Health Coverage Choice - How do I make a claim?



Claim forms

Dental claim form for personal health insurance [PDF, 2 pages, 51 kb]
Extended health care claim form for personal health insurance [PDF, 2 pages, 60 kb]

Making a claim

Health Coverage Choice is simple to use.

For prescription drugs in all provinces except Quebec, all you need is your Pay Direct Drug card. You'll receive this card in a separate mailing after you receive your welcome package. When you present your card to the pharmacist, the portion of your bill that is covered by your plan will be paid automatically. You just pay the remainder of the cost at the pharmacy counter.

If you live in Quebec, all your claims can be filed easily using claim forms. Just pay for your prescription in full and then submit the unpaid portion for coverage under your Health Coverage Choice plan.

For your dental and supplemental health care claims, easy-to-use forms are supplied with your welcome package and also here on our website. Some dentists are able to submit claims automatically through a system called EDI (electronic data interchange). If your dentist has EDI, you'll just need to provide your policy and ID numbers. Your dentist will electronically submit your claim to us. We'll mail you or your dentist a reimbursement cheque for any eligible expenses.