Ambulance

• Enhanced 100%
• Core 70%

Coverage is for professional ambulance services (ground and air)—regardless of whether or not you’re transported after treatment—at the rates negotiated between ASEBP and Alberta Health Services (AHS). Note that claiming practices may affect the time in which your claim is processed.

Requirement(s):  

• Must be used for the emergency treatment and/or transport of a patient to the nearest hospital that can provide adequate medical treatment and when no other means of transportation is appropriate
• Ambulance services provided in a province other than Alberta are covered to the price negotiated within that province
• If you receive an invoice from the provider, call EMS Accounts Receivable at 1-877-506-3230 as you shouldn’t pay the provider directly because ASEBP has a direct billing agreement with ambulances

Exclusion(s): 

• Trips that are:
  • not an emergency
  • to a treatment facility that is not active
  • between active treatment facilities (the sending hospital is responsible for this fee)
  • to or from a nursing home
  • pre-arranged or pre-booked
• Additional fees (e.g. late payment charges, surcharges, escort charges, medications or other charges such as the Jaws of Life, etc.)
• Fire department response fees

Claiming Practice

In order to direct-bill ASEBP for ambulance services, you must provide AHS with your ASEBP ID number during pick-up and transport. If you’ve provided AHS with your ID number and received an invoice from AHS, please contact them to bill ASEBP directly instead.

If you do not provide your ID number during pick-up and transport and pay AHS for the service directly, you must request a refund from AHS and have them bill ASEBP directly using your ID number in order to be reimbursed. If you do not request a refund and you submit the claim to ASEBP for reimbursement, ASEBP will only reimburse at the rates negotiated between ASEBP and AHS.