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Quote Form (LIVE - 08-01-2023)

Are you retiring, or have you retired, from the Alberta public or catholic educator sector?

Yes

ASEBP's MyRetiree Plan is available only to retirees of an eligible Alberta public school board.

Employer Name:

ID Number:

Which province are you retiring to?

ASEBP’s MyRetiree Plan is not available to Quebec residents.

How did you hear about us?

Other:

Please select your age category:

Emergency Travel is available until the end of the month you turn 85. It is not included in this quote based on your selection.

Applicants 65 years and over must apply for their applicable provincial seniors’ benefit plan, which becomes the first payor.

Do you have a co-applicant/spouse?

Yes

Co-applicant's/spouse's age:

Do you have dependants?

Yes

How many dependants do you have?

Extended Health Care

Coverage levels: maximums for the Enhanced or Core Extended Health coverage are listed below. Enhanced coverage is reimbursed at 100%, with Core at 70%, unless otherwise noted. Please note that because Extended Health Care and Vision Care are a package (with separate rates), your choice of Enhanced or Core will apply to both.

Choose Extended Health Care coverage for ages 50-64

Choose Extended Health Care coverage for ages 65-84

Choose Extended Health Care coverage for ages 85+

Drugs

50-64 Years

No yearly maximum
Per person per calendar year (January-December) unless otherwise noted

Enhanced

100%

Core

70% up to $20,000
100% beyond $20,000

Over 65

Alberta Seniors Plan first payor
No yearly maximum
Per person per calendar year (January-December) unless otherwise noted

Enhanced

$5,000 yearly maximum (applies to dependants regardless of age)
100%

Core

$3,500 yearly maximum (applies to dependants regardless of age)
70%

Ambulance & Hospital Services

Enhanced

Core

Ambulance

Enhanced

100%

Core

70%

Hospital Beds

Per person maximum of $3,000

Enhanced

100%

Core

70%

Hospital Room

Up to Government of Alberta’s daily rate for semi-private room

Enhanced

100%

Core

70%

Medical Aids & Appliances

Enhanced

Core

Aerochambers

Enhanced

100%

Core

70%

Brace

Enhanced

100%

Core

70%

Blood Pressure Monitors

Enhanced

100%

Core

70%

Canes, Casts, Cervical Collars, Crutches, Walkers, and Trusses (hernia belts)

Enhanced

100%

Core

70%

Compression Garments and Support Surgical Stockings

Enhanced

100%

Core

70%

Dressings, Bandages and Related Supplies

Enhanced

100%

Core

70%

Hair Pieces and Wigs

Enhanced

100%

Core

70%

Ileostomy, Colostomy, and Urinary Incontinence Supplies

Enhanced

100%

Core

70%

Intravenous Supplies

Enhanced

100%

Core

70%

Oxygen and Supplies Required for its Use

Enhanced

100%

Core

70%

Phototherapy Light

Enhanced

100%

Core

70%

Physical Rehabilitation Equipment

Enhanced

100%

Core

70%

Prosthetics

Enhanced

100%

Core

70%

Respiratory Equipment Accessories and Repairs

Enhanced

100%

Core

70%

Utlraviolet Light

Enhanced

100%

Core

70%

Wheelchairs and Scooters

Enhanced

100%

Core

70%

Other Products, Treatments and Services

Enhanced

Core

Accidental Dental

Enhanced

100%

Core

70%

Allergy Testing

Enhanced

100%

Core

70%

Endovenous Laser, Radiofrequency Endovenous Ablation Therapy or Treatment with Medical Adhesives

Enhanced

100%

Core

70%

Hearing Aids

Enhanced

100%

Core

70%

Home Nursing Care

Enhanced

100%

Core

70%

Insulin Pumps and Continous Glucose Monitoring Receivers/Transmitters

Enhanced

100%

Core

70%

Joint Injectable Materials

Enhanced

100%

Core

70%

Out-of-Province Treatment

Enhanced

Get Details

Core

Get Details

Orthotics

Enhanced

Core

Foot Orthotics

Enhanced

100%

Core

70%

Orthopedic Shoes

Enhanced

100%

Core

70%

Paramedical Services

Enhanced

Core

Acupuncture

Enhanced

100%

Core

70%

Chiropractor

Enhanced

100%

Core

70%

Massage Therapy

Enhanced

100%

Core

70%

Naturopath

Enhanced

100%

Core

70%

Physiotherapy

Enhanced

100%

Core

70%

Podiatrist/Chiropodist

Enhanced

100%

Core

70%

Psychologist

Enhanced

100%

Core

70%

Sclerotherapy

Enhanced

100%

Core

70%

Vision

(Extended Health Care)

Please note that because Extended Health Care and Vision Care are a package (with separate rates), your choice of Enhanced or Core will apply to both.

Enhanced Vision Coverage for ages 50-64:

Core Vision Coverage for ages 50-64:

Enhanced Vision Coverage for ages 65-84:

Core Vision Coverage for ages 65-84:

Enhanced Vision Coverage for ages 85+:

Core Vision Coverage for ages 85+:

Every rolling two years from date of initial service (not claim)

Enhanced

100% to a combined maximum of $300 per person

Core

100% to a maximum of $100 per person

Every rolling two years from date of initial service (not claim)

Enhanced

100% to a combined maximum of $300 per person

Core

100% to a maximum of $100 per person

Dental

To be eligible for our optional Dental Care coverage, you will need to be enrolled in one of our Extended Heath and Vision Care plans. However, if you chose to decline dental coverage with your initial application, you can apply within 31 days of alternative dental coverage terminating and providing ASEBP with proof of loss of coverage.

I choose to decline dental coverage.

Dental Coverage:

Enhanced Option 1

Enhanced Option 2

Core

Preventative / Basic

(per person per calendar year)

Enhanced

50% of the Dental Benefit List fees up to a maximum of $2,500

Enhanced

80% of the Dental Benefit List fees for basic treatments up to $1,000 per person per calendar year

Core

50% of the Dental Benefit List fees for basic treatments up to $2,000 per person per calendar year

Major / Restorative

(per person per calendar year)

Enhanced

100% of the Dental Benefit List fees up to a combined maximum of $5,000

Enhanced

50% of the Dental Benefit List fees up to a combined maximum of $2,500

Core

50% of the Dental Benefit List fees up to a maximum of $2,000

Orthodontic:

Including predeterminations
Per person per lifetime
Available for dependants 19 and under only

Enhanced

50% of the Dental Benefit List fees up to a maximum of $3,000 per person per lifetime

Enhanced

Not available

Core

Not available

Selections

Age Category: 50-64

Extended Health:

Vision:

Dental:

Selections

Age Category: 65-84

Extended Health:

Vision:

Dental:

Selections

Age Category: 85+

Extended Health:

Vision:

Dental:

Your Quote (Ages 50-64):

/month

Your Quote (Ages 65-84):

/month

Your Quote (Ages 85+):

/month

Life and Accidental Death and Dismemberment

Life and AD&D premiums are not included in the above premium total. Your Principal Sum is two times your annual earnings at the time of retirement to a maximum of $800,000.

Life: $0.141 per $1,000 of coverage, AD&D: $0.011 per $1,000 of coverage

Once submitted, your MyRetiree Plan application form will download to your browser, and will be available in your browser's downloads area.

Get a Quote

Get a Quote

Extended Health Care

Drugs

50-64 Years

Enhanced

Core

Over 65

Enhanced

Core

Ambulance & Hospital Services

Enhanced

Core

Medical Aids & Appliances

Enhanced

Core

Other Products, Treatments and Services

Enhanced

Core

Orthotics

Enhanced

Core

Paramedical Services

Enhanced

Core

Vision

(Extended Health Care)

Dental

Enhanced Option 1

Enhanced Option 2

Core

Enhanced

Enhanced

Core

Enhanced

Enhanced

Core

Enhanced

Enhanced

Core

Selections

Selections

Selections

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