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 |
Paramedical practitioners
| Coverage | Basic | Enhanced | Enhanced+ | Premium |
|---|---|---|---|---|
| Ambulance services (ground and air) | 100% | 100% | 100% | 100% |
| Accidental dental care (per incident) | $2,000 | $2,500 | $3,000 | $3,000 |
| Acupuncturist, homeopath, osteopath and naturopath (per visit) | - | - | $50 | $50 |
| Combined maximum (per year; includes acupuncturist, homeopath, osteopath and naturopath) | - | - | $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 |
| Individual Assistance Program (IAP) (per calendar year) | 12 sessions | 12 sessions | 12 sessions | 12 sessions |
Medical device supplies
| Coverage | Basic | Enhanced | Enhanced+ | Premium |
|---|---|---|---|---|
| Blood pressure monitor (per five years) | - | $150 | $150 | $150 |
| CPAP sleep apnea appliance (per five years) | - | $500 | $750 | $750 |
| Custom braces (per two years) | - | 70%/$750 | 70%/$750 | 70%/$750 |
| Foot orthotics (per year) | - | 70%/$200 | 70%/$200 | 70%/$200 |
| Hearing aids (per four years) | - | $500 | $750 | $750 |
| Ileostomy/colostomy, urinary catheters and supplies (per year) | - | 80%/$1,200 | 80%/$1,200 | 80%/$1,200 |
| Mastectomy prosthesis (per two years) | - | $200 for single/$400 for double | $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 | $250 |
| Orthopedic shoes (per year) | - | $250 | $250 | $250 |
| Oxygen and equipment (per year) | - | $2,500 | $2,500 | $2,500 |
| Prosthetics (per year) | - | $300 | $300 | $300 |
| Surgical stockings (per year) | - | $200 | $200 | $200 |
| Wheelchair (per three years) | - | $1,500 | $1,500 | $1,500 |
Vision care
| Coverage | Basic | Enhanced | Enhanced+ | Premium |
|---|---|---|---|---|
| Vision care including eye exams (per two years) | - | $200 | $250 | $300 |
Travel
| Coverage | Basic | Enhanced | Enhanced+ | Premium |
|---|---|---|---|---|
| Emergency Medical Care coverage per trip* | $5 million | $5 million | $5 million | $5 million |
| Trip length | 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 |
| Length of time pre-existing conditions must be stable before departure date | 90 days | 90 days | 90 days | 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 |
* "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 |
Optional dental*
| Coverage | Basic | Enhanced | Enhanced+ | Premium |
|---|---|---|---|---|
| Basic and preventive care (three-month waiting period; includes checkups, cleanings, fillings, extractions and root canals) | 70% | 75% | 80% | 90% |
| Dentures (one-year waiting period) | - | 50% | 50% | 60% |
| Periodontics (one-year waiting period) | - | 50% | 80% | 90% |
| Extensive includes crowns, bridges and implants (two-year waiting period) | - | - | 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 (two-year waiting period; per lifetime) | - | - | 50%/$2,000 | 50%/$2,500 |
*Alberta Blue Cross® Individual Health Plan Usual and Customary Dental Fee List.
Prescription drug
| Coverage | Basic | Enhanced | Enhanced+ |
|---|---|---|---|
| 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 |
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® plan 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.