Add to clipboard  Print this page

Extended Health Care

Click here to view the Extended Health Care online benefit guide, or click the book icon in the right-side blue bar.

ASEBP’s Extended Health Care (EHC) plan provides coverage for a variety of health care services and supplies. EHC coverage is designed to complement the Alberta Health Care Insurance Plan, covering a number of treatment and supply expenses that are not covered, or covered to a limited extent, by the provincial plan, making ASEBP's EHC plan a vital component of your comprehensive benefits coverage. Benefits excluded from the Alberta Health Care Insurance Plan are not automatically covered by ASEBP’s Extended Health Care plan.

EHC coverage includes:

For a complete list of EHC coverage and full details about each plan option as summarized below, click the "Benefit Guide" link on the right side of this page.

EHC coverage is available in both single coverage (only you, the ASEBP covered member) and family coverage (for you, the ASEBP covered member, and your spouse or dependants).

Plan Options Available:


Extended Health Care Plan 1

  • 100% of the preferred price for the therapeutic alternative reference pricing (TARP) and least-cost alternative (LCA) pricing and a dispensing fee maximum for eligible prescription drugs listed in the ASEBP Drug Benefit List
    • includes legal and conventional prescription and specific over-the-counter drug products
    • of $9.00 for drugs including purchased compounds* and $13.50 for compounds** (dispensing fees are included in the price of the prescription).
      *Purchased compounds are a therapeutic mixture containing one or more drug benefits which is prepared by a compounding and repackaging pharmacy. This compound is then purchased by another pharmacy for the purpose of dispensing to their customers.
      **Compounds are a therapeutic mixture containing one or more drug benefits which is prepared directly by the pharmacy that is dispensing the prescription medication to their customers.
    • A maximum of five dispensing fees per Maintenance Medication per person per calendar year are covered. If individuals choose to have their maintenance medication prescriptions filled more than five times per calendar year, any dispensing fees after the fifth event, will become an out-of-pocket expense and will not be covered by ASEBP.
    • 100% direct bill coverage for diabetic supplies to $4,000 per person per year (insulin pumps covered separately)
    • semi-private hospital accommodation (to a maximum of $144 per day within Canada)
    • 100% reimbursement to specified maximums for other eligible health-related expenses

    Extended Health Care Plan 2

    • 80% direct bill coverage of the preferred price for the therapeutic alternative reference pricing (TARP) and least-cost alternative (LCA) for eligible prescription drugs listed in the ASEBP Drug Benefit List
      • includes legal and conventional prescription and specific over-the-counter drug products
      • Prescription drug dispensing fee maximum of $9.00 for drugs including purchased compounds* and $13.50 for compounds** (dispensing fees are included in the price of the prescription).
        *Purchased compounds are a therapeutic mixture containing one or more drug benefits which is prepared by a compounding and repackaging pharmacy. This compound is then purchased by another pharmacy for the purpose of dispensing to their customers.
        **Compounds are a therapeutic mixture containing one or more drug benefits which is prepared directly by the pharmacy that is dispensing the prescription medication to their customers.
      • A maximum of five dispensing fees per Maintenance Medication per person per calendar year are covered. If individuals choose to have their maintenance medication prescriptions filled more than five times per calendar year, any dispensing fees after the fifth event, will become an out-of-pocket expense and will not be covered by ASEBP.
      • 100% direct bill coverage for diabetic supplies to $4,000 per person per year (insulin pumps covered separately)
      • semi-private hospital accommodation (to a maximum of $144 per day within Canada)
      • 100% reimbursement to specified maximums for other eligible health-related expenses

      Extended Health Care Plan 5

      • 90% direct bill coverage of the preferred price for the therapeutic alternative reference pricing (TARP) and least-cost alternative (LCA) pricing and a dispensing fee maximum for eligible prescription drugs listed in the ASEBP Drug Benefit List
        • includes legal and conventional prescription and specific over-the-counter drug products
        • o Prescription drug dispensing fee maximum of $9.00 for drugs including purchased compounds* and $13.50 for compounds** (dispensing fees are included in the price of the prescription).
          *Purchased compounds are a therapeutic mixture containing one or more drug benefits which is prepared by a compounding and repackaging pharmacy. This compound is then purchased by another pharmacy for the purpose of dispensing to their customers.
          **Compounds are a therapeutic mixture containing one or more drug benefits which is prepared directly by the pharmacy that is dispensing the prescription medication to their customers.
        • A maximum of five dispensing fees per Maintenance Medication per person per calendar year are covered. If individuals choose to have their maintenance medication prescriptions filled more than five times per calendar year, any dispensing fees after the fifth event, will become an out-of-pocket expense and will not be covered by ASEBP.
        • 100% direct bill coverage for diabetic supplies to $4,000 per person per year (insulin pumps covered separately)
        • semi-private hospital accommodation (to a maximum of $144 per day within Canada)
        • 100% reimbursement to specified maximums for other eligible health-related expenses