Claims

Travel Medical Insurance

Travel Insurance Tips

Before you purchase a travel insurance plan, ask about the assistance services – most assistance companies are disinterested third parties that route medical emergency calls to call-center clerks, rather than to real doctors and nurses.

At Medipac Assist, medical professionals will answer your calls – much more expensive, of course, but we take our responsibilities seriously! Minutes can save lives.

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HOW TO PRESENT A CLAIM

To initiate the claims process, please contact Medipac Assist at 1-800-813-9374. One of our customer service representatives will assist you from the initial time of your claim process to the final settlement. During the claim process you will need to complete certain claim forms specific to your home province. You can download these forms or Medipac can mail you a Claim Kit.

Download Claim forms here...»

Frequently asked questions:

How will my Claim be handled?

Within 10 days of reporting your claim you will be mailed a Claim Kit. The package will include everything necessary to submit your Claim, including instructions and all necessary forms. These claim forms must be returned to our office within 30 days of the date of your claim.

What is Required Proof?

Medipac Assist will require completed Claim forms, an Authorization and Release form, original (keep copies for yourself) invoices and/or receipts and the payment of your deductible, if any is required. If you are claiming under your Annual Add-on Plan, proof of your departure date is needed. Proof can be in the form of a stamped passport or a duty free receipt from a border crossing.

To begin processing your claim file, original bills are required. This includes original prescription receipts, original itemized bills, HCFA-Form 1500 (Doctors Bill), UB 92 (Hospital bill) (with itemized statement) OR an original itemized doctor's bill with:
  • Formal letterhead with full name and address
  • Tax I.D
  • Procedure and diagnostic codes with dollar amounts
  • Original doctor's signature (stamped photocopied signatures are not acceptable)

Why are original bills important?

The Canadian government will only accept original bills for consideration for payment of a claim. Medipac International and your provincial government also require the original bills to restrict multiple submission and fraud.

What if my Claim is under the Deductible?

Once we have received your original bills, claim forms and proof of payment(s), we will submit these to your provincial GHIP for consideration of payment for Ontario residents. If payment has been approved, Medipac will advise GHIP to reimburse you directly. Residents of all other provinces are advised to submit their required information to their provincial healthcare provider directly. Medipac Assist will only submit required information for Ontario residents, as we are registered agents with the Ontario Health Insurance Plan.

Client paid bills - Over Deductible

Submit all original bills, proof of payment and claim forms to Medipac for consideration of reimbursement. Once all the required information is received, an adjuster will review your claim for reimbursement.

Client paid bills - Under Deductible

Ontario residents may submit their original bill, proof of payment and claims to Medipac. We will then forward the information to GHIP for consideration of payment. All other residents must submit their claim directly to their Provincial Healthcare provider.

How long do I have to submit my Claim?

Claim forms must be returned to our office within 30 days of your claims for consideration. However, you have up to 12 months to submit any additional bills or receipts towards your claim. Quebec and British Columbia Residents must submit their Claim forms within 21 days of receipt of the claims kit to avoid delays in processing the claim.

If you have returned your documentation with information missing, Medipac Assist will contact you or the provider directly to request the required documentation. In addition, we will also review non-original bills. If we receive a bill that we are unable to process, we will contact the facility and request the original bills. You will then be mailed a letter advising that Medipac Assist has formally requested the additional bills from the provider/facility.

Medipac Assist will continually check the status of your claim until it has been resolved. If you have any questions or concerns in regards to your claim, you may contact a claims specialist at 1-888-311-4761 or 416-441-7073 Monday to Friday 9:00 a.m. to 5:00 p.m. EST.

Medipac Assist has an efficient and friendly claims service that will allow you to get on with your plans.

 

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