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Need to Make a Claim?
Follow the steps below to learn how to make a claim through Medavie Blue Cross™.

 


Are you new to Medavie Blue Cross™? Don't have an account?

CLICK TO REGISTER

How would you like to submit your claim?

Mobile App

Mobile Phone

Web Portal

Web Portal

Manual Claim

Manual



Travel Claim?

Click here to learn how to make a travel claim.



Accident Claim?

Click here to learn how to make an accident claim.

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. Please click here to submit a claim if your coverage is terminated.




  • Register
  • Medavie Blue Cross Mobile App
  • Medavie Blue Cross Portal
  • Manual Claims
  • Travel Claims
  • Accident Claims
  • Claims Reimbursement
  • Claims from the Previous Policy Year

How to Register for the Medavie Blue Cross™ Portal:


  1. Click Here to visit the Member Portal.

  2. Click on “First time? Register now” which can be found below the login button.

  3. When prompted, choose the Benefits Card on the lower right, it should look similar to the Benefits Card you downloaded or picked up on campus.

  4. Enter your policy and identification numbers, as well as personal information into the required fields. Just a reminder:

    1. Your Policy Number is 0091963000

    2. Your Identification Number is: Your 9 Digit Student Number + 00.
      Example: If your student number is 123456789, your ID number would be: 12345678900

If you have previously registered but forgotten your Login information - click "Reset login information". To reset your password click "Forgot Password" found on the right of the login button.

 

How to Register for the Medavie Blue Cross™ App:


  1. Download the "Medavie Blue Cross Mobile" App to your phone:

    iPhone App Store
    Google Play Store
     

  2. Click "Register" and follow the instructions on the screen. (See above for tips on your policy and identification number!)

Making a Claim on the Mobile App:

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

To make a claim, you will first need to register and log in to the Blue Cross System (Instructions on registering can be found HERE).  
 

  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 and select "submit claim"

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

How to check your claim status:

While using the Mobile App, you can check your claim status by simply clicking the "View my claims" top menu bar.

Additional Questions:

Any outstanding questions regarding claim status/history can be directed to Medavie Blue Cross™ via the contact information listed below:

 


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.


Why should you download the app? For quick and easy access to check your Benefits Coverage! Find out more below:


        
 

Making a Claim on the Member Website:

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

To make a claim, you will first need to register and log in to the Blue Cross System (Instructions on registering 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. Fill out your direct deposit information including your Branch Number, Bank Number and Account Number.
  5. Click "Choose File" and attach a clear scan or photo of your receipt
  6. Check off the "I Agree to the Online Claim Submission Agreement" box and click "Submit"

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

How to check your claim status:

Using the Portal, you can check your claim status by clicking the "Statements" top menu bar. Then select a date range, insured member, line of benefit, and hit "Search". If your claim has already been processed you will also be able to see the explanation of benefits.

 

Additional Questions:

Any outstanding questions regarding claim status/history can be directed to Medavie Blue Cross™ via the contact information listed below:


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.

Prescription Drug, Extended Health Care (EHC), or Vision Claim:

If you do not wish to submit a claim on the Medavie Blue Cross™ Member Portal or Mobile App, you can 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, Suit 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 Website until they have been processed.
It takes 4-5 business days to process claims that are made through the app, portal or faxed. Mailed claims can take up to 10 business days to process due to mail time.

 

Dental Claims:

If your dentist is unable to submit your claim electronically using the information on the Benefits Card, or you do not wish to use the Member Portal or Mobile App to submit your claim, you can submit a dental 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 #: 0091963000
       Employer: Durham College Students Inc.
       Name of Insuring Agency or Plan: Medavie Blue Cross™
       Certificate #: Your 9 Digit Student ID +00
  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, Suit 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 Website until they have been processed.
It takes 4-5 business days to process claims that are made through the app, portal or faxed. Mailed claims can take up to 10 business days to process due to mail time.


 

If you are currently outside of Canada, or your province of residence:

Please contact CanAssistance directly via one of the following phone numbers:

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

Anywhere else in the world (call collect): 1-506-854-2222

 

If you have returned home from your trip and need to make a claim:

Please ensure that you have clear copies of all receipts and treatment information.

For medical claims abroad (doctor visits, hospital visits, x-rays, lab work, etc.), please complete the Travel Claim Form Request and your claim form will be emailed to you.

For trip cancellation or interruption please complete this form. The attending physician form found here must also be completed if your trip cancellation or interruption is due to medical reasons.

For baggage claims, please complete this form.

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.


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

 

Please email info@studentvip.ca for any claims regarding Accident Coverage.

Medavie Blue Cross™ will issue reimbursements in the form of a paper cheque, to the address on file, if there is no direct deposit information provided. Please note that cheques are considered stale dated after six months unless certified. If your cheque is stale dated within 12 months of the end of the policy period in which your claim was incurred, you can contact Medavie Blue Cross directly to have the cheque reissued. If you are requesting to reissue a stale dated cheque that is beyond 12 months from the end of the policy year in which the claim was incurred, you must contact Student VIP directly. Please note that requests made outside of this timeframe may not be honoured.

Find out how to get your money faster!    

Have a Canadian bank account? Set up direct deposit for faster reimbursement!
 
Online:  Add your banking information directly in your Medavie Blue Cross account
Manual: Fill out a Direct Deposit Form and send it to Medavie Blue Cross via email (durham@medavie.bluecross.ca) or mail it to the closest Blue Cross office address listed on the form


        
 

Please click here to submit a claim incurred during the 2022-2023 policy year.


Claims incurred prior to the termination date must be submitted to Medavie Blue Cross™ within 90 days of the termination date.
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