Alberta Health Services
If you were not injured at work or in a car accident, you may qualify for Alberta Health Care funded visits. You are eligible to receive a funded assessment and two treatments if you qualify. If you are on a government subsidy program, or qualify for low income, you may be eligible to receive 4 additional treatments. Due to limited funding available through Alberta Health Services, there may be a waitlist to access these visits.
If you have had a recent fracture or orthopedic surgery, you will qualify for one assessment and six treatments that are covered by Alberta Health Care. You must begin attending treatment within 8 weeks of the fracture or surgery, or within 2 weeks of having your cast removed, unless your doctor recommends a longer wait time.
Physiotherapy is a benefit under several health benefit plans. If you have a benefit plan, we would encourage you to look into the extent of coverage you have for physical therapy. Accessing your private benefit plan will help you bypass the waitlist for AHS funded treatments and receive treatment at an appropriate frequency. We are currently able to direct bill Blue Cross and Great West Life for physiotherapy services. If you have benefits through any other provider, you will be required to pay for each treatment and submit your receipts for reimbursement.
Motor Vehicle Accidents
If you were injured in a motor vehicle accident, the Diagnostic and Treatment Protocol Regulations (DTP) for “minor injuries” (a legal definition of sprains, strains, and WAD 1 or 2) state that you are pre-approved for either 10 or 21 treatments, depending on your diagnosis.
If you do not qualify for the Diagnostic and Treatment Protocols (due to a delay in seeking treatment, or due to the nature of your injuries), or if you have exhausted your DTP, you will be treated under “Section B Accident Benefits”. Under these circumstances your extended health benefit plan will become the primary payer on your account. Your MVA insurance would pay the portion that is not covered by your extended health plan.
Massage therapy is a benefit under most extended health benefit plans. Please call your benefit provider (Sunlife, Greatwest life, Bluecross etc.) to determine the rules and limits for your coverage. At this time, Blue cross is the only benefit plan that accepts direct billing for massage therapy.
Workers’ Compensation Board (WCB)
The Workers’ compensation act mandates work place insurance for workers in the province of Alberta. If you were injured at work, treatment costs are covered by WCB subject to the acceptance of your claim. In the event your claim is denied, WCB would still cover the cost of your first assessment and treatment under most circumstances.