• Logout

• Site hours
• Contact us
• Terms & conditions
• Privacy policy
• Legal
• Accessibility
• Full website

strong reliable trustworthy forward-thinking

Drug identification number (DIN)

A unique 8-digit number assigned by Health Canada for drugs that have been approved for sale in Canada.

Drug name

Brand or Trade name under which the drug product is marketed.

You have requested access to functionality outside of the current site. Are you sure you want to proceed?

You can get through to a customer service representative or take advantage of our self-service interactive voice response (IVR) capabilities by calling 1-800-268-6195 . Representatives are available Monday to Friday, from 8:00AM to 8:00PM EST.

You have requested access to another page. Leaving the current page will cause the loss of the current session information. Are you sure you want to proceed?

You have requested access to another page. Leaving the current page will cause the loss of the current session information. Are you sure you want to proceed?

You have requested access to functionality outside of the current site. Are you sure you want to proceed?

You have requested access to functionality outside of the current site. Are you sure you want to proceed?

You have requested access to functionality outside of the current site. Are you sure you want to proceed?

You have requested access to functionality outside of the current site. Are you sure you want to proceed?

You have requested access to functionality outside of the current site. Are you sure you want to proceed?

Confirm banking and contact information

We need your email address to:

• Notify you when your claim has been processed
• Remind you to send in your claim receipts if your claim has been selected for audit

We need your address and phone number to contact you:

• If we require further information regarding your claim

Before you sign up

This will establish Direct Deposit for any Health, Dental or Health Care Spending Account (HCSA).

All payments will be made to the single bank account you have entered

If you are receiving disability benefits and would like to receive the payments via Direct Deposit, you must contact your Plan administrator to make the necessary Direct Deposit payment arrangements.

Type of claim

This list represents a typical plan. Your plan may not include all of this coverage. Check your plan details to be sure.

Type of claims that can be submitted online:

• Claims where the expense was incurred in Canada
• Claims where the service/expense has already been rendered
• Claims for which the payment is made to you
• Claims for you
• Claims for your spouse if your spouse does not have coverage under another plan
• Claims for your dependants if:
  
  • your spouse does not have coverage under another plan, or
  • your spouse has coverage under another plan, and you are the parent whose birthday (month and day) falls earlier in the year.

For all other types of claims, please submit a paper health or dental claim form.

Your session will time out in less than a minute. 

No form found

We cannot find the form you are looking for.

Please contact the customer service for further information.