Non-Insured Services
Unfortunately, not all services are covered by AHC. These prices are at the discretion of the individual physician & may be adjusted depending on the particular situation. Here is a list of non-insured services.
INSURANCE FORMS/REPORTS
Blue Cross Authorization
Blue Cross Authorization (Palliative)
Disability Benefit Reports
Attending Physician’s Statement
CRA Disability Tax Credit Form
General Insurance Eligibility Forms
AISH
COMPLETION of SCHOOL & WORK FORMS/REPORTS
Sick Note
Return to Work
School Requested Forms & Reports
Certificate of Fitness (Summer Camp, School, Travel, etc)
Pre-Employment/Periodical Health Exam (Uninsured)
E.I./Pregnancy Leave Forms
COMPLETION of OTHER MEDICAL FITNESS FORMS/REPORTS
Driver’s Medical (any class for age <74.5 years)
Aviation Medical
Disabled Parking Placard
Seniors Residence Medical Reports (Lodge, Manor, etc)
Child Welfare Forms (Adoption/Foster Care)
OFFICE PROCEDURES
Surgical excision of warts/moles (cosmetic)
Liquid Nitrogen (includes all treatments for affected area)
Other Non-surgical (cosmetic) procedures varies
BOTOX varies
**BOTOX for chronic headaches & hyperhidrosis is partially covered**
PHOTOCOPY of CHART
If Requested by Insurance Companies/Third Parties
Patient Request (as per Alberta HIA regulations)
File Transfer to Another Clinic
OTHER FEES
Travel Advice (depends on how much time/information is required)
Phone/Fax Prescription Requests (only done in extenuating circumstances)
Missed Appointments (after 2 'no-shows' in a 12 month period)
Appointment Visit Reports (for income tax purposes)
Uninsured Office Visit
Uninsured Complete Visit
If you have recently moved to Alberta, you may not yet qualify for AHC. There is no fee, but you do need to apply. Contact Alberta Health Care for further information:
phone 310-0000 toll-free & then (780) 427-1432 between Monday to Friday 8:15am – 4:30pm or email: health.ahcipmail@gov.ab.ca
website: http://www.health.alberta.ca/health-care-insurance-plan.html
**FEE CHANGES TO OUR NON-INSURED SERVICES**
**Fee for Driver's Medical is $150.00, but only $100 if you bring a recent Optometry report (within 6mo). This is to encourage more comprehensive and regular eye exams for our patients, especially our Seniors**
