Vaccines and Group Benefits in Alberta

What you need to know for Fall 2025

Vaccination coverage is evolving in Alberta, and it’s important for employers and HR teams to understand how recent updates to provincial vaccine distribution -- including COVID-19 -- might affect group benefit plans this fall.

Key Points for 2025-26:

• This fall, COVID-19 vaccines will only be available through public health clinics—not pharmacies.

• Vaccines are free for individuals in high-risk groups such as healthcare workers, seniors in care, and people with eligible underlying medical conditions. Other Albertans can access the vaccine for a fee (currently $100 per dose).

• Paid receipts from Alberta Health Services (AHS) will be provided after vaccination appointments.

What Does This Mean for Group Benefits Plans?

• Your group benefit plan may offer some level of coverage for vaccines—including COVID-19. However, coverage can differ by insurer, plan design, and whether your plan specifically includes or excludes certain vaccines.

• Some plans may reimburse the cost of the vaccine, provided you submit an eligible receipt. Other plans may not cover vaccines or may only cover certain types.

• It's important to remind employees to:

  • Check their benefits booklet or online portal for up-to-date details about vaccine coverage.

  • Save any receipts from Alberta Health Services or other recognized healthcare providers for claim submission.

Financial Impact

One insurance carrier recently analysed their group data and have suggested that this change may put upward pressure on Extended Healthcare premiums by between 0.5% - 1.25% per year.

Frequently Asked Questions (FAQ)

Q: Which vaccines are typically covered under group health plans?

A: Group plans often cover commonly recommended vaccines such as flu, shingles, HPV, and sometimes travel immunizations. Coverage of COVID-19 vaccines may vary. Always consult your specific plan documentation.

Q: What receipt documentation is required?

A: For reimbursement, a payment receipt from Alberta Health Services (after an eligible vaccine appointment) is typically accepted.

Q: Are vaccines eligible under Health Spending Accounts (HSAs)?

A: Yes. Vaccines are usually eligible expenses under Health Spending Accounts. A payment receipt from Alberta Health Services should suffice for HSA reimbursement.

Q: How do employees know if they qualify for free COVID-19 vaccination?

A: Those with certain medical conditions, seniors, and people in high-risk jobs may be eligible for free vaccination under the provincial plan. Employees can check provincial government resources for the current list of qualifying conditions.

Q: If an employee receives an invoice after vaccination, how do they claim it?

A: Employees should pay the invoice, request a receipt, and then submit it for reimbursement through their extended health plan or HSA (if eligible).