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Group Policy #62250
Need to Make a Claim?
Follow the steps below to learn how to make a claim through Simply Benefits.

 


Are you new to Simply Benefits? Don't have an account?

SIGN UP INSTRUCTIONS

How would you like to submit your claim?

Mobile App

Mobile Phone

Web Portal

Web Portal



Travel Claim? Reach out to Student VIP or Simply Benefits for Assistance

Claims Deadline:

All claims must be submitted to Simply Benefits 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 Simply Benefits within 90 days of the termination date.
  • Register
    •
  • Simply Benefits Mobile App
    •
  • Simply Benefits Portal
    •
  • Travel Claims
    •
  • Manual Claims
    •

How to Register for the Simply Benefits Portal:

You'll receive an email from Simply Benefits with the subject "Welcome to Simply Benefits".

  1. Download the "Simply Benefits" App to your phone:

    iPhone App Store

    Google Play Store

  2. Please ensure you've registered for an account using the steps above before attempting to log in to the app.


How to Download the Simply Benefits Mobile App:

  1. Navigate to Google Play for Android devices or App Store for Apple devices.
  2. Search for "Simply Benefits".
  3. Select to download the app and the newest version will automatically install.
  4. If the app has been previously downloaded, select to manually update it and the most recent version will install.

How to Submit a Claim:

  1. Gather the following information: patient name, service received, name of the clinic, date of the service, and a receipt showing proof of payment.
  2. Open the Simply Benefits app and press the blue + button at the bottom of the screen.
  3. Follow the prompts to submit the information collected in Step 1.
  4. Upload a photograph of an invoice or receipt showing proof of payment.
  5. Upload supporting documents such as a doctor's note, if any.
  6. Input the amount claimed and the service date.
  7. Review the information you provided and hit "Submit".
  8. See your reimbursement in as little as 48 hours!
 

If you're looking to submit a Drug, Dental, Health, Paramedical, or Vision claim then follow these steps below:

  1. If it’s your first time submitting a claim, you can begin by either clicking on the “Submit Claim” button, or the “Plus” button.
    Note: Normally, you would click the “Plus” button to begin submitting a claim.
  2. Begin by selecting the patient.
    Note: This would be the individual who received the item or service.
  3. Next, select the category.
    Note: Depending on your plan this could be Drugs, Dental, Health, Paramedical, or Vision.
  4. Next, select the service type.
    Note: This will also range depending on what’s included in your plan.
  5. Then, type in the name of the clinic or doctor’s office.
  6. Click on the checkbox to confirm the acknowledgment.
  7. Once all the information is completed, click the “Next” button to continue.
  8. Next, click the “Select Photo” button and upload a copy of your receipt.
    Note: On the app, you can also take a real-time photo of your receipt by clicking the "Take a Photo" button.
  9. Then, click the “Next” button to continue.
  10. If you have any supporting documents, such as a doctor's note, you can click the “Select Photo” and upload an image of the document. You can continue, or skip this step by clicking the “Next” button.
    Note: In most cases, you can skip this step.
  11. Then, type in the amount and date of claim, and click the “Next” button.
  12. Once you finish reviewing all the claim details and you’re ready to submit, click the “Submit” button.


How to check your claim status:

  1. Go to the "Simply Benefits" app.
    Note: If you would like to download the app, go to the register tab.
       OR
  1. From the website, sign in to your account at simplybenefits.ca and you will see the "Claims" and "My Usage" tiles front and center. Click on the tiles to view your details.

Any outstanding questions regarding claim status/history can be directed to Simply Benefits via the contact information listed below:

  • Toll-Free Phone Number: Coming Soon
  • Email: Coming Soon


Please note: It takes 3-5 business days to process a claim starting the first business day after submitting your claim.
If you are unable to view your claim, it has likely been pulled for processing and will appear back on the system after this is complete.


How to make a travel claim?

IMPORTANT

  • All Claims must be reported no later than 30 days from the date of the accident, injury or commencement of the sickness.
  • An incomplete claim form without the required documents will result in a delay of processing your claim.
  • It is the responsibility of the insured to provide a completed claim form and required documents.
  • Kindly note this is an excess policy, your hospital and medical expenses must be submitted to your other insurance carrier. If you have submitted this claim to another insured, please attach the Explanation of Benefits Statement to your Claim Form.

STEPS TO SUBMIT A CLAIM

  1. Claim Form: Fully complete and sign the AIG Out of Country/Province Claim Form. Be sure to include your policy number and policyholder information.
  2. Ontario Residents: MUST fully complete the Provincial Authorization section of the Claim Form. Quebec Residents MUST fully complete RAMQ Application for Reimbursement and Power of Attorney Forms. This section allows the insurance provider (AIG) to coordinate benefits with your Provincial Insurance Plan (GHIP).
  3. Proof of Travel: Please provide proof of the date you departed Canada. Acceptable documents may include: a copy of your flight itinerary or airline, train or bus ticket, a credit card statement showing purchases made prior to leaving Canada, a copy of an invoice/bill paid and stamped by the bank, etc., or any other documentation with proof of the date you were last in Canada prior to going on your trip.
  4. Copy of Documents: It is recommended that you retain a copy of the completed AIG claim form and all documents before mailing/emailing your claim to us. Keep your original invoices/receipts for at least one year in case they are required.
  5. Submit your Claim: Please submit the following:
    • Your fully completed and signed claim form.
    • Your fully completed and signed provincial health insurance authorization form.
    • Proof of travel documents.
    • All invoices and/or receipts for expenses incurred and/or a copy of your Explanation of Benefits Statement from your other insurance carrier.
    • Copy of all medical reports from the attending physician or hospital.

Please either email OR mail your fully completed claim form and invoices to:

  • Email: ahclaimscan@aig.com
  • Mail: AIG Insurance Company of Canada, 120 Bremner Boulevard, Suite 2200, Toronto, ON M5J 0A8

For manual claims, submit via email to: administration@simplybenefits.ca, or by mail to:
Simply Benefits,
601-460 Doyle Avenue
Kelowna, BC V1Y 0C2

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