Submitting Benefits Claims

1. Claim Your Medical and Dental Benefits Online
2. Contact Canada Life: dedicated Carleton VIP phone number
3. Health Care Information
4. Dental Claims
5. Drug Claims
6. Vision Care Claims
7. Extended Health Care Claims
8. Emergency Travel Insurance

To see your current benefit plan details, go to the Employee Services section on Carleton Central and click on Benefits and Deductions.

To change your benefits information, please fill out the applicable form(s) and submit it to Benefits Specialist.  For a full list of benefits forms, visit the forms section on our website.

Claim Your Medical and Dental Benefits Online

Canada Life administers the Health & Dental Benefits at Carleton University. Carleton employees with Canada Life extended health or dental benefits can register on My Canada Life at Work, Canada Life’s online benefits portal, to access a variety of personalized, user-friendly services in a secure environment:

• Canada Life at Work  for plan members
• Member ID: your 9-digit employee number (10xxxxxxx)
• Policy Number: 51801
• Download the Canada Life App for your smartphone: Android   Apple

Contact Canada Life: dedicated Carleton VIP phone number

For Canada Life Health and Dental claims queries, call the Canada Life dedicated VIP phone line that will give you priority service at 1-888-381-4401, 8 a.m. to 8 p.m. ET.

Health Care Information

• Reduce your drug costs using Costco Pharmacy
• The Health Assessment Resource may be accessed by logging into your Canada Life account
• Private Supplemental health/dental coverage

Dental Claims

Dental claims can be submitted in two ways, by electronic or mail-in submission. Some dental treatments require pre-approval before they can begin. This is called Predetermination of Benefits.

Many dentists will submit claims directly to Canada Life. You need to provide dentist with your employee ID (member ID) and the dental policy number (51801)

Submit your Claim Online

• Some dentists will submit claims to Canada Life but require payment for services.
• Submit your payment as a claim through Canada Life. Canada Life will send the reimbursement directly to you

Submit your Claim via Mail

• If your dentist does not use electronic submission they should fill out the “Dentist” section on the Standard Dental Claim Form.
• Complete the remainder of the form and submit to Canada Life
• Claims must be submitted within 6 months of the date of service
• Note: Do not sign the “assignment to dentist” section if you have paid the dentist

Drug Claims

Prescription drugs may be claimed either at the time of purchase by using the Pay Direct Drug Card or submitted later to Canada Life using a Healthcare Expenses Statement form.

Use the Pay Direct Drug Card

• Present your pay direct drug card to a participating pharmacy
• The pharmacy will collect only the deductible and/or co-payment amount (if applicable) from the subscriber
• The pharmacy will submit a claim directly to the insurer, who will pay the pharmacy

Submitting a Healthcare Expenses Statement

• Submit an original itemized paid receipt and a Healthcare Expenses Statement form
• Please note cash register receipts or copies of visa receipts alone are unacceptable
• When medication has been injected by a physician, submit an itemized receipt and subscriber information as above. Cost of the medication only, and not the doctor’s fee will be eligible for reimbursement

Vision Care Claims

Claims for Eye Examinations

• Submit claims using the Healthcare Expenses Statement or online using Canada Life

Claims for Glasses and Contacts

• Submit claims for glasses and contacts using the Healthcare Expenses Statement
• Obtain an original itemized paid receipt which includes: the vision prescription, a breakdown of charges for lenses and frames, and the date the glasses were picked up
• Claims must be submitted within 18 months of the date of service
• Note: If you want to submit online using Canada Life, you may do so, but ensure you have Section 4 of the Visioncare Claim Form filled out for your records

Extended Health Care Claims

• Complete the Healthcare Expenses Statement claim form or use Canada Life to submit your claim online
• Claims must be submitted within 18 months of the date of service

Pre-Authorization of Benefits

• Under the extended health plan a few treatments require advance approval from Canada Life
• Submit to Canada Life a Pre-Authorization Form (contact Canada Life for forms), as well as a doctor’s prescription with the diagnosis and prescribed treatment

Emergency Travel Insurance

If you are enrolled in Extended Health Care, emergency travel insurance is available to you and your dependents through Canada Life.

To submit a claim for out-of-country medical expenses fill out the following forms and send to Canada Life.

More information on travelling outside Canada: OHIP Information – Travelling outside Canada

Out of Country Authorization and Release Form

Submit this and the 'Out of Country Claim Form' to claim out-of-country medical expenses

Out of Country Claim Form

Submit this and the 'Out of Country Authorization and Release Form' to claim out-of-country medical expenses

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