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MAKE A CLAIM Learn How to Make a Claim Below:

Claims Deadline: All claims must be submitted to Medavie Blue Cross™ no later than 12 months from the date the expense was incurred. In the event of termination of coverage, claims incurred prior to the termination date must be submitted to Medavie Blue Cross™ within 90 days of the termination date.


The easiest way to make a claim is to use the Medavie Blue Cross™ Portal or on the Medavie Blue Cross Mobile App. However you may still submit a claim via fax or mail by following the instructions in the appropriate tab below. 

 

IF YOU HAVE A CLAIM FROM THE 2016-2017 POLICY YEAR (CLAIMS PRIOR TO SEPTEMBER 1, 2017), PLEASE REVIEW THE INFORMATION HERE TO SUBMIT YOUR CLAIMS.



  • Member Portal Claims
  • Mobile App Claims
  • Drug, Health & Vision Claims
  • Dental Claims
  • Travel Claims
  • Accident Claims

Making a Claim on the Member Portal:

You are able to submit claims for Drugs, Extended Health, Vision & Dental on the portal.

Once you've registered and logged on to the portal: (instructions on how to register for the portal can be found HERE)
 

  1. Click "eClaims" on the top menu
     
  2. Review your information to ensure it is correct
     
  3. Answer the 3 questions displayed:
    Do you have other coverage?
    Did you have coverage previously?
    Was treatment the result of an accident?
     
  4. Click "Choose File" and attach a clear scan or photo of your receipt
     
  5. Check off the "I Agree to the Online Claim Submission Agreement" box
     
  6. Click "Submit"

 

Checking your Claim Status

If you've submitted your claim online through the portal, or using the Medavie Mobile member app, you can check your claim status by clicking "Statements" top menu bar.  Then select a date range, insured member, line of benefit, and hit "search". If it has been processed you will be able to see the explanation of benefits.
 

It takes 3-5 business days to process a claim starting the first business day after submitting your claim.

Making a Claim on the Mobile App:

You are able to submit claims for Drugs, Extended Health, Vision & Dental on the Member App.

Once you've registered and logged on to the App or Portal:
 

  1. Select "Submit a Claim"
     
  2. Select "Upload Image"
     
  3. Either select "photos" to upload a photo from your phone, or select "camera" to snap a picture.  You can upload up to 10 photos per submission.  Once you've added all your images, select "done attaching images"
     
  4. Answer the questions and choose "next"
     
  5. Review your submission to ensure it is correct
     
  6. Check the "terms & conditions" option
     
  7. Select "submit claim"

 

Checking your Claim Status

If you've submitted your claim online through the portal or the member App, or using the Medavie Mobile member app, you can check your claim status by clicking "View my claims" top menu bar.
 

It takes 3-5 business days to process a claim starting the first business day after submitting your claim.

If you do not wish to submit on the Medavie Blue Cross™ Member Portal and want to submit a claim manually for an expense for Prescription Drugs, Extended Health (i.e. practitioner appointment, medical equipment & supplies, orthotics, etc.), or Vision you can follow this process:
 

  1. Download and complete the Health Claim Form
  2. Attach copies of your receipts 
  3. Submit your claim to Medavie Blue Cross™ using one of the following methods:

    Mail:
    Medavie Blue Cross
    ATTN: Claims Department
    185 The West Mall, Suite 1200
    Etobicoke ON  
    M9C 5P1

    Fax: 1-844-622-6063, ATTN: Claims Department
     

When you submit claims manually, they will not appear on the member portal until they have been processed.

It takes 4-5 business days to process claims that are faxed.  Mailed claims can take up to 10 business days to process due to mail time.

If your dentist is unable to submit your claim electronically using the information on the Plan Card, or you do not wish to use the member portal to submit your claim, you can submit a claim manually following one of the processes below:


Using Standard Dental Claim Form from Dental Office:

  1. Complete Part 1 if not already completed by your dental office
    Do Not sign the assignment of benefits section or the claim will not be processed correctly.
     
  2. Complete Part 2 - Employee/Plan Member Section

    Group Policy #: 0091937000
    Employer: Lakehead University Student Union
    Name of Insuring Agency or Plan: Medavie Blue Cross
    Certificate #: Add preceding zero's to make your Student ID# 9 digits, then add two zero's to the end for 11 total digits
     
  3. Complete Part 3 - Patient Information

    Relationship to Employee/Plan Member: Self (unless for dependent)
     
  4. Complete Remaining Questions


Completing Form using Student VIP or Medavie Blue Cross ™ Dental Claim Form:

  1. Give Student VIP Dental Claim Form to dental office for completion
    Do Not sign the assignment of benefits section or the claim will not be processed correctly.
     
  2. Complete Part 3 - Patient Information

    Relationship to Employee/Plan Member: Self (unless for dependent)
     
  3. Complete Remaining Questions


How to Submit Your Claim Form:

Mail:
Medavie Blue Cross
ATTN: Claims Department
185 The West Mall, Suite 1200
Etobicoke ON  
M9C 5P1

Fax: 1-844-622-6063, ATTN: Claims Department
 

When you submit claims manually, they will not appear on the member portal until they have been processed.

It takes 4-5 business days to process claims that are faxed.  Mailed claims can take up to 10 business days to process due to mail time.

In the event of a medical emergency while out of your province of residence or outside of Canada, your first option is to contact CanAssistance directly at:
 

In Canada & the United States: 1-800-563-4444

Outside Canada & the United States (call collect): 1-506-854-2222


If you had treatment and did not contact the emergency number above when abroad, please ensure you get clear copies of all receipts and treatment information, call the number for Canada above when you return to open a claim and have the proper claim form sent to you for completion.

What is an Accident? 

An accident means a sudden, unforeseen, fortuitous event caused by a bodily injury resulting directly or independently of all other causes from an accident which is caused by external, violent and visible means and sustained while an Insured Person is covered under this policy. Injury must result within a 365 day period after the date of the accident.  


Complete the Accident Claim Form and attach all invoices and receipts incurred as a result of the accident


Once completed, submit your form to CHUBB Life Insurance:


Mail: CHUBB Life Insurance, ATTN: A&H Claims Department, 199 Bay Street, Suite 2500, PO Box 139, Commerce Court, Toronto, ON  M5L 1E2


Fax: 416-368-0641, ATTN: A&H Claims


E-mail: claims.a_h@chubb.com, ATTN: Claims Department, attach a clear scan/photo of your claim form & receipt(s)


Accident claims will first be considered under your Extended Health or Dental benefits, any balances will then be considered under the Student Accident benefits.


Expenses for accidents will be considered if:

  • Within 30 days from the date of the accident the student obtains medical treatment in Canada
  • Expenses are recommended by a legally qualified physician or dentist
  • Expenses are incurred in Canada
  • Expenses are incurred within 52 weeks of the date of the accident causing injury


For claims resulting in death, loss of use, paralysis or dismemberment, please e-mail Student VIP at info@studentvip.ca to obtain the appropriate claim form.

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