Learn how to find out if you have coverage for a product or service.
Did you know?
Claims processed before 5 p.m. MT, will send payments to your bank account the next business day, provided there are no delays by your bank.
It's as easy as following a few simple steps.
Some examples of benefits you may wish to review are acupuncture, chiropractic, physiotherapy, massage and much more.
The member site will confirm the following information for you:
- If the benefit is subject to a deductible.
- What percentage and dollar amount your plan covers.
- How many visits you are eligible for.
- What portion of your plan maximum you’ve used and the remaining balance.
- Any additional conditions that must be met.
Select ‘Benefits’ from the menu, then click ‘Health coverage’.
As benefits can vary by individual, you will need to select the name of the patient or individual you are inquiring about. Then, select a benefit from the product or service drop-down list and click ‘Search’.
In the example below, the member has chosen to look up their benefits for massage therapy. The plan member must pay a $30 deductible. Once paid, they are covered for $25 per visit to a maximum of $300, renewing every August 1. The plan member currently has their full dollar maximum available to them. This service requires a Physician’s Written Order (PWO) and must be provided by a registered massage therapist.
Select ‘Benefits’ from the menu, then ‘Drug coverage’.
In the example below, eligible prescription drugs are payable at 80 per cent, up to the cost of the generic drug, if available. To receive payment, this member must submit for reimbursement. To confirm if a drug is eligible under your plan, click ‘Drug look-up’.
Select the individual who’s been prescribed the drug and confirm how you’d like to search for the drug: by the Drug Identification Number (DIN) or by the drug name.
For the most accurate results, search by the DIN, which can be provided by your pharmacist. Next, select the province the drug will be dispensed in and click ‘Search’.
The results will appear below the search button. In this example, DIN 2316986 is an eligible drug. The name of the drug is Xarelto 10 mg tablet and does not have conditions that need to be met.
You can continue to look up other coverages, such as dental and vision, following similar steps to the examples above.
Curious about your claim?
Depending on the type of claim you submitted, it may be automatically approved or pending further review.
Learn how to check the status of your claim here.
Thinking about direct billing?
Some claims for products and services can be electronically submitted to Alberta Blue Cross® if the provider is set up for direct billing.
Locate a direct-bill provider today.
Benefits can be confusing, we get it—let us help.
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