What is a list of covered medications?

A list of prescription drugs covered by a prescription drug plan or another insurance plan offering prescription drug benefits. Also called a formulary.

What is a restricted benefit?

Selected Devices or Drug Products are eligible benefits with restrictions in the Alberta Drug Benefit List. For these products a comment is displayed in the List after the ingredient name. The comment initially states “RESTRICTED BENEFIT” and is followed by an explanation of the restriction.

Do seniors in Alberta pay for drugs?

Overview. The Government of Alberta provides seniors with premium-free coverage for prescriptions drugs and other health-related services not covered under the AHCIP. Alberta Blue Cross administers the Coverage for Seniors program and claims.

Is shingles vaccine covered by Alberta Blue Cross?

Please note the regular Alberta Blue Cross seniors drug plan does not cover Zostavax, but many work or extended benefits plans do. There are no additional consultation or injection fees for the shingles vaccine if it’s prescribed at our clinic.

What is a Tier 6 drug?

The prescription drug tier which consists of some of the highest-cost prescription drugs, most are specialty drugs. Tier 6. The prescription drug tier which consists of the highest-cost prescription drugs, most are specialty drugs.

What benefits do seniors get in Alberta?


  • Alberta Seniors Benefit.
  • Supplementary Accommodation Benefit.
  • Special Needs Assistance for Seniors.
  • Dental and Optical Assistance for Seniors.
  • Coverage for Seniors.
  • Seniors Property Tax Deferral Program.
  • Seniors Home Adaptation and Repair Program.

Are MS drugs covered in Alberta?

Coverage for specific drugs used in the treatment of relapsing-remitting Multiple-Sclerosis (MS) is included in the Alberta government sponsored prescription drug coverage programs.

Is Blue Cross free for seniors in Alberta?

Qualifying for premium-free coverage When an Alberta resident reaches 65 years of age, the resident and all eligible dependants automatically qualify for premium-free Alberta Blue Cross Coverage for Seniors, sponsored by Alberta Health.

What is considered low income for seniors in Alberta?

In general, a single senior with an annual income of $29,285 or less, and senior couples with a combined annual income of $47,545 or less, may be eligible for a benefit. These income levels are guidelines only, and are for seniors whose income includes full Old Age Security pension.

Do seniors have to pay for ambulance in Alberta?

Seniors, age 65 and over, enrolled in the Coverage for Seniors program do not receive a bill for ambulance services. The Alberta government pays the complete cost of ambulance services.

What is standard Part D coverage?

THE PART D STANDARD BENEFIT The standard benefit includes an annual deductible and a gap in coverage, previously referred to as the “Donut Hole.”[77] Sponsors may also offer plans that differ from – but are actuarially equivalent to – the standard benefit.

Is the drug benefit list administered by Alberta Blue Cross?

Administered by Alberta Blue Cross on behalf of Alberta Health. The Drug Benefit List (DBL) is a list of drugs for which coverage may be provided to program participants. The DBL is not intended to be, and must not be used as a diagnostic or prescribing tool.

How to search interactive drug benefit lists in Alberta?

Check the following questions to help you search the Interactive Drug Benefit Lists. I just completed a search and am unsure why some of the text is underlined or highlighted? An underline indicates that the text is a link. Clicking on such text will provide you with additional data.

When does Alberta Health change the interactive DBL?

Alberta Health reserves the right to make changes, without notice, to the List through the Interactive DBL (iDBL), and any such changes to the Interactive DBL (iDBL) are effective the date of the change (unless otherwise stated) and regardless of the date of publication in the paper version or updates.

Where can I get health benefits in Alberta?

Official paper versions can be obtained from Alberta Blue Cross who publishes them on behalf of Alberta Health and Alberta Human Services.