YEG Chiro - Direct Insurance Billing

Direct Billing

YEG Chiro+Neuro is happy to provide the convenience of direct billing for eligible chiropractic claims for most plan members. After you sign up for our direct billing service, you will not have to pay for your full visit out of pocket. We take care of all the paperwork for you, and you only have to pay for the portion your benefits plan does not cover. Your provider is billed directly, and they will send you a reminder. If you are interested in learning what benefits your plan offers for chiropractic care, visit your health care provider’s website or contact your representative.

We’ve worked with the following so far and welcome new plans:

  • Canada Life
  • Canadian Construction Workers Union
  • Canadian Forces
  • Chambers of Commerce Group Insurance
  • CINUP
  • ClaimSecure
  • Cowan
  • Desjardins Insurance
  • First Canadian
  • GMS Carrier 49
  • GMS Carrier 50
  • GroupHEALTH
  • GroupSource
  • Industrial Alliance
  • Johnson Inc.
  • Johnson Group Inc.
  • LiUNA Local 183
  • LiUNA Local 506
  • Manion
  • Manulife Financial
  • Maximum Benefit
  • RCMP
  • Seniors Health Benefit Plan
  • Sun Life Financial
  • TELUS AdjudiCare

Canadian Forces

Chiropractors are recognized under Health Practitioner Benefits for outpatient services. Services can be accessed only when prescribed by the attending physician, nurse practitioner or physiotherapist. Members of the CF can access up to 10 appointments and one assessment. Acupuncture, when in conjunction with pain management, can also be applied to up to 10 treatments.

Physicians can authorize attendance as indicated, per condition, after which physician follow-up of each case is required to ensure that care is progressing and to determine whether further care is required. While patient care, rather than monetary limits per se, will be the determining factor, permission must be granted in advance of additional treatments/therapies.

It is important to note that it is the onus of the service personnel to get pre-authorization for chiropractic services. The client then is responsible for bringing the forms to his or her Medical Officer and receiving reimbursement directly. Either way, payment should be received directly from the military person being treated.

RCMP

The RCMP policy currently in effect was published in January 2014. Dr. Eric Jackson, convener of the CCA-appointed national assessors, has been working to establish chiropractors as entrenched team members in the various regional health teams.

Members can access one or all of these services – acupuncture, chiropractic, massage therapy and physiotherapy – up to a combined maximum allowance of $4,800 per calendar year. Preauthorization is not required; however, prescription for acupuncture and massage therapy is required.

A Provider Claim Form should be completed. More information can be found at here or by calling +1 888 261 4033.

Seniors Health Benefit Plan

Alberta Seniors have access to funding support for chiropractic services under the government-sponsored Coverage for Seniors Health Benefit Plan.

Alberta Seniors have access to an annual maximum of $200 per member every benefit year (July 1 to June 30) for chiropractic services. There is a per visit limit of $25 and all services must be performed by a registered chiropractor.

Coverage for Seniors Health Benefit Plan

The Government of Alberta provides premium-free Alberta Blue Cross coverage to Seniors for health-related services not covered under the Alberta Health Care Insurance Plan.

More than 90 per cent of Alberta Seniors are already enrolled in this plan (also referred to as Group 66). This coverage is available to all Albertans 65 years of age and older and their eligible dependents. Click here for more information.

Seniors who are enrolled in the plan and need a card, please contact Alberta Blue Cross:

Website

+1 780 498 8000 (Edmonton and area)

+1 403 234 9666 (Calgary and area)

+1 800 661 6995 (toll free)

Seniors who are not enrolled in the plan should contact Alberta Health:

Website

+1 780 427 1432 (Edmonton and area)

Toll-free for the rest of Alberta: 310 0000 and then +1 780 427 1432

Dial 711 for TTY for the Deaf and Hard of Hearing