Covered Expenses
See also Eligible Expenses
See also Coverage / Benefit
i.e. Reasonable and Customary Charges that are covered under a health or dental plan as outlined in the Policy document.
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Related Terms
Coverage / Benefit
Coverage, sometimes referred to as a benefit, is the range of health or dental services, supplies, or treatments that your insurance plan agrees to pay for under its terms and conditions. Each benefit represents a category of care, such as prescription drugs, dental services, vision care, or paramedical treatments.
Coordination of Benefits
Coordination of benefits (COB) is the process used by insurance companies to determine the order in which multiple plans will pay for the same claim when a person is covered under more than one policy. The goal is to ensure that combined reimbursements do not exceed 100 percent of the eligible expense, while allowing the insured to receive the maximum possible coverage across all plans.
Critical Illness Insurance
Critical illness insurance is a type of financial protection that pays a one-time, tax-free lump sum if you are diagnosed with a covered serious illness such as cancer, heart attack, or stroke. Unlike disability insurance, which replaces a portion of your income over time, critical illness insurance gives you a single payout that you can use however you choose - for medical expenses, household bills, recovery time, travel, or lifestyle adjustments.
Conversion Privilege
Conversion privilege is the right to transfer your existing group insurance coverage to an individual policy without providing medical evidence of insurability when your group coverage ends. This option allows you to maintain continuous protection during life transitions such as leaving a job, retiring, or losing eligibility under an employer-sponsored plan. It is a key feature that helps individuals avoid coverage gaps, especially if they have pre-existing medical conditions that could make new insurance difficult to obtain.
Prior Authorization
Prior authorization is the process through which an insurer reviews and approves certain medical treatments, procedures, or prescription drugs before they are performed or dispensed. It ensures that the recommended care is medically necessary, appropriate, and covered under the policy before expenses are incurred. Prior authorization helps manage costs and ensures the use of safe, evidence-based treatments that align with clinical guidelines.
Relevant Plans
Plans that relate to Covered Expenses
Alberta Blue Cross - Blue Assured - Basic
Can apply at anytime, at any age.
Alberta Blue Cross - Blue Assured - Enhanced
Can apply at anytime, at any age.
Alberta Blue Cross - Blue Assured - Enhanced+
Can apply at anytime, at any age.
Alberta Blue Cross - Blue Assured - Premium
Can apply at anytime, at any age.
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