill
Coverage level direct bill	70%	75%	80%
Prescription drug maximum (includes diabetic supplies, contraceptives, smoking cessation and vaccines)***
Prescription drug maximum (includes diabetic supplies, contraceptives, smoking cessation and vaccines)***	$1,000	$2,000	$3,000

Your Retiree plan includes exclusive access to Balance, our online wellness program to support and promote your health.

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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 thecovered under your benefit plan or not.

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Retiree plan

Plans exclusively designed for ages 50 to 75, because you’ve earned it.

You’re looking for flexibile coverage that gives you the freedom to meet your unique needs. Replace your employer group plan with the coverage options below and build a plan that’s right for you.