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Login Contact Us. English and Spanish Forms. Qualified Eligible Medical Expenses. Changing Coverage During The Year. Medical Download PDF. Download PDF. Healthcare Regulations. Prohibits group health plans from discriminating on the basis of genetic information with respect to eligibility, premiums and contributions. For individuals receiving mastectomy-related benefits, coverage will be provided in a manner determined in consultation with the attending physician and patient for: All stages of reconstruction of the breast on which a mastectomy has been performed, Surgery and reconstruction of the other breast to produce symmetrical appearance, Breast prostheses, and Treatment of physical complications of the mastectomy, including lymph edemas.

Neither person is married to someone else or is a member of another domestic partnership with someone else that has not been terminated, dissolved, or adjudged a nullity. The two persons are not related by blood in a way that would prevent them from being married to each other in California.

Both persons are at least 18 years of age. Either of the following: Both persons are members of the same sex. The partners are of the opposite sex, one or both of whom is above the age of 62, and one or both of whom meet specified eligibility requirements under the Social Security Act. Both persons are capable of consenting to the domestic partnership.

Electronic materials must be prepared and delivered in accordance with otherwise applicable requirements e. A notice must be provided to each recipient, at the time that the electronic document is furnished, detailing the significance of the document. The notice must advise the participant of their rights to have the opportunity, at their work site, to access documents furnished electronically and to request and receive free of charge paper copies of any documents received electronically.

The employer must take appropriate measures to ensure the electronic distribution will result in actual receipt of information by the participants i.

Additional requirements for non-employees or employees with non-work related computer access: Affirmative consent for electronic distribution must be obtained from the individual. The regulations permit the pre-consent statement to be provided electronically if the employer has a current and reliable e-mail address.

If system hardware or software requirements change, a revised statement must be provided and renewed consent from each individual must be obtained. The Employer must keep track of individual electronic delivery addresses, individual consents and the actual receipt of e-mailed documents by recipients. Steps 1, 2, 4, and 5 outlined above under requirements for employees with work-related computer access must also be followed.

Surgical Events: Surgery performed on the wrong body part, Surgery performed on the wrong patient, Wrong surgical procedure on a patient, Retention of a foreign object in a patient after surgery or other procedure, or Intraoperative or immediately post-operative death in a normal, healthy patient defined as a Class 1 patient for purposes of the American Society of Anesthesiologists patient safety initiative. Product or Device Events: Patient death or serious disability associated with the use of contaminated drugs, devices, or biologics provided by the health care facility, Patient death or serious disability associated with the use or function of a device in patient care in which the device is used or functions other than as intended, or Patient death or serious disability associated with intravascular air embolism that occurs while being cared for in a health care facility.

Patient Protection Events: Infant discharged to the wrong person, Patient death or serious disability associated with patient elopement disappearance for more than four hours, or Patient suicide, or attempted suicide resulting in serious disability, while being cared for in a health care facility.

Care Management Events Patient death or serious disability associated with a medication error e. Environmental Events: Patient death or serious disability associated with an electric shock while being cared for in a health care facility, Any incident in which a line designated for oxygen or other gas to be delivered to a patient contains the wrong gas or is contaminated by toxic substances, Patient death or serious disability associated with a burn incurred from any source while being cared for in a health care facility, Patient death associated with a fall while being cared for in a health care facility, or Patient death or serious disability associated with the use of restraints or bedrails while being cared for in a health care facility.

Criminal Events: Any instance of care ordered by or provided by someone impersonating a physician, nurse, pharmacist, or other licensed health care provider, Abduction of a patient of any age, Sexual assault on a patient within or on the grounds of a health care facility, or Death or significant injury of a patient or staff member resulting from a physical assault i.

As a result of allowing you to pay for benefits on a before-tax basis, the government has established rules that control when you can change or enroll for coverage. Based on your situation, you may be able to: Change your coverage during the plan year i.

Note: You must enroll for coverage in order to enroll your dependents. Special Enrollment Rights: As provided by the Health Insurance Portability and Accountability Act—HIPAA Under certain circumstances, even if you or your eligible dependents are not currently enrolled in a plan, the government requires that you and your eligible dependents be allowed to late enroll — enroll during the plan year even though you declined coverage when you were first eligible or during a previous open enrollment period.

Change in the number of your dependents, including birth, adoption, placement for adoption or death of your dependent. Change in your employment status, including termination or commencement of employment of you, your spouse or your dependent. Change in work schedule for you or your spouse, including an increase or decrease in the number of hours of employment, a switch between full-time and part-time status, a strike, lockout or commencement or return from an unpaid leave of absence.

Only the lines relevant to verifying your eligibility and determining your benefits are collected. You may be eligible for an Alberta Seniors Benefit if your non-deductible income is within the program thresholds. The Alberta Seniors Benefit program bases your benefit on your income from the previous calendar year.

However, an exception is made for seniors applying to the program or receiving benefits for the first time. For seniors applying to the program for the first time, or those who have previously applied but have never received benefits, an estimate of income is allowed to determine benefit eligibility for the current calendar year. When an estimate is used, the estimated income is compared to the actual income reported to the Canada Revenue Agency at the end of the benefit year.

If the estimated income was too high, benefits are paid to you retroactively. If an estimated income was too low, and you received benefits for which you were not eligible, you will have to repay the overpayment. The Supplementary Accommodation Benefit supports eligible seniors who reside in a designated supportive living or long-term care facility with monthly accommodation charges.

The amount received is determined by:. You will receive one combined payment each month. When a couple must live apart for health reasons, a review of eligibility is completed to consider the couple as 2 single seniors living in separate dwellings.

Seniors whose monthly income from all sources is less than the current private room rate may receive a benefit. Seniors with low income not eligible for the federal Old Age Security pension, who are residents of designated supportive living and long-term care facilities, are considered for the Supplementary Accommodation Benefit.

Seniors Financial Assistance information booklet. Attach a photocopy of one of the following documents :. You are encouraged to sign up for direct deposit. Submit documents online. If you need help completing an application, call the Alberta Supports Contact Centre toll-free at Alberta Seniors and Housing will send you a letter explaining your benefit eligibility once your application is reviewed. If any of the following information changes, contact the Alberta Supports Contact Centre at have your Personal Health Care card available when calling :.

You may also notify the department in writing. Ensure your full name print , address, telephone number and Personal Health Care number are clearly marked on your document. Select one of the following options to provide your documents:. You may receive benefit payments retroactively for up to 11 months before the date Alberta Seniors Benefit receives your completed application form.

Retroactive payments will not be available before your 65th birthday or before 3 months of permanent residency in Alberta. Below is the monthly payment schedule.



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