Manulife Financial

Submit a claim

Step 1 / 3 - Member and contact information

Confirm banking and contact information

Direct deposit information

Manulife Bank of Canada
500 King North
Waterloo, ON
J4W 1M9
  • Transit #:541
  • Institution #:3
  • Account #:123456789
Update

Plan member contact information

1 TEST STREET
HALIFAX
Nova Scotia
A1A1A1
CANADA
  • Phone #:5555555555
  • Email address:planmember@manulife.ca
Update

Select service provider type and patient

Your plan might not have coverage for all the items on the list. Check your plan details to be sure.

If your dependant is not listed please contact your plan administrator

Student information

Student information

Coordination of Benefits (COB) - Other insurance information

Coordination of Benefits (COB) - Other insurance information

Spouse's date of birth

Spouse's date of birth

Please do not submit a separate claim for this expense as any unpaid portion will be processed under the secondary policy with Manulife. It may take 5-7 business days to process.

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

OK

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?

OK

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?

OK

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

OK

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

OK

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

OK

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

OK

Confirm banking and contact information

We need your email address to:

We need your address and phone number to contact you:

OK

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.

OK

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:



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

OK

Multiple vision care providers selected

You have indicated that you are submitting vision care expense from multiple providers. These must be submitted as separate claims.

On the next screen, please select the provider from whom you received your eye exam/vision training. Once you have added all expenses from this provider, please submit your claim.

From the confirmation page, please select "Submit another vision claim" to create an additional claim for your glasses or contact lenses.

OK

Multiple vision care providers selected

You have indicated that you are submitting vision care expense from multiple providers. These must be submitted as separate claims.

On the next screen, please select the provider from whom you received your eye exam/vision training. Once you have added all expenses from this provider, please submit your claim.

From the confirmation page, please select "Submit another vision claim" to create an additional claim for your eye surgery.

OK

Multiple vision care providers selected

You have indicated that you are submitting vision care expense from multiple providers. These must be submitted as separate claims.

On the next screen, please select the provider from whom you received your glasses or contact lenses. Once you have added all expenses from this provider, please submit your claim.

From the confirmation page, please select "Submit another vision claim" to create an additional claim for your eye surgery.

OK

Multiple vision care providers selected

You have indicated that you are submitting vision care expense from multiple providers. These must be submitted as separate claims.

On the next screen, please select the provider from whom you received your eye exam/vision training. Once you have added all expenses from this provider, please submit your claim.

From the confirmation page, please select "Submit another vision claim" to create an additional claims for your glasses or contact lenses and eye surgery.

OK

Your session will time out in less than a minute. 

OK

No form found

We cannot find the form you are looking for.

Please contact the customer service for further information.