SSQ

Step-by-Step Guide to Filing Claims with SSQ (now Beneva)

1. Log In or Register

• New Users:
  • Visit the SSQ/Beneva Login Portal and click “Register”.
  • Enter your policy number (found on your insurance card or documents) and personal details to create an account
• Existing Users:
  • Sign in using your credentials.

2. Select Claim Type

• Group Insurance: Covers health, dental, and paramedical services (e.g., physiotherapy, prescriptions).
• Travel Insurance: For emergencies abroad (e.g., medical expenses, trip cancellations).
• Disability Claims: Short-term or long-term disability benefits

3. Prepare Documentation

• Health/Dental/Paramedical:
  • Original receipts with provider details (name, license number, service date, cost).
  • Prescriptions or referrals for specialized treatments (e.g., orthotics)
• Travel Insurance:
  • Emergency medical reports, receipts, and proof of trip interruption
• Disability Claims:
  • Employee Statement, Employer Statement, and Physician’s Statement (downloadable via the portal)

4. Submit Your Claim

Option 1: Online via Customer Centre

1. Navigate to “Submit a Claim” under Group Insurance.
2. Search for your provider using their phone number or name.
3. Enter treatment details (date, cost) and upload receipts
4. Confirm details and submit. Most claims are processed within 48 hours

Option 2: Mobile App

1. Download the Beneva/SSQ app (iOS/Android).
2. Use the same login credentials to submit claims, track status, or estimate reimbursements

Option 3: Direct Billing

• Present your SSQ Insurance Card at pharmacies or dental offices for instant deductions. Providers submit claims directly to SSQ/Beneva

Option 4: Mail

1. Download and print the appropriate form (e.g., dental claim form).
2. Mail signed forms and receipts to:
   Beneva Claims Department
   2525 Laurier Boulevard, Quebec City, QC G1V 4H6

5. Track and Receive Payment

• Online/Mobile: Check status under “Claims History”. Payments via direct deposit are issued within 48 hours of approval
• Disability Claims: Payments are deposited monthly on the third business day before month-end

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FAQ: SSQ/Beneva Claims Process

1. How long does SSQ/Beneva take to process claims?

• Standard Claims: 48 hours for online submissions
• Disability Claims: Allow 3–6 weeks for review and approval

2. What if my provider isn’t listed in the portal?

Search using their phone number or upload receipts manually. Ensure receipts include all required details

3. Can I submit claims for dependents?

Yes. Add dependents to your account and include their information on the claim form

4. How do I coordinate benefits with another plan?

Submit to the primary insurer first. Attach their Explanation of Benefits (EOB) when filing with SSQ/Beneva

5. What if my claim is denied?

• Resubmit with corrected documentation.
• For disability claims, file an internal appeal within 90 days or pursue legal action

6. Are mental health services covered?

Yes. Psychologists and social workers are typically covered under group plans (check your policy for limits)

7. How do I update my banking details?

Log in to the portal → Navigate to “Payment Settings” → Enter new direct deposit information

8. What is the deadline to submit claims?

Claims must be filed within 12 months of the service date

9. How do I handle travel emergencies?

Contact AXA Assistance at 1-866-783-9473 (Canada/US) or 514-285-8195 (collect call) before incurring expenses

10. Is SSQ now Beneva?

Yes. SSQ merged with La Capitale in 2023 to form Beneva, but processes remain similar. Update bookmarks to Beneva’s portal

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