ASEBP - Plan Design UPdates

WORTH KNOWING
 
ASEBP—Plan Design Updates​

The Alberta School Employee Benefit Plan (ASEBP) regularly reviews its benefits offerings to ensure that the plan suits the needs of covered members and aligns with the changing health sector landscape. Any updates to the plan are implemented at the start of the calendar year.
 
Effective January 1, 2023, the following enhancements and improvements to ASEBP programs, services and benefits have been implemented.
 
Mental Health Supports

Coverage for counselling services (from an eligible provider) has increased to a maximum of $120 per session. Additionally, coverage for psychology services has changed from an hourly rate to a per-visit amount of up to $180 per session. ASEBP has also added coverage of psychology and counselling assessment fees to a maximum of $300 per assessment.
 
Drugs

ASEBP is now using the Alberta Blue Cross list of generic and brand name prescription drugs, as well as its special authorization program for all drug requests. These changes provide more flexibility and streamline services for covered members, their dependants and health-care providers. There is no reduction in drug coverage with this change. In fact, this transition will give covered members starting on new biologic drugs more choice.

There are also changes to generic pricing on all brand name drugs on the drug benefit list. This change expands the list of drugs for which ASEBP pays up to the generic alternative price.
 
Dental

ASEBP has increased its Dental Benefit List fees to match the Alberta Dental Association and College 2022 fee guide. Additionally, the yearly maximum for dental implants has increased to $3,500 payable at 60 per cent for Plan 3 or 50 per cent for Plans 2 and 4.
 
To learn more about other plan enhancements, including those for air purifiers, splints and the MyRetiree Plan, please visit the ASEBP website.
 
WORTH SHARING

Be in the know. While ASEBP changes have just taken effect, familiarize yourself with what they may mean for you and your family before the expense is incurred. Contact ASEBP with any questions.