Medical benefits

Making sure you get the right treatment at the right time is important to your recovery. We help you by paying for approved medical care. These include but are not limited to:

  • medications
  • physical therapy
  • chiropractic treatment
  • prescriptions
  • hospital care
  • dental
  • optometry

The following are medical expenses we can cover for your compensable injury/illness:

  • medically related treatments and tests
  • physiotherapy
  • chiropractic treatments
  • acupuncture
  • hospital stays
  • rehabilitation programs
  • psychology service
  • hospital-related costs
  • prescriptions*
  • splints
  • crutches**
  • braces
  • bandages
* Opiod medications have specific limitations. Please discuss this with your adjudicator or case manager.
** If crutches are needed, these will be supplied by the hospital and billed directly to us. If a wheelchair is needed, contact your adjudicator or case manager to discuss available options.

Personal assistants

If you are unable to travel on your own to receive medical treatment, you may have someone help you (a personal assistant). If the personal assistant loses time from work, a fee may be paid. Written verification is required from your personal assistant’s employer to be reimbursed the amount of lost wages. Before arranging this, contact your adjudicator or case manager for more information.

Expenses not covered

Alberta Health Care: You are responsible for your Alberta Health Care coverage costs. We provide coverage only for the treatment and medical aid benefits for your compensable injury/illness. The Alberta Health Care Insurance Plan provides coverage for you and your family for all your other health issues.

Blue Cross, pension, etc.: We do not pay for non-taxable employment benefits, such as Blue Cross and pension costs (whether or not these expenses were previously handled by the employer). Discuss further options for these expenses with your employer.

Private or semiprivate hospital room: We pay public ward rates for hospitalization unless there is a medical need (as stated by a hospital room social worker, spinal cord team or consultant) for a private or semiprivate room. If you request a private or a semi-private room when it is not medically required, you or your insurance carrier will be responsible for the extra costs.

Your adjudicator or case manager will discuss with you the medical services/treatment available to help you in your recovery. He/she will also answer any questions you may have.

If you have suffered a severe injury you may be entitled to more specialized medical benefits such as:

  • Personal care allowance
  • Vehicle modification
  • Home modification
  • Psychological counselling
  • Wheelchair costs

Depending on the severity of your injury there may be additional medical benefits we can offer. Your case manager will give you additional information.

Most medical benefits are covered up front while other approved medical benefits are reimbursed. This means that you may need to pay for the service and then request a reimbursement from us. Talk to your health care provider about billing us directly for the services we have approved.

Learn more about expense reimbursement.