• Accidental / Emergent Dental benefit claims are covered at a dental office provided that the dentist provides supporting documentation that care was received due to an accident or emergency. If this documentation is not received at time of claim there will be delays with processing as we wait for this information to be made available.
• Travel vaccines are not eligible for coverage unless you require it for a school course. In order to review the claim for eligibility please include supporting documentation that your course required the vaccine.

Please access the manual claim form here. Once you have filled out the form, please mail or fax it along with any supporting documents to:

Medavie Blue Cross
1981 McGill College Avenue, Suite 100
Montreal, QC, H3A3A7
Fax: 1-844-622-6063

* You are responsible for all fees charged for any supporting documentation.
* Failure to complete and sign this form in its entirety or submit supporting documentation will delay claim processing.

• Ensure you complete as much of the form as you can to avoid delays in processing. You must include your name, student ID number and contact information. 
• Include the invoice or receipt from your medical appointment with your claim form.
• Include any medical notes, doctor notes, lab results or prescriptions to support your claim.
• If mailing your claim, please keep copies of all of your documents.

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