By now, most of you should have received an update from ASEBP regarding benefit changes effective January 1, 2009. Here is a quick rundown of the changes that affect our particular plan:
EXTENDED HEALTH CARE
WIGS – In addition to coverage for hair loss due to radiation or chemotherapy, claims for hair loss due to serious medical conditions will now be processed, subject to a pre-approval process. The maximum coverage amounts have increased to $600 every three years.
ENDOVENOUS LASER THERAPY – There is new coverage for the treatment of varicose veins. The allowable coverage is $5,000 maximum for lifetime.
INSIDE CANADA COVERAGE – Non-emergency treatment coverage available inside the province of residence will be extended to all of Canada. Emergency treatment coverage will continue to be available anywhere in Canada.
NOTES: Pre-approval is still required if you are referred to another province to receive specialized treatment. The limits and maximums currently in place for non-emergency treatment in Alberta will apply to any other province/territory.
Spouse – legally married to the covered member OR in an adult interdependent relationship
Child – ASEBP requires that children be registered on a parent’s Alberta health plan. Their provisions are as follows:
Single children under 21 who are wholly dependent on a parent, including adopted children, foster children (if an income tax deduction was claimed), and wards of the court.
Single children 21 years of age or older and wholly dependent on a parent because of physical or mental disabilities.
Single children under 25 years of age who are enrolled in three or more courses at an accredited educational institution.
For more information on any of these changes, please contact an ASEBP Benefit Specialist toll free at 1-877-431-4786.
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