Medavie Blue Cross

Step-by-Step Guide to Filing Claims with Medavie Blue Cross

1. Prepare Required Documentation

• General Requirements:
  • Original receipts with provider name, license number, service date, and cost.
  • Prescriptions (if applicable for medical devices, orthotics, or specialized treatments)
  • Itemized statements or medical assessments for complex claims (e.g., orthopedic shoes, insulin pumps)
• Special Cases:
  • Medical equipment (e.g., CPAP machines): Requires pre-approval and a physician’s referral
  • Travel claims: Include proof of trip interruption or emergency medical reports

2. Log In or Register

• New Users:
  • Visit the Medavie Blue Cross Member Portal and click “Register”.
  • Use your policy number (e.g., 0091964000 ) and identification number
• Existing Users:
  • Sign in with your email and password.

3. Submit Your Claim

Option 1: Online via Member Portal

1. Navigate to “Submit a Claim” → Select benefit type (e.g., Drugs, Dental, Extended Health).
2. Upload scanned receipts (JPEG/PDF/PNG) and answer eligibility questions (e.g., other coverage, accident-related treatment)
3. Enter direct deposit details for reimbursement.

Option 2: Mobile App

1. Download the Blue Cross Mobile App (iOS/Android).
2. Select “Submit a Claim” → Upload photos of receipts (up to 10 images per claim).
3. Track status via “View My Claims” 9.

Option 3: Mail or Fax

1. Download and complete the Health Claim Form.
2. Attach receipts and mail to:
   Medavie Blue Cross
   ATTN: Claims Department
   185 The West Mall, Suite 1200
   Etobicoke, ON M9C 5P1
   Fax: 1-844-622-6063 912.

4. Track and Receive Payment

• Processing Time:
  • Online/Mobile: 3–5 business days
  • Mail: 10 business days (due to postal delays)
• Payment Methods:
  • Direct deposit (preferred) or cheque.
  • Check status via the “Statements” tab on the portal

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FAQ: Medavie Blue Cross Claims

1. What documents are required for paramedical claims (e.g., physiotherapy)?

• Original receipts with provider details (license number, service date, cost).
• Prescriptions for specialized treatments (e.g., orthotics)

2. How long does reimbursement take?

• Online/mobile claims: 3–5 business days.
• Mailed claims: Up to 10 business days

3. What is the deadline to submit claims?

• Claims must be filed within 90 days after the policy year ends or coverage termination

4. Can providers bill Medavie directly?

• Yes. Use ePay for direct billing with approved providers (searchable via the app or portal)

5. What if my claim is denied?

• Common reasons: Missing receipts or exceeding coverage limits. Resubmit with corrections or contact support at 1-888-588-1212

6. Are international students covered during the August blackout period?

• New students: Claims between August 1–31 must be submitted in September. Returning students are unaffected

7. How are disability benefits coordinated with other income?

• Short-Term Disability (STD)/Long-Term Disability (LTD) benefits may be reduced by other income (e.g., Canada Pension Plan). Retroactive payments require reimbursement to Medavie

8. Do I need pre-approval for medical equipment?

• Yes. Submit a Letter of Medical Necessity for items like insulin pumps or CPAP machines

9. How do I update my address for claim correspondence?

• Update details in your university portal (e.g., McGill’s Minerva) or notify Medavie directly

10. What if I receive no response after submitting a claim?

• Contact Medavie at 1-888-588-1212 if no reply within 30 days. Ensure your address is correct

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