Alberta Health Care Card Replacement Form

When accessing services you will need to show your personal health care card along with photo identification.

Alberta health care card replacement form. Update your alberta health care insurance plan account update your ahcip account when your contact information changes or with important life events like university marriage babies and more. Notice of change update form ahc2211 to be used only when updating or changing. How to cancel ahcip coverage if you move outside alberta or if an alberta resident dies. How to apply step 1.

Complete the application form. 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. Keep your health account information current if you move have children turn 21 or 65 get married divorced or other relationship changes. Health card updates life events and address changes.

Forms to apply change or update account information for ahcip and alberta blue cross or request a statement of benefits paid. O adding dependant s o adding a spouse partner who is not already on your alberta health care insurance plan o making name or. When to cancel health care coverage. O name o date of birth o gender o address and or phone number o ordering replacement alberta personal health card s notice of change addition form ahc2212 to be used when.

Ahcip forms may now be submitted by fax at 780 422 0102 as well as by mail or through a registry agent. Learn about ahcip eligibility requirements. Forms for alberta health care insurance plan ahcip and blue cross. Ask questions about alberta s health care insurance plan send your completed forms update your information or get a replacement card.

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. It is important to keep your alberta health care insurance.