Friday, 5 October 2012

What does AHCIP cover?

The Alberta Health Care Insurance Plan is the basic health care coverage provided to residents of Alberta. In order to be financially prepared for all health-related situations you may find yourself in, it's important to know the basics about what AHCIP covers, and what it does not.

Under AHCIP, Albertan residents are covered for the following services:
  • visits and non-elective procedures by physicians in Alberta
  • oral and maxillofacial surgery, as well as limited other services provided by dentists in Alberta
  • limited coverage for visits to optometrists
  • limited coverage for visits to podiatrists (up to $250 per year)
  • in-patient and out-patient hospital visits (as long as these are not made to a private facility), and as long as rooms are ward rooms
  • community physiotherapy
  • public health services such as: home visits, speech language pathology, nutrition, and immunization (there may be some additional charges associated with these services)
  • addictions and mental health treatment at a government funded facility

The following items and services are not covered under AHCIP:
  • cosmetic surgery
  • prescription drugs
  • ambulance transit
  • eye exams for anyone ages 19 through 64
  • eyeglasses and contact lenses
  • dentist checkups/cleanups and dentures
  • most immunizations (although some are covered)
  • alternative medical care (such as visits to a chiropractor, acupuncturist, massage therapist, homeopath, social worker, or nutritionist)
  • visits to a psychologist
  • physiotherapy at a private office
  • private or semi private hospital rooms
  • medical and surgical devices such as prosthetics and mobility devices
  • experimental procedures

While several items listed under things that AHCIP does not cover may not be of concern to you, some of them will be. For this reason, it is important to carefully consider the items services you need in order to select the best health insurance policy to meet those needs.