What is the Best Health Insurance in Alberta for 2025?

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Please use the filters below to select your province of residence, your age, your coverage status under the Provincial Health Insurance Plan, and your preferred level of care.

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Alberta
YOUR AGE
LEVEL OF COVERAGE
Extended
ARE YOU COVERED BY THE HEALTH INSURANCE PLAN?
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I LIVE IN
Alberta
YOUR AGE
LEVEL OF COVERAGE
Extended
ARE YOU COVERED BY THE HEALTH INSURANCE PLAN?
Yes, I am covered
Insurance
Rating
Features
Our reviews
Discover
Recommended Offer
Rating
4.8
Features
Medication
Maximum of $5000
Hospitalization
Optional hospital accommodation
Complementary care
Included
Health Professional
Included
Dental Care
Maximum amount for Year 1 of $700
Vision Care
$150 in the first 2 years
Our reviews
  • Designed to cover pre-existing conditions people may have
  • Get instant access to your benefits with the GSC pay-direct benefit card
  • No waiting period
With our licensed partner
Our detailed review

The GreenShield ZONE 5 Choice plan is a well-balanced health insurance option for individuals seeking moderate prescription drug benefits, strong extended health coverage, and essential dental care. It offers comprehensive protection without the high premiums of top-tier plans, making it an excellent fit for self-employed individuals, retirees, and those without employer benefits.
Prescription drug coverage is set at 80% up to $5,000 annually, ensuring that regular medication users receive financial relief. Dental benefits begin at $800 in Year 1 and increase to $1,200 by Year 3, with 80% coverage for routine care and 50% for major procedures.
Extended health benefits are robust, with $600 per practitioner per year for chiropractic care, massage therapy, physiotherapy, naturopathy, and more. Mental health support includes $600 per year for psychologists and therapists, providing a strong foundation for emotional well-being. Vision care includes $250 every two years for eyewear and $80 for routine eye exams.
For travellers, the plan includes $5 million in emergency medical coverage for trips up to 30 days, making it ideal for vacationers or business travellers. Additional benefits include ambulance services, accidental dental coverage up to $10,000 annually, and hearing aid benefits of $500 every four years.
Like all GreenShield personal health insurance plans, the ZONE 5 Choice plan includes access to the GreenShield Pharmacy with free prescription delivery. You also get access to GreenShield+ app that allows you to submit claims online, track benefits, and print ID cards anytime.

Ideal profile: The ZONE 5 Choice plan is best for those who need balanced drug, dental, and health coverage without excessive costs. It’s particularly useful for those who require regular medication, routine dental care, and extended health services such as physiotherapy or chiropractic treatment. If you need higher drug coverage or orthodontic benefits, you may want to explore ZONE 6 or ZONE 7 plans.

Read our detailed review
  • 80% prescription drug coverage up to $5,000 per year, offering strong financial support for medications.
  • Progressive dental benefits, increasing to $1,200 annually by Year 3.
  • $600 per year per practitioner for chiropractic, physiotherapy, massage therapy, naturopathy, and more.
  • Emergency medical travel insurance with $5 million coverage per trip (up to 30 days), regardless of age.
  • Free prescription delivery through GreenShield Pharmacy.
  • No orthodontic coverage.
  • Major dental services are covered but only at 50%.
Recommended Offer
Rating
4.8
Features
Medication
80% up to $1,300
Hospitalization
85% up to $175/day and $5,000/year
Complementary care
Included
Health Professional
100% reimbursement
Dental Care
Preventive: 80% reimbursement
Vision Care
100% reimbursement, $200 maximum every two years
Our reviews
Only between 30 and 60 years old
  • A perfect option for people group benefits in the last 60 days
  • Great plan for vision and dental options
  • Access to MySunLife Mobile App to manage your Health Coverage Choice plan online
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Our detailed review

The Sun Life Health Choice B plan is tailored for individuals or families seeking a comprehensive health insurance option that extends beyond basic coverage. This Sun Life health insurance plan ensures robust support in key areas such as prescription drugs, dental care, hospitalization, vision care, and paramedical services, while also providing optional dental benefits. It is particularly suited for those who want a well-rounded health coverage option with flexibility for additional needs.
Prescription drug coverage under this plan reimburses 80% of eligible expenses, up to an annual maximum of $1,300. Vision care is covered at 100%, up to $200 every two calendar years, which includes exams and corrective lenses. Extended health provisions include paramedical services, such as chiropractors and physiotherapists, with a combined annual maximum of $500 for all practitioners. The plan also offers dental benefits covering preventive and restorative care, reimbursing up to $700 annually.
Emergency travel medical insurance is a significant highlight of this plan, providing up to $1,000,000 lifetime coverage for emergencies during trips lasting up to 60 days. Hospital stays in semi-private rooms are supported with 85% reimbursement, capped at $5,000 annually. This comprehensive mix of benefits ensures that you are well-protected against unexpected health expenses.

Ideal Profile: The Health Choice B plan is ideal for individuals or families with moderate to high healthcare needs who value extensive coverage. It suits those seeking dependable insurance for major medical expenses, including dental and vision care, while ensuring robust travel medical coverage for peace of mind during trips.

Read our detailed review
  • Extensive prescription drug coverage with a high annual maximum
  • Comprehensive dental benefits for preventive and restorative care
  • Generous emergency travel medical insurance
  • Semi-private hospitalization support
  • Excludes orthodontics and major procedures like implants
  • Annual caps on some benefits may not be sufficient for extensive ongoing care
  • Limited flexibility for those requiring specialized high-cost treatments
Recommended Offer
Rating
4.8
Features
Medication
70% covered
Hospitalization
Extra hospital coverage $100/day
Complementary care
Included
Health Professional
Included
Dental Care
Coverage 70%
Vision Care
$150 / 2 years
Our reviews
  • Additional drug and dental benefits
  • Access to text, audio, or video chat with a doctor on your computer
  • Access to MyGoodHealth.ca
With our licensed partner
Our detailed review

The Blue Cross Complete Health Essential Plan is a dependable option for individuals and families seeking comprehensive health coverage with essential benefits. This plan is well-suited for those looking for practical, everyday support for their health needs, covering a wide range of services without the cost of premium-level coverage.
With 70% reimbursement, this Blue Cross health insurance policy provides coverage for key health practitioner services, including physiotherapy, chiropractic care, and naturopathy, with a maximum of $400 per practitioner annually. Dental care is also robust, offering coverage for preventative treatments, cleanings, and fillings with no annual maximum. Accidental dental benefits are generous, with a $7,000 lifetime cap, ensuring protection for unexpected dental emergencies.
For vision and hearing care, the plan provides $150 for vision expenses every two years and $400 for hearing aids every five years, helping members maintain these critical aspects of their health. Prescription drugs are covered at 70% with no overall annual maximum, providing valuable support for ongoing medication needs.
Additionally, the plan includes an Accidental Death and Dismemberment (AD&D) benefit, offering up to $15,000 for the policyholder or their spouse and $5,000 for each dependent child. This added protection provides peace of mind for unforeseen events, ensuring financial security for your family in challenging times.

Ideal profile: The Health Essential Plan is perfect for individuals and families who want a balance between affordability and coverage. It suits those who need regular support for health practitioners, dental care, and prescriptions while appreciating the added safety net of AD&D benefits. If you’re seeking solid, everyday health insurance that doesn’t overextend your budget, this plan is a great match.

Read our detailed review
  • 70% coverage for health services, dental care, and prescriptions.
  • No annual cap on dental preventative services and fillings.
  • Generous AD&D benefit for financial security in emergencies.
  • Vision and hearing care benefits for ongoing needs.
  • Does not include travel insurance coverage.
  • Limited coverage for advanced dental procedures like orthodontics or implants.
  • Practitioner visit caps may not suffice for high-need individuals.
Recommended Offer
Rating
4.8
Features
Medication
Prescription Drugs: $1,300/year
Hospitalization
Ambulance service and semi-private room
Complementary care
Homecare, Prosthetics
Health Professional
15$/visit
Dental Care
Not included
Vision Care
$200 every 2 years
Our reviews
  • Obtain special rates for couples and families
  • Fast and easy electronic claims
  • Earn rewards and save on premiums with Manulife vitality
  • 24/7 access to virtual healthcare anywhere in the world
With our licensed partner
Our detailed review

If you’re transitioning from workplace benefits or looking for dependable health coverage that mirrors group insurance, the Manulife FollowMeᵀᴹ Enhanced Plan offers a seamless solution. Designed to provide robust coverage without medical questions during the application process, this plan ensures you can continue to access critical healthcare services, including prescription drugs, vision care, and extended health benefits.
In terms of its drug coverage, this Manulife health insurance plan reimburses 80% of eligible costs up to $1,500 annually, with a maximum dispensing fee of $6.50 per prescription. Vision care is equally comprehensive, providing $200 every two years for eyeglasses, contact lenses, and laser eye surgery, along with $60 for routine eye exams.
The hospital coverage is a noteworthy benefit, offering 100% coverage for semi-private rooms for the first 60 days (up to $175 per day), followed by 50% for the next 90 days. Extended health care includes $600 annually for registered specialists and therapists. Mental health support is available, with 10 covered visits for psychologists, psychotherapists, or speech therapists.
The plan also provides access to TELUS Health Virtual Care, offering 24/7 on-demand consultations with healthcare professionals, ensuring you’re supported whenever and wherever you need help. You also have the option to add emergency travel insurance of up to $5 million in coverage for trips lasting up to 15 or 30 days.

Ideal profile: The FollowMeᵀᴹ Enhanced Plan is ideal for individuals or families transitioning from group insurance who need dependable drug and health coverage. It’s particularly suited for those who don’t require dental benefits but want comprehensive vision, hospital, and extended health care support with no medical questions during application.

Read our detailed review
  • Guaranteed acceptance if you apply within 90 days of leaving workplace benefits.
  • Strong drug coverage with 80% reimbursement and a $1,500 annual maximum.
  • Comprehensive hospital, vision, and extended health benefits.
  • Includes mental health support and virtual healthcare access through TELUS Health.
  • Option to add robust emergency travel insurance for peace of mind.
  • No dental coverage, which may be a limitation for some users.
  • Some exclusions in drug coverage, such as fertility and birth control drugs.
  • Vision care benefits are capped at $200 every two years, which may not suit those with high optical needs.
Rating
4.8
Features
Medication
70%
Hospitalization
100% of semi-private hospital
Complementary care
70% reimbursement of laboratory and diagnostic
Health Professional
70% of up to $600 per practitioner per year
Dental Care
70% reimbursement
Vision Care
Not included
Our reviews
  • Easy application and claim process
  • Special rates for single parents and families
  • Several wellness benefits
With our partner Health Plus
Our detailed review

The Health Plus Priority Plan is tailored for individuals, families, and small business owners who want to balance comprehensive coverage with affordability.
One of the standout features of this Health Plus health insurance plan is its 70% reimbursement for prescription drugs, including an $8 dispensing fee, with an impressive annual limit of $30,000. For those seeking paramedical services such as physiotherapy, chiropractic care, or massage therapy, this plan ensures up to $600 per practitioner annually. Even better, the first $250 can be claimed directly without extra steps, making it hassle-free for regular visits.
Mental health support is another highlight, with up to $600 annually for psychologist and social worker sessions after the first year, along with five free counselling sessions included through the Member Assistance Program.
Under dental care, preventative care like exams, cleanings, and fillings, is covered at 70%, while major restorative procedures, such as crowns and dentures, are reimbursed at 50% after a waiting period. For vision needs, the plan offers $300 every three years for exams and eyewear, and hearing aids are reimbursed up to $500 every three years. Additionally, the plan includes $1,000,000 per incident for emergency medical travel coverage for trips lasting up to 60 days, giving you peace of mind when exploring new destinations.

Ideal Profile: This plan is perfect for individuals, families, and small business owners who need dependable, all-encompassing health coverage. It’s especially ideal if you’re looking for enhanced mental health support, substantial travel medical coverage, and broad dental and paramedical benefits. If you want peace of mind for both routine and unexpected health needs, the Health Plus Priority Plan is an excellent choice.

Read our detailed review
  • Generous prescription drug coverage with a high annual cap of $30,000.
  • Strong support for mental health services, including free counselling.
  • Extensive travel emergency medical coverage for trips up to 60 days.
  • Dental benefits that cover preventative care and major restorative work.
  • Requires pre-approval for claims exceeding $250 for paramedical and mental health services.
  • Major restorative dental coverage has a waiting period before full benefits apply.
  • Orthodontics and fertility treatments are not included.
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Did you know that over 30% of medical costs in Alberta are not covered by the provincial AHCIP (Alberta Health Care Insurance Plan)? Most families end up paying this out of their pocket leaving them with a huge financial burden. That's why it's essential to have good private health insurance.

Private health insurance also helps you cover essential yet expensive services like dental care, vision care and prescription medications, many of which are not covered or offered very limited protection by AHCIP.

But how do you know which is the best Alberta health insurance for you? In this guide, we take you through the best private insurance plans in Alberta, their coverage, pros and cons, prices, and even how to get covered by AHCIP if you are not already, and more. You can also compare plans and get quotes using our free comparator at the top of this page.

Alberta's Best Health Insurances for 2025

  1. Sun Life health insurance: Hassle-free policy access
  2. Manulife health insurance: The most comprehensive options
  3. Blue Cross health insurance: The most flexible choice
  4. GreenShield personal health insurance: Plans for every budget
  5. GMS health insurance: Comprehensive coverage
  6. Desjardins health insurance review: Wide coverage
  7. CAA health insurance: The best bundling discounts
  8. Canada Life health insurance: Best guaranteed policies

Top 2025 best Alberta Health insurance plans

Sun Life health insurance: Hassle-free policy access

Sun Life offers three healthcare insurance plans, all with differing levels of coverage which allows you to find a plan that is tailored to your specific needs. It has a comprehensive online portal and an app that allows you hands-on access to your claims and benefits information even while on the go.

The policies of Sun Life personal health insurance are a sensible choice if you do not have benefits through your employer, you are losing your group coverage, or if you would like additional benefits not offered by your employer’s or province’s healthcare like the Alberta Health Care Insurance Plan (AHCIP), MSP in BC, and drug coverage.

Note that you must have provincial or territorial health and drug coverage to apply for personal Alberta health insurance coverage.

Pros of Sun Life

  • Submit claim online or via app
  • Quick and easy online quote
  • Option of having semi-private hospital room with all plans
  • Reimbursement for paramedical services

Cons of Sun Life

  • Emergency travel medical, vision not included in Basic plan
  • Each family member must have the same plan

If you would like to explore further and get a sun life health insurance quote that is personalized to meet your unique needs, you can do so below and get results in a few moments.

Manulife health insurance: The most comprehensive options

Manulife Health Insurance Alberta offers many comprehensive healthcare insurance plans - whether you are looking for dental benefits, drug benefits, or a combination, you will be able to find a plan that works for your health needs.

There is a comprehensive online portal offered by Manulife health insurance for easy access to policy information and to submit a claim online. All health and dental plans have the option to add Manulife Vitality which allows you to earn rewards and save on how much you pay.

Manulife Alberta health insurance is a choice for you if you do not have health benefits through your employer, you are losing your group coverage, or if you would like additional benefits not offered by your employer’s or province’s health and drug coverage such as dental or medication-only coverage.

Pros

  • Manulife Vitality rewards program
  • Submit claims online or via the app
  • Option to choose dental-only, medication-only, or a combination plan
  • Option of having private or semi-private hospital room with all plans

Cons

  • Some Manulife health insurance reviews note that hospital benefits are not automatically included
  • Basic traveller’s insurance only covers the first 9 days of a trip
  • No specific Manulife health insurance for retirees

If you would like to explore further and get a Manulife health insurance quote that is personalized to meet your unique needs, you can do so below and get results in a few moments.

Blue Cross health insurance: The most flexible choice

Alberta Blue Cross Health Insurance offers Blue Assured® plans that can be customized to suit your needs. There are three plan options - Level A, Level B, and Level C, with varying degrees of coverage.

Extended Health and Dental benefits are required to be added to your Blue Assured plans while prescription drug is an optional add-on. Notably, basic and preventive dental care is covered at Level A - 70%, Level B - 75%, and Level C - 80%, which are typically not included in the Alberta Health Care Insurance Plan.

Alberta Blue Cross offers a wide range of coverage for paramedical practitioners including physiotherapists, massage therapists, and psychologists among others. All three plans also include travel coverage making sure all your health needs are taken care of.

Pros of Alberta Blue Cross Blue Assured Plans

  • Mix and match plans as needed
  • Submit claims online or via the app
  • Discount for health and wellness products through Blue Advantage
  • Affordable plan options
  • Preventive dental care in all plans

Cons of Alberta Blue Cross Blue Assured Plans

  • No standalone dental plans
  • Dental care must be added to base plan - not optional

You can find the detailed coverage under each plan right here.

If you would like to explore further and get an Alberta Blue Cross Health Insurance quote that is personalized to meet your unique needs, you can do it right here.

GreenShield personal health insurance: Plans for every budget

GreenShield provides personal health insurance through its wide range of ZONE and LINK plans, designed to cater to diverse needs and budgets. ZONE plans offer a range of six coverage levels, from basic to premium, and are perfect for individuals and families without group benefits. Lower-tier ZONE plans feature guaranteed acceptance for added accessibility. LINK plans are tailored for those losing group benefits, offering seamless transitions with guaranteed acceptance without medical underwriting. LINK plans also cover pre-existing medical conditions.  (Applications must be received within 90 days of the group benefit end date.)

GreenShield stands out with its generous reimbursement structure. Premium ZONE plans reimburse up to 90% of prescription drug expenses, while dental care is covered at rates of 70–90%. Additional benefits, including vision care and professional services, feature high limits, making GreenShield plans ideal for individuals with ongoing healthcare requirements. Every plan also comes with emergency travel medical coverage of up to $5 million without any age restrictions. 

The convenience of GreenShield+ enhances the overall experience by offering online claims submission, direct deposit for fast reimbursements, and real-time benefit tracking. Every plan also includes telemedicine, mental health support, and access to GreenShield digital pharmacy with free prescription delivery, ensuring well-rounded health coverage. 

GreenShield personal health insurance is particularly well-suited for retirees, self-employed individuals, and those without group benefits. Its flexibility and robust reimbursement options make it a leading choice in Canadian health insurance.

Pros of GreenShield personal health insurance

  • Diverse range of plans to suit many health benefit needs and budgets
  • Prescription drugs covered up to 90% in top-tier plans
  • Dental care reimbursed up to 70–90% across most plans
  • Easy-to-use GreenShield+ platform for claims and reimbursements
  • Wide-ranging coverage for vision, professional services, and extended healthcare
  • Guaranteed acceptance for multiple plans without medical exams
  • Multi-trip emergency medical travel coverage with no age limits
  • Telemedicine access
  • Access to digital pharmacy with free prescription delivery
  • Benefits continue regardless of age or changes in health, as long as premiums are paid

Cons of GreenShield personal health insurance

  • Orthodontic and major dental services start after Year 3
  • No option for stand-alone dental insurance

Good to know

Monthly GreenShield personal health insurance costs are based on factors such as age, plan type, province of residence, and number of people on the plan (single, couple, or family). 

GMS health insurance: Comprehensive coverage

GMS offers plans ranging from basic coverage to comprehensive healthcare insurance, all of which have the option to add dental benefits and/or drug benefits. With GMS, you will be able to tailor a plan to fit your health needs.

They have a comprehensive online portal, My GMS, which allows for easy access to your benefit information and the ability to submit a claim online. Their travel plans for certain plans automatically add Covid-19 treatment coverage.

GMS health insurance Canada is a choice for you if you do not have health benefits through your employer, starting your own business, or if would like additional benefits not offered by your employer’s or province’s health and drug coverage.

Pros

  • My GMS portal access
  • Submit a claim online or via the app
  • Counselling and speech therapy is covered in some plans

Cons

  • Some GMS health insurance reviews have criticized the limited dental plan
  • Some GMS health insurance coverage reviews note that hospital benefits are not automatically included
  • Vision and travel insurance not included in the basic plan

If you think GMS is the right fit for you or would like to give it a try, you can now get a quote from GMS health insurance and get a policy that suits your unique health needs and budget the best.

Desjardins health insurance review: Wide coverage

Desjardins is a leading provider of insurance in Canada with an illustrious history. It offers private health insurance to bridge the gaps in provincial healthcare programs like the MSP in BC or the AHCIP in Alberta.

Desjardins health insurance plans can be bundled with other policies like travel, life, dental to save money. Compared to competitors, Desjardins premiums are slightly higher however they offer a wider range of coverages.

That said, in some ways the company is behind some of its competitors as it does not offer the ability to sign up for a policy online.

Pros

  • Dental, medical, vision and travel insurance included in the standard plan
  • Online health platform and 24/7 telephones assistance
  • High maximum coverage limits
  • Enhanced hospital care

Cons

  • A policy can only be issued on the 1st or 15th of the month
  • Lack of comprehensive online services
  • Plans not available after 70 years old

CAA health insurance: The best bundling discounts

The CAA, or the Canadian Automobile Associate, was founded more than 115 years ago. It is one of the largest not-for-profit automobile associations in Canada. It also offers CAA insurance packages, including private health insurance.

CAA has partnered with Manulife health insurance for over 20 years, allowing them to offer pre-packaged plans mix and match plans tailored to your specific health needs. They have a 30-day guarantee where if you are not satisfied with the coverage, you may request a refund within 30 days of receiving your policy.

This provider is a choice for you if you do not have health benefits through your employer, you are losing your group coverage, or if you would like to mix and match prescription and dental coverage. Note that you must have provincial or territorial health and drug coverage to apply for personal health insurance

Pros

  • Ability to mix and match plans
  • Discounts are available when you bundle health and dental
  • 30-day refund policy
  • Partnership with Manulife

Cons

  • No online claims submission
  • Some CAA health insurance reviews have cited long wait times for dental treatment

Canada Life health insurance: Best guaranteed policies

Founded in 1847, Canada Life is the country's first home-grown insurer and today has more than 12 million clients. Canada Life offers a variety of healthcare insurance options, all with differing levels of coverage which are designed to suit your needs, including prescription drugs, dental care, vision care and more.

They have comprehensive optional add-ons for you to further personalize your health plan. They also offer a ten-day look-and-see period. You can cancel your policy with no penalty during the first ten days.

Canada Life health insurance is a choice for you if you do not have medical benefits through your employer, you are losing your group coverage, or if you would like additional benefits not offered by your employer’s or province’s health and drug coverage like the Ontario Health Insurance Plan or the MSP in BC.

Pros

  • Multiple plans that offer guaranteed acceptance
  • Quick and easy online quote and application
  • Comprehensive optional coverage add-ons

Cons

  • Travel medical insurance is not automatically included in their plans (it is an optional add-on)
  • Some Canada Life health insurance reviews have noted long callback times

What's the health insurance system in Alberta?

Alberta has a publicly administered and funded healthcare system that allows eligible residents to access medically-necessary hospital and healthcare services. This plan is called the Alberta Health Care Insurance Plan. So what does the Alberta health care insurance plan provide? Also referred to as AHCIP, it covers health care costs such as medically necessary physician’s visits, diagnostic services (like lab tests and x-rays) and hospital accommodation.

However, comprehensive coverage and access to dental care, vision care and prescription medications are not covered under the Alberta Health Care Insurance Plan. You will need supplemental private insurance (a private health insurance plan) to cover these needs and avoid substantial out-of-pocket expenses.

How to get AHCIP?

All eligible Alberta residents must be registered for the Alberta Health Care Insurance Plan (AHCIP) to receive insured hospital and physician services. To file an Alberta health insurance application for the AHCIP, you will need to complete the AHCIP application form and submit it along with supporting documents.

The required supporting documentation is:

  • Proof of Alberta residency
  • Proof of identity
  • Legal entitlement to be in Canada

Once you have completed the application and have your supporting documentation, you can submit your application either in person or by mail. If you opt to submit your application in person, the processing time is as quick as five days. Otherwise, application processing time can take up to six weeks. Your coverage will begin once your application is approved and you are registered.

What does the AHCIP cover?

Now let's look at what's covered, exclusions, and eligibility of AHCIP coverage.

What does Alberta health care cover?

  • Physician visits
  • Psychiatrist visits
  • Diagnostic services including laboratory, radiological (x-rays)
  • Oral and maxillofacial surgery services
  • Bariatric surgery for Albertans who are eligible under the Weight Wise program
  • Breast augmentation and mastectomy for transgender surgery
  • Hospital visits and stays
  • Nursing services
  • Medications during hospital stay
  • Operating room, care room, radiotherapy, physiotherapy and anesthetic facilities
  • Inter-facility transfer in Alberta by ambulance

The AHCIP provides partial coverage for podiatry, optometry, and some specialized dental services only in Alberta. These services have benefit limits or maximums per benefit year:

Service typeCoverage
Optometry

  • Children 18 years old and under, and seniors 65+ years are eligible for 1 complete eye exam, 1 partial exam and 1 diagnostic procedure per benefit year
  • full coverage, if you are 19 to 65 years old, for an eye exam your optometrist deems is medically necessary as a result of trauma, a medical condition or an episode of illness

*Optometrists cannot charge you for services covered by AHCIP, but you are responsible for additional costs incurred at the time of treatment.
Dentistry
  • some specific dental, oral and maxillofacial surgical services
Podiatry
  • partial coverage for some podiatry services, to a maximum of $250 per benefit year
Health insurance Alberta coverage under AHCIP

When the charge for a dental, optometry, or dentistry service exceeds the benefit limit, you must pay the difference in cost. These services can be expensive which can lead to unforeseen financial stress.

What is not covered by Alberta Health Care?

There is a sizeable number of treatments that the Alberta Health Care Insurance Plan does not cover:

  • Complementary or alternative medical treatments, such as a chiropractor, massage therapist, naturopath, nutritionist or social worker
  • Psychologist and therapy
  • Routine surgical equipment and supplies
  • Accommodations at a standard level and meals
  • Cosmetic surgery (e.g. tummy tuck), unless medically required
  • Prescription medication, drugs other than those prescribed during a hospital stay
  • Eye examinations for adults aged 19-64, unless medically necessary
  • Eyeglasses, contacts or laser eye surgery
  • Medical appliances or mobility devices, such as wheelchair
  • Hearing aids
  • Dental treatments
  • Ambulance services unless transferred from one medical facility to another
  • Most contraception

Therefore, private health insurance can help you not only access better care when you need it while providing greater peace of mind. We highly recommend getting private health and dental care in Alberta. You can compare health insurance Alberta plans using our comparator at the top of this page to make the best decision based on your unique needs.

Who is not eligible for Alberta Health Card Coverage?

There are some exceptions to who can get Alberta Health Card Coverage. Non-eligible residents include:

  • refugee claimants
  • refused or failed refugee claimants
  • people with expired immigration documents

If you find yourself in one of those categories, it is recommended to get a private health insurance policy as you will have to pay for your medical expenses. If you are travelling to Canada, you should purchase travel insurance from a private insurance company before arriving in the country.

Watch out!

Not all Immigration, Refugees and Citizenship Canada (IRCC) permits qualify the permit holder for health care insurance coverage in Alberta. Those who are not eligible people should purchase the best health and dental insurance Alberta plans. You can explore Alberta health insurance companies using our comparator at the top of this page and get free quotes in no time.

What is covered under Alberta health care for seniors?

The Alberta Health Care Insurance Plan (AHCIP) covers several health services for seniors in Alberta:

  1. Physician Visits: Alberta Health Care provides coverage for medically necessary visits to physicians and specialists.
  2. Hospital Services: Coverage includes hospital stays, nursing services, laboratory tests, and diagnostic procedures.
  3. Oral and Maxillofacial Surgery: Coverage is provided for certain oral and maxillofacial surgical services.
  4. Eye Exams: Seniors are eligible for coverage for eye exams.
  5. Specific Medical Conditions Treated by Optometrists: Coverage includes treatment for certain medical conditions provided by optometrists.
  6. Dental Services: Routine dental care is not covered for adults, but some specific dental, oral, maxillofacial surgical services may be covered for seniors.

It's important to note that AHCIP does not cover certain health services, such as prescription drugs outside of hospital stays, eyeglasses, hearing aids, cosmetic surgery, and most dental treatments.

Does AHCIP cover international students?

International students in Alberta are required to have health insurance coverage. AHCIP provides healthcare coverage to eligible Alberta residents, but it doesn't generally cover international students. International students in Alberta are typically required to purchase private health insurance to cover their medical expenses while studying in the province.

Many educational institutions in Alberta provide health insurance options for their students, particularly international students. The specific requirements and details of health insurance for international students can vary, so it's essential to check with your educational institution and relevant authorities in Alberta to ensure you have the correct and up-to-date information on health insurance options and requirements for international students.

Does AHCIP cover visitors to Canada?

AHCIP is designed to provide healthcare coverage to eligible Alberta residents. Alberta health coverage offered by the government generally does not include visitors to Canada. Visitors to Alberta, whether from other provinces or from abroad, are not typically covered by AHCIP.

For visitors to Canada, including those visiting Alberta, it's recommended to have private health insurance to cover medical expenses during their stay. Travel insurance is a common option for visitors, as it can help cover unexpected medical costs, emergency medical treatment, and other health-related expenses. Health insurance Alberta for visitors plans are available under several popular providers like Blue Cross, Sun Life, and more.

What does Alberta private health insurance cover?

Private health insurance covers the gaps that the Alberta Health Insurance Care Plan leaves. The AHICP will cover minimal services which your physician needs to deem medically necessary. Unfortunately, these services are usually limited to doctor’s visits, laboratory work, and very minimal dental coverage.

Private health and dental insurance Alberta covers a much broader umbrella of services spanning health, dental and prescription drug coverage:

TreatmentAHCIPPrivate Health Insurance
Health Care
  • Medically necessary physician’s visits
  • Hospital stays in public hospitals
  • Diagnostic services (labs, x-rays, etc.)
  • Preferred hospital accommodations (semi-private or private rooms)
  • Hospital cash
  • Hospital beds
  • Home nursing
  • Auxiliary care
Paramedical Services
Not Covered
  • Chiropractic visits
  • Massage therapists
  • Physiotherapists
  • Psychologists
  • Traditional Chinese medicine (with some plans)
Prescription Drugs
  • Medications only dispensed in a hospital
  • Covered, limits will be dependent on plan/provider
Dental (waiting period may apply)
  • Some specific dental, oral and maxillofacial surgical services
  • Basic/preventative (check-ups, cleanings, fillings)
  • Dentures, periodontics, orthodontics
Vision
  • Children 18 years old and under, and seniors 65+ years - one complete eye exam, one partial exam and one diagnostic procedure per benefit year
  • 19 to 65-year-olds- eye exams an optometrist deems medically necessary resulting from trauma, a medical condition or an episode of illness
  • Covered, limits will be dependent on plan/provider
Travel
Not Covered
  • Covered, limits will be dependent on plan/provider
Health insurance Alberta coverage vs private health insurance

As you can see, private individual health insurance Alberta plans have additional services coverage and more generous financial assistance on hospital stays with nursing services and semi or fully-private rooms.

Paramedical services are also generally covered by Alberta private health insurance:

  • Chiropractic visits
  • Massage therapists
  • Physiotherapists
  • Psychologists

Some providers and plans also cover traditional Chinese medicine. Vision, dental and prescription drug coverage are also available through a private health insurance plan.

Can you combine health and dental insurance in Alberta?

You can combine health and dental insurance in Alberta. This process is called Coordination of Benefits (COB). It is standard practice for insurers across Canada. If you are covered by another extended health and/or dental plan, you can combine plans to maximize your overall coverage and reduce or even eliminate your out-of-pocket costs.

How do I get private health insurance in Alberta?

For full comprehensive health coverage beyond what the Alberta Health Care Insurance Plan covers, you will need to purchase private, supplemental health insurance. It can help you not only access better care when you need it but also offer peace of mind that you will be covered for large, unexpected expenses.

The cost of these services not covered by AHCIP can quickly escalate leaving you with a huge financial burden. Therefore we recommend you consider a private Alberta health insurance plan.

While finding the right insurance plan might be time-consuming we've made it simple for you. Use our comparator below and get quick personalised quotes in no time from the best health insurances in Alberta.


Compare The Best Health Insurance Plans and Rates on the market!

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How much does private health insurance cost in Alberta?

Private health and dental insurance Alberta plans costs depend on individual health, lifestyle, and medical conditions. But if you're wondering, how much is health insurance in Alberta? On average, basic private health insurance for an individual in Alberta might start from around $50 to $180 per month. For a more comprehensive coverage with extensive dental and drug protection, the premiums are usually $250 and higher.

Take for instance, a 30-year-old Alberta resident with no pre-existing conditions and including comprehensive hospital, dental and prescription drug coverage, the premium for a Blue Cross Alberta health insurance plan would be around $97.67.

For full comprehensive health coverage beyond what the Alberta Health Care Insurance Plan covers, the cost depends on several factors:

  • Age
  • Gender
  • Lifestyle including smoker status
  • Pre-existing conditions
  • Specific coverages (i.e dental, prescription drug cover)
  • Provider

You may be asking yourself what benefits you would be eligible for under a similar comprehensive plan and price. Here is an example of what to expect:

TreatmentLevel B Plan
Health Care
  • 12 Individual Assistant Program (IAP) sessions
  • $75 per psychologist visit
  • $450 maximum
  • $35 per chiropractic visit
  • $50 per massage visit
  • $50 per physiologist visits

*(combined maximum $350 for chiropractic, massage, physiologist visits)
Prescription Drugs
  • $500 maximum
Dental (various waiting periods apply)
  • 75% reimbursement for basic/preventative (check-ups, cleanings, fillings)
  • 50% reimbursement for dentures, periodontics
Vision
  • $200, including eye exams every 2 years
Hospital Stays (semi-private or private)
  • Up to $2,000
Private health insurance Alberta

5 tips to get the cheapest health insurance in Alberta

Here are 5 tips to help you find the most affordable private health insurance Alberta plan:

  1. Compare Multiple Plans: Research and compare health insurance plans from different providers. You can use the HelloSafe comparator to compare prices, coverage, and even get quotes from best health insurance Alberta plans to help you make the best decision.
  2. Assess Your Needs: Opt for plans that cover essential services and treatments you're likely to use, excluding unnecessary extras that increase costs.
  3. Consider Higher Deductibles: Choosing a plan with a higher deductible often leads to lower monthly premiums.
  4. Utilize Government Programs: Check if you qualify for any government-sponsored healthcare programs or subsidies. These programs can help reduce your overall insurance costs to get the cheapest health insurance Alberta plans.
  5. Bundle Policies: If you need other insurance types like dental or vision coverage, consider bundling them with your health insurance plans Alberta. Many insurers offer discounts when you combine multiple policies.

Watch out!

But before you get a private health insurance Alberta plan, it is mandatory to be covered by AHCIP. Yes, private insurance is not a replacement for provincial healthcare, rather it's a supplement to fill the gaps in public healthcare. So, if you haven't yet registered for ACHIP or do not have an Alberta personal health card yet, we recommend you register soon.

How do I contact AHCIP?

If you need to contact for Alberta health care insurance plan coverage, you can call the Alberta health care card phone number 1-800-232-7215. A representative will be able to help you Monday through Friday from 8:15 am to 4:30 pm.

Make sure you have your personal health number ready when you call. For general inquiries or non-personal questions, you can contact Alberta Health Services at: [email protected].

How to cancel your personal health insurance plan?

If you need to cancel your private health insurance Alberta plan, contact your specific provider directly. Each provider will have different requirements regarding what steps to take to cancel your policy.

If you are leaving Alberta permanently and need to cancel your Alberta Health Care Insurance Plan, you can do so by contacting the AHCIP office:

  • By phone at 1-800-232-7215, Monday through Friday from 8:15 am to 4:30 pm
  • By fax to 780-422-0102
  • By mail:

Alberta Health
Attention: Alberta Health Care Insurance Plan
PO Box 1360
Station Main Edmonton
Alberta T5J 2N3l

Good to know

Make sure to include your full name, personal health care number and forwarding address. You can also cancel your AHCIP account in person at an authorized registry agents office.

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Nishadh Mohammed
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Nishadh Mohammed is a seasoned news editor and financial writer, working with HelloSafe since May 2023. Nishadh has developed expertise in financial markets, insurance, and investment products, with a deep understanding of the Canadian financial landscape. He has honed his SEO skills and content marketing strategies while writing for Canadian publishing houses. Armed with a master's in Business Analytics and extensive journalistic experience, Nishadh uniquely combines data proficiency and thorough research to deliver comprehensive and accessible information.

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1 comments
Corey
on

Looking for health and dental insurance for two children who are no longer eligible under parents coverage. What are my options

Hi Corey,
You can find a list of some of your options in the "Which are the best individual health insurance plans in Alberta?" section of this article.

Have a nice day,
The HelloSafe Team