There are a few ways you can file a claim.
Your provider submits the claim directly.
Pharmacy claims: Present your benefits card at the time of purchase and your pharmacist will send your claim electronically. If your pharmacist is unable to submit your claim electronically, the pharmacist can call the pharmacy helpline at 1-800-361-9888 (toll-free).
Dental, paramedical and vision offices with the ability to submit electronic claims can submit your claim directly. You may be asked to pay for the service upfront, depending on the practitioner’s arrangement
Submit your claim online
You can submit through the online claims portal.
Access the portal
You will receive a confirmation number, and your claim form and receipts will be filed in the Filed Plan Benefits folder in the Communications Centre. For audit purposes, original receipts may be requested at any time. Please keep your receipts for seven years. Once processed, an Explanation of Benefits statement will be filed in the Plan Benefits folder in the Communications Centre.
Submit your claim by mail
Download the claims form to submit your claim by mail. Make sure your claim form is complete, including your certificate number (ID#). Remember to sign each claim form. Please submit claims as directed on the form.
Claim submission tips
- Submit your claim as soon as possible, so you don’t forget. All claims must be submitted no later than six months from the date in which the expenses were incurred.
- Claims for items (e.g., eyeglasses) will apply toward the maximum in the year the item was paid in full. Claims for services (e.g., chiropractor, physiotherapist) will apply to the maximum in the year the service was rendered.
- Keep copies of your receipts. Photocopies of receipts are acceptable. Cash register and credit card receipts are not acceptable. File your receipts after you’ve submitted the claim and keep them for at least seven years.
- Receipts must contain the patient’s name, the vendor or provider’s information, the date of service or purchase, a description of the item purchased and a breakdown of charges. Please note that the patient account statement does not contain the information required.
- If a plan is cancelled, all claims must be submitted within 90 days of the cancellation date.