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Alberta 

 

Provincial Programs

Alberta Aids to Daily Living (AADL)

Alberta Aids to Daily Living (AADL) assists Albertans with a long-term disability, chronic illness or terminal illness, in maintaining independence in their community. AADL provides funding for basic medical equipment and supplies to meet clinically assessed needs. 
Funding is provided for those aged four or older with moderate to severe, unresolvable daily urinary and/or bowel incontinence (medically recognized as unresolvable by the appropriate clinician). 

To be eligible for funding, clients must first be clinically assessed by an AADL authorizer.

AADL offers three categories of coverage for intermittent catheters:

  • M326   Intermittent catheters - pre-lubricated / hydrophilic 

  • M328   Intermittent catheters - plastic

  • M381   Intermittent catheters - plastic / coudé tip

Alberta Aids to Daily Living medical-surgical benefits : policy & procedures manual [Manual M] - Open Government

AADL Webpage

AADL Forms and Documents

 

Assured Income for the Severely Handicapped (AISH)

Financial and health benefits for eligible Albertans with a permanent medical condition that prevents them from earning a living.

To be eligible for AISH, you must meet age, residency, medical and financial criteria.  Learn more about eligibility requirements for AISH at:  https://www.alberta.ca/aish-eligibility.aspx

Approved recipients may be entitled to a living allowance, child benefit and/or health benefits, including exemption from the cost share amount of AADL-approved items.

Your guide to AISH

AISH Policy Manual

AISH Forms

Workers Compensation

WCBA - Workers Compensation Board of Alberta

If you were injured at work and as a result need to use catheters for bladder management, WCBA - Workers Compensation Board of Alberta should cover your catheter requirements.

https://www.wcb.ab.ca/

There may be a better catheter option for you.

  1. Ask for samples of SpeediCath® catheters*. Simply click here "Free SpeediCath Samples" to order.

  2. Talk to your doctor - ask for a prescription for SpeediCath® catheters. SpeediCath® catheters are single use only so the prescription should be for the number of times you need to catheterize daily, typically 4-5 catheters per day.

  3. Ask your doctor to complete and sign the Coloplast Intermittent Catheter Letter of Recommendation Simply click on the letter on this page, download the letter and send it to your doctor. This letter outlines the issue(s) you are having and why you need to use SpeediCath®.

  4. Submit the prescription and Support letter to your WCBA case manager for approval.

  5. Once approved, ask your catheter supplier / dealer to bill WCBA directly

*Limitations apply

Auto Insurance 

If you sustained a catastrophic injury due to an auto accident, you may qualify for catheter coverage.

Settlements / lump sum payouts can take many years. During that time, the insurance company covers catheters as recommended by the physician and is dependent on individual adjustor approval. Client usually gets a report at time of settlement itemizing products and services currently being covered and their associated annual costs -  it is up to client to manage settlement amount and associated expenses for their lifetime. Insurance company is no longer involved after client settles.

It is important that you are using the best catheter option for you.

  1. Ask for samples of SpeediCath® catheters*. Simply click here "Free SpeediCath Samples" to order.

  2. Talk to your doctor - ask for a prescription for SpeediCath catheters. SpeediCath® catheters are single use only so the prescription should be for the number of times you need to catheterize daily, typically 4-5 catheters per day.

  3. Ask your doctor to complete and sign the Coloplast Intermittent Catheter Letter of Recommendation Simply click on the letter on this page, download the letter and send it to your doctor.  This letter outlines the issue(s) you are having and why you need to use SpeediCath®.

  4. Send SpeediCath® prescription and support letter to your auto insurance to request approval.

* Limitations apply

Municipal programs

Some municipalities offer their own health support programs or supporting services. Often geared towards low-income populations. Check with your local municipality to see if there are any additional support options available to you.

Coloplast provides this information for convenience and your general reference only. It does not constitute legal advice or a recommendation regarding clinical practice. Reimbursement, coverage and payment policies can vary from one insurer and region to another and is subject to change without notice. The provider has the responsibility to determine medical necessity and to submit appropriate codes, information, and charges for care provided. Coloplast does not guarantee coverage or payment of products and Coloplast makes no guarantee that the use of this information will prevent differences of opinion or disputes with providers, agencies, insurers, or other payors as to the correct form of billing or the amount that will be paid. This information is provided for your general information only and is not intended to replace any advice you receive from your own internal or external insurance coverage consultants, reimbursement specialists or legal counsel.

 

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