Alberta Health Care Card Replacement Application Form

Change your mailing address.

Alberta health care card replacement application form. Alberta blue cross. Please submit your application and required documents to the address indicated above. It is important to keep your alberta health care insurance. Application for alberta health care insurance plan coverage.

All new and returning residents must apply for alberta health care insurance plan coverage. Change your name. Update your alberta health care insurance plan ahcip information to. Remove a dependant who longer qualifies to be on your account.

When to cancel health care coverage. All new and returning eligible alberta residents must be registered for the alberta health care insurance plan ahcip to receive insured hospital and physician services. Once your ahcip application is received it is reviewed to see if you are eligible. Mailing address alberta health.

You need to apply for coverage. Update or make changes to your card information change a name and or address pdf 220 kb. Learn about ahcip eligibility requirements. Ask questions about alberta s health care insurance plan send your completed forms update your information or get a replacement card.

Change your marital or relationship status. Application for alberta health care ahc0102 insurance plan coverage all required documents see page 2 must be submitted for this application to be processed. How to cancel ahcip coverage if you move outside alberta or if an alberta resident dies. Application for premium subsidy.

Canadian children of non eligible parents pdf 169 kb use only for your canadian child if you are the child s parent you are physically present in alberta and you the parent are not eligible for ahcip coverage. Find out what is an alberta health care card how to apply what are the eligibility requirements and more. Application form for ahcip coverage. Please provide personal information for your dependants on page 4.

Current and retroactive premium subsidy. You can also stop by our office to complete and submit these forms and changes and request additional information. Forms for alberta health care insurance plan and blue cross forms to. Contact the alberta health care insurance plan ahcip office ask questions about alberta s health care insurance plan send your completed forms update your information or get a replacement card.

Have a new child or dependant. Alberta health care insurance plan forms for individual use are attached. All questions comments or concerns that require your personal health information or health care number should be made in person by telephone fax or mail. How to update your health care card.

Proof of age declaration. To update your health care card account. Complete the application form. When accessing services you will need to show your personal health care card along with photo identification.

To be covered for insured health services in alberta you must be registered with the alberta health care insurance plan ahcip. Coverage begins once your application has been approved and you are registered. Fill out the form. Visit any ama centre to order yours.