AISH Alberta Guide: Eligibility, Payment, Income Rules & Appeals
The Assured Income for the Severely Handicapped (AISH) is Alberta's longstanding disability income program for people whose severe disability permanently prevents employment. As of July 2, 2026, AISH co-exists with the new Alberta Disability Assistance Program (ADAP). This guide explains AISH in plain language, based on current Government of Alberta sources.
5 min readWhat is AISH?
AISH is a Government of Alberta disability income program. It provides a monthly living allowance, health benefits, and personal benefits to eligible adult Albertans with a permanent medical condition that prevents them from earning a living. You can read the AISH benefit page on Accessible Compass at Assured Income for the Severely Handicapped, or go straight to the official Alberta page.
As of July 2, 2026, Alberta runs two disability income programs: AISH and ADAP. There is one combined application for both, and Alberta places eligible applicants in the program best suited to their situation. AISH continues to be available for people who meet its criteria.
Who qualifies for AISH?
To be eligible for AISH, all of the following must be true:
- You are at least 18 years old and not eligible to receive an Old Age Security pension.
- You live in Alberta and are a Canadian citizen or permanent resident.
- You are not residing in a correctional institution or a facility designated under the Mental Health Act Forms and Designation Regulation, such as Alberta Hospital Edmonton.
- You meet the medical eligibility criteria (below).
- You meet the financial eligibility criteria (below).
Medical eligibility
To be medically eligible for AISH, Alberta's rules state you must have:
- A severe disability that is a substantial impairment of your mental or physical functioning that permanently prevents employment.
- A severe disability that is permanent — meaning all relevant treatment that could lessen the impairment has been completed and no improvement is expected.
Alberta reviews the medical treatments, therapies, rehabilitation services, and training options available to you that may help improve your impairment. When the Adjudicator believes you may meet AISH criteria, they recommend your file to the AISH Medical Review Panel, which makes the final AISH medical decision.
Important: "permanently prevents employment" is a medical test
Alberta's wording is specific. AISH is for people whose disability permanently prevents employment — it is not simply described as being "unable to work" or "cannot work." This matters because it is a medical determination made by Alberta, not a self-assessment. It also does not mean you are forbidden from any job: see the working while on AISH section below.
Your Guide to Disability Income Assistance (Alberta)·AISH/ADAP Policy Manual
Financial eligibility
AISH looks at the income and assets of you and your spouse or partner together. When you apply for or receive AISH, you and your spouse or partner must:
- apply for all other income you may be eligible for, such as Canada Pension Plan Disability (CPP-D), the Canada Disability Benefit, Employment Insurance (EI), or Workers' Compensation Board (WCB) benefits; and
- not have income or assets higher than the AISH program allows.
AISH typically considers income reported on your income tax form and your spouse or partner's income tax form. It does not consider a dependent child's income.
Assets: what counts / what doesn't
The combined non-exempt assets of you and your spouse or partner cannot be worth more than $100,000 when added together.
| Exempt (not counted) | Non-exempt (counted toward $100,000) |
|---|---|
| Principal residence or quarter section you live in; a vehicle; a second vehicle adapted for a disability; clothing; reasonable household items; an RDSP; a qualifying trust | Cash; chequing or savings accounts; tax-free savings accounts (TFSAs); registered retirement savings plans (RRSPs); cash inheritances; a recreational property or home; recreational vehicles |
365-day temporary asset exemption
If you receive a large asset — an inheritance, a gift, funds from selling your main home or adapted vehicle, or an insurance payout for damage to your exempt home or vehicle — you have 365 days to invest it in an exempt asset. After that, it is counted as a non-exempt asset and may affect your eligibility.
This list covers the common items Alberta names publicly. Unusual or complex assets are decided case by case — confirm with your AISH worker before assuming how an asset is treated.
Income rules
How AISH treats income depends on the type of income, whether you are single or in a family, and who receives it.
| How it is treated | Examples |
|---|---|
| Exempt (not counted) | Cash gifts, income tax refunds, RDSP payments, RRSP payments. |
| Partially exempt (counted at part of value) | Employment income (wage, training allowance, severance), self-employment income, passive business income (interest, dividends, capital gains, trust, rental), and a spouse/cohabiting partner's pension income (CPP-D, EI, WCB). |
| Non-exempt (subtracted dollar-for-dollar) | Spousal support payments, and the applicant's own pension income such as CPP-D, EI, and WCB benefits. |
Allowable Canada Revenue Agency deductions (such as CPP and EI contributions) are applied before exemptions.
Working while on AISH
You can work while receiving AISH. Alberta provides an employment-income exemption, and earning some income does not automatically disqualify you from AISH.
The first $350 per month of your employment income (as a single adult or a parent) does not affect your AISH financial benefits. Earnings above $350 are gradually deducted from your living allowance.
Alberta has not published a simple reduction formula
Alberta does not publish a plain-language formula for how earnings above $350 reduce your benefit. Do not rely on a number you saw online. Use the official AISH and ADAP benefit estimator to see your exact amount based on your situation.
Remember that AISH is for people whose disability permanently prevents employment. Limited earnings are allowed under the exemption, but if your work situation changes substantially you must report it (see Reporting changes), and Alberta may review your eligibility.
Spouse/partner income
AISH recognizes a mutual obligation of cohabiting partners to support each other, so your spouse or cohabiting partner's income is also considered. As of July 2026, the spousal pension income exemption has increased: the first $1,200 per month of your spouse or cohabiting partner's pension income is fully exempt, and 25% of the remainder is also exempt. This applies to a spouse/partner's CPP-D, EI, and WCB benefits.
For your spouse or partner's employment earnings, see the cohabiting-partner exemption in the table below.
AISH payment amount
The standard AISH living allowance is $1,940 per month for a single adult with no other income. The amount you actually receive depends on any other income you or your spouse or partner may have.
| Client type | Earnings before impact to financial benefits |
|---|---|
| AISH single or parent | $350 / month |
| AISH or ADAP cohabiting partner (the partner's own earnings) | $1,500 / month |
The $1,500 cohabiting-partner exemption applies to the partner's own employment earnings — not the recipient's. AISH uses one "$350" figure for both single recipients and parents.
Couple rule (August 2026)
Starting the August 2026 benefit period, in a household where two adults each receive AISH or ADAP, each partner receives 88% of the maximum individual benefit to reflect shared household expenses. This applies only when both adults receive disability income assistance — not to every married or common-law household.
A modified living allowance applies if you live in an approved continuing care home (it includes a personal allowance of $373 plus an accommodation rate). Child benefit amounts are set out in the personal benefits section.
What you get with AISH (Alberta.ca)·AISH Financial Benefits Summary (Alberta)
Health benefits
AISH health benefits cover you, your spouse or partner, and your dependent children. You receive a Health Benefits Card to show to providers. Coverage includes:
- Prescription drugs from the Government of Alberta Drug Benefit List (some over-the-counter items and nutritional products may also be covered).
- Dental — basic coverage including check-ups, cleaning, x-rays, fillings, extractions, and dentures.
- Optical — one eye exam every two years for adults (children's eye exams covered under Alberta Health Care); one pair of glasses every two years for adults and yearly for dependent children.
- Diabetes supplies — test strips, lancing devices, insulin supplies, and continuous glucose monitors (CGMs) for those who meet eligibility.
- Emergency ambulance trips to the closest emergency room.
- Alberta Aids to Daily Living (AADL) — you do not pay the cost-share amount for AADL-approved items.
Health benefits continue regardless of your employment income. If you receive dental coverage, you may also be eligible for the federal Canadian Dental Care Plan (CDCP) — submit CDCP claims first, with AISH covering remaining eligible costs.
Personal benefits
Personal benefits cover specific needs over and above your monthly living allowance. Some may need to be repaid. To be eligible, you must have no more than $5,000 in non-exempt assets (or be in a financial hardship situation), demonstrate a need, not be eligible under another program, and meet the specific requirements of each benefit.
- Health-related — orthotics, CPAP, wheelchair/scooter maintenance, therapies (acupuncture, chiropractic, massage, physio), hearing aid batteries, medical alert, oxygen, special diets, splints and braces, TENS, service animal supports, specialized clothing.
- Children — infant and childcare, children's education and school expenses.
- Other — emergencies beyond your control, leaving an abusive home, employment and training expenses, funeral arrangements, maintaining a home in a remote community, moving, and travel for health, court, or training.
Child benefit (August 2026): $300 for the first child, $117 for the second, $88 for the third, $59 for the fourth, and $30 for each additional child.
CPP Disability and AISH
Your CPP Disability benefits are non-exempt income — counted at full value and subtracted dollar-for-dollar from your AISH living allowance.
A spouse or cohabiting partner's CPP-D is partially exempt: as of July 2026, the first $1,200 per month of your spouse or partner's pension income is fully exempt, and 25% of the remainder is also exempt.
When you apply for or receive AISH, you and your spouse or partner must apply for all other income you may be eligible for, including CPP-D, the Canada Disability Benefit, EI, and WCB benefits.
Canada Disability Benefit and AISH
The federal Canada Disability Benefit (CDB) provides up to $200 per month to eligible Canadians with disabilities aged 18 to 64. Alberta's official CDB/DTC fact sheet for AISH recipients states that the CDB is treated as non-exempt income for AISH recipients — meaning Albertans on AISH will continue to receive the same overall monthly support they do today.
To be eligible for the CDB, you must first apply for and be approved for the Disability Tax Credit (DTC). AISH recipients are required to tell AISH the outcome of their CDB and DTC applications, including approvals (and the amount) or denials.
The $200 consequence for not applying
AISH recipients who do not apply for the CDB, or who do not provide confirmation of their application status, will have their monthly benefits reduced by $200. This is a separate $200 from the AISH-to-ADAP transition benefit — do not confuse the two.
Alberta's AISH program will cover the full cost of the DTC medical assessment for eligible clients in the interim (the federal government has announced a one-time supplemental CDB payment of $150 by March 2027 to offset it). AISH clients who receive this support are required to repay the amount to the AISH program.
How to apply for AISH
There is one combined application for AISH and ADAP:
Start the Disability Income Assistance (DIA) application
Apply online for an easy, secure way to submit your information, or use the paper DIA application form (DS2444A).
Have your health professional complete the Disability Assistance Medical Report
Your health professional completes form DS2444B and submits it online, by fax (1-877-969-3006), or by mail. You are responsible for the fee your health professional may charge for this service — unless you are on Income Support (which may cover it) or you are a transitioned AISH client applying back to AISH (see below).
Submit your documents
Include all required documents and your Notice of Assessment (NOA). Save copies for your files. Submit online, by fax (1-877-969-3006), or by mail to AISH and ADAP, PO Box 17000 Station Main, Edmonton, Alberta T5J 4B3.
Preparing an application? Our Application Helper walks you through benefit forms in plain language.
Medical forms and documentation
| Form | Who completes it |
|---|---|
| Disability Income Assistance application (DS2444A) | You (the applicant) |
| Disability Assistance Medical Report (DS2444B) | Your health professional |
| Notice of Assessment (NOA) | You (from your tax return) |
Who pays for the medical report?
You are responsible for paying your health professional's fee to complete the medical report. If you are on Income Support, the cost may be covered — contact your Income Support worker. If you were an AISH client transitioned to ADAP in July 2026 and you later choose to be assessed for AISH, Alberta will cover the cost of one Disability Medical Report. This support is not time-limited.
What happens after you apply
Applications are reviewed in the order received; applicants with palliative or terminal conditions are prioritized. AISH reviews your application in a specific order:
- General eligibility (age and residency)
- Medical eligibility
- Financial eligibility
Your application is not assessed further if it is denied at an earlier stage. If approved, you will receive a phone call and a letter, a meeting with an AISH worker will be scheduled, and your benefits will be backdated to the month AISH received all the information needed to approve your application. If denied, you will receive a letter explaining why and how to appeal or update your information.
Application status line: 587-759-6810 (Edmonton area) or 1-877-759-6810 (toll free, Alberta).
Reporting changes
You must report changes in your financial, medical, or living situation as soon as they happen. Reporting late can lead to being overpaid or underpaid. Contact your AISH worker about changes such as income, household composition, address, or medical condition.
Overpayments and underpayments
If you receive more AISH than you are eligible for (an overpayment), you will be sent a Notice of Overpayment. If you disagree, you have 30 days from the date you receive it to make a written request to not have to repay, or to file a written appeal.
An overpayment becomes a debt. Alberta usually collects it by subtracting some money from your monthly AISH benefits — typically about 10% of the maximum living allowance you receive (this can be lowered if you are in hardship). If your AISH file closes, you still owe the debt, and it may be sent to a collection agency if you do not make payment arrangements.
Underpayments are paid in full for the entire time you received less than you were eligible for (though money from an underpayment may first be used to pay debts you owe the Alberta government).
Appeals
Not every AISH decision can be appealed. Here is how the system works:
| Decision type | Can it be appealed? |
|---|---|
| General/financial eligibility, living allowance, benefits, start date, overpayments and underpayments | Yes — to the Citizen's Appeal Panel (CAP) within 30 days |
| Whether you have a "severe disability," whether you should be referred to the AISH Medical Review Panel, and medical eligibility for ADAP | Yes — to the Medical Appeal Panel (MAP) within 30 days |
| The AISH-to-ADAP transition, and the AISH Medical Review Panel's final decision that you are not medically eligible for AISH | No — not appealable within the program |
Alberta reviews applications in order — general, then medical, then financial. An Adjudicator assesses medical eligibility for ADAP and, when the Adjudicator believes you may meet AISH criteria, recommends your file to the AISH Medical Review Panel, which makes the final AISH medical decision. Most medical decisions — including whether you should be referred to the AISH Medical Review Panel — can be appealed to the MAP; the AISH Medical Review Panel's own final decision cannot.
You have a 30-day deadline from when you are told of the decision. If you miss it, you can ask the Minister's delegate for more time. The delegate's decision on time extensions is not itself appealable to the CAP.
After a final or non-appealable decision
CAP decisions are final within the program and cannot be appealed further internally. Alberta identifies the Alberta Ombudsman as able to review administrative fairness, and judicial review may be available in some circumstances. The Advocate for Persons with Disabilities is also a resource.
For broader context on how reviews and appeals generally work across programs, see our Appeals Guide — but the AISH-specific rules above take precedence.
AISH vs ADAP at a glance
As of July 2, 2026, Alberta runs two disability income programs. Here is a short comparison; the full AISH vs ADAP comparison lives in our ADAP guide.
| Feature | AISH | ADAP |
|---|---|---|
| Who it is for | Severe disability that permanently prevents employment | Severe disability that significantly impedes but does not prevent employment |
| Core monthly benefit | $1,940 | $1,740 |
| Recipient earnings exemption | $350 / month (single or parent) | $700 / month (single); $1,100 / month (parent) |
| Application | Combined DIA application | Combined DIA application |
Were you moved from AISH to ADAP?
The short version
If your file was automatically moved from AISH to ADAP on July 2, 2026, you receive a $200 per month transition benefit so your total stays the same as your previous AISH amount, until December 31, 2027. The move itself cannot be appealed, but you can apply for AISH. Alberta covers the cost of one Disability Medical Report if you do — this support is not time-limited.
The complete transition explanation — including who was moved, the May 2026 notices, the groups that stayed on AISH, and exactly what happens on January 1, 2028 — is in our ADAP guide, which owns the full transition section.
Frequently asked questions
Official Government of Alberta sources
All rules and figures on this page were checked against current Alberta.ca pages and the July 2026 ADAP materials. Always confirm with the official source before making decisions.
- AISH overview (Alberta.ca)
- AISH eligibility (Alberta.ca)
- What you get with AISH (Alberta.ca)
- How to apply for AISH and ADAP (Alberta.ca)
- AISH and ADAP payment details (Alberta.ca)
- Overpayments and underpayments (Alberta.ca)
- Appeal an AISH decision (Alberta.ca)
- AISH and ADAP terms and definitions (Alberta.ca)
- AISH and ADAP benefit estimator (Alberta.ca)
- CDB and DTC Fact Sheet for AISH Recipients (Alberta)
- Your Guide to Disability Income Assistance (Alberta)
- AISH/ADAP Policy Manual (Alberta)
- AISH Financial Benefits Summary (Alberta)
- Contact AISH and ADAP (Alberta.ca)
Related Guides
Related benefits and help
Not sure where to start?
The Support Finder asks a few questions and points you to the benefits and programs that fit your situation — including AISH and other Alberta supports.
Popular Resources
Browse allAccessible Compass is an independent guide — we are not a government agency and do not process applications or approve benefits. We provide general information only, not legal, medical, or financial advice. Program rules may change. Always confirm with official government sources.