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How to Appeal Cost-Share Status and Benefits Received
Alberta Aids to Daily Living (AADL) clients pay for part of the cost of their medical equipment and supplies, up to $500 per family per benefit year (July 1 to June 30). However, if you are not exempt from cost-sharing and feel that cost-sharing will cause you financial hardship, you can appeal your cost-sharing status. Appeals are heard by an independent committee of three private citizens called a Citizens' Appeal Panel. These panels are appointed by the government, but are not employees of the government. The panels have the power to make final decisions about your appeal. Their decisions are binding on both you and the Government of Alberta. While the panels are legal bodies, the appeal hearings are conducted in an informal manner. The Quantity and Frequency Review (QFR) A maximum number of each benefit is available each year. However, AADL will review requests for more than the maximum number (referred to as quantity and frequency). These are the steps for a Quantity and Frequency Review request:
For more information on this process, please speak with your authorizer/specialty supplier or contact AADL.
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