91ÉçÇø

All claims must be received by Medavie Blue Cross Insurance no later than 90 days after the end of the policy year in which the claims were incurred or 90 days after the end of your coverage, whichever is sooner. For more information, please see page 19 of the Medavie Blue Cross Handbook.

How to make a claim:

[1] Claiming expenses incurred outside of the 91ÉçÇø Health Clinic
[2] If you make a claim but receive no response from Medavie Blue Cross
[3] Reimbursement for basic health benefits
[4] Contacting Medavie Blue Cross
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Claims Blackout Period NEW students - August: Although coverage begins as of August 15 for new students*, there is a blackout period for the month of August. During this time, the insurance company is not able to confirm coverage and will not process or reimburse the claims of students who were not covered by the Plan up to the end of the previous policy year. Any claims for expenses incurred between August 1Ìýand August 31Ìýcan beÌýsubmitted to Medavie Blue CrossÌýin September. Students who were covered by the Plan up to the end of the previous policy year are not affected by this blackout period.

*NEW Students in Canada: coverage begins on August 15 for the semester starting September 1. You are provided with two complimentary weeks of coverage.

Claiming expenses incurred outside of the 91ÉçÇø Health ClinicÌý

• - Ask your health professional
• eClaims – smartphone or online
• Mail – using forms (Mail to:ÌýC. P. 3300, Succursale B, Montreal, Quebec, H3B 4Y5)

Please note: receipts must contain the following information:

1. the type of procedure that took place;
2. the cost of the procedure;
3. the "Quebec Code": a four- or five-digit number associated with the exact procedure(s) that took place;
4. the diagnosis; and
5. the name, address and license number of your physician.

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If you make a claim but receive no response from Medavie Blue Cross:

Whenever you send a claim to Medavie Blue Cross, you will receive a reply -- even if your claim is rejected. If Medavie Blue Cross refuses your claim, you will receive a report explaining why. If you receive no response within 30 days, it may be because Medavie Blue Cross never received your claim, because you submitted an incomplete claim, or because their response was sent to the wrong address. You should contact Medavie Blue Cross at 1-888-588-1212 if you have been waiting for a month or more.

Should you need to re-submit a claim, this will be much easier if you have photocopies of your receipts. Obtaining duplicate receipts from a health care provider or pharmacy can be time-consuming or even impossible.

As well, it is very important to update your address and phone numbers in Minerva, since changes you make in Minerva are sent to Medavie Blue Cross each week. Also, be sure to write your address carefully on the claim form, including your apartment number and postal code. If you plan to move, you should send Medavie Blue Cross a letter that includes your current address, the date of your move and the new address.

Reimbursement for basic health benefits

Basic health benefits are payable at 100% and charges are paid by Medavie Blue Cross in accordance with the Quebec Provincial Schedule of Fees. This Schedule determines the cost of every medical procedure covered by Quebec's provincial health plan. Medavie Blue Cross uses this same schedule to establish maximum amounts payable to claimants. For example, the cost of a general consultation with a family doctor is approximately $40.

Although Medavie Blue Cross determines its reimbursements according to the prices set in the Schedule, health care providers are entitled to charge more than the Schedule allows when treating patients who are not Quebec residents. As a result, Medavie Blue Cross may in some situations reimburse less than 100% of your basic medical expenses.

To avoid unpleasant surprises, ask your health care provider whether you will be charged the same rate as a Quebec resident before receiving any treatment. If an "international fee" or "administrative charge" is added, you should be aware that you will not be fully reimbursed.

We recommend that you use the (only for 91ÉçÇø Students) for your medical needs whenever possible, as your Medavie Blue Cross card will be accepted there and you will not be charged. A list of medical clinics and health service providers close to 91ÉçÇø is available through the Student Wellness Hub.ÌýPlease be aware, due to government policy that a limited number of appointments with Hub doctors are available to students. Please explore the wide variety of all the resources the Hub has to offer. If you’re unsure where to start, Access Advisors and Local Wellness Advisors offer a great first step towards accessing care, whether on or off-campus.

Contacting Medavie Blue Cross

If you have any questions regarding your claim, contact Medavie Blue Cross atÌý1-888-588-1212.