A few tips on filling a claim:

Unless specified otherwise, you must provide all information and documents outlined below (usually within 90 days of receiving services), and pay for any charges levied for these documents.

Make sure to indicate:

• the policy number
• the patient’s name (married and maiden, where applicable)
• date of birth and
• government health insurance plan number (including the expiry date or version code, where applicable)

You will have to submit with your claim form:

• All original itemized bills from a medical provider(s) stating the patient’s name, diagnosis, dates and types of treatment and the name of the medical facility and/or physician.

• For prescription drugs, the original prescription drug receipts (not cash receipts) from the pharmacist, physician, or hospital indicating the name of the prescribing physician, prescription number, name of preparation, date, quantity and total cost.

• In the event of an annual plan option, proof of the departure date and return date. For all other plans, proof of the departure date.

• For out-of-pocket expenses, an explanation of expenses accompanied by original receipts.

A completed and signed Mandate/Authorization Form. 

A Mandate/Authorization Form is the form provided to you by the Assistance services when notice of claim has been given, which you must complete and sign for the purpose of allowing us to recover payment from any other policy or health plan (group, individual, or government).

If the Emergency Air Transportation Benefit is used, the unused portion of your ticket must be submitted.          

Failure to provide proof of claim within 90 days does not invalidate your claim if proof is provided as soon as reasonably possible and never later than one year from the date of loss. If applicable law provides for a longer period, you must submit your claim within the longer period provided for by law. For your claim to be valid, you must provide all documents required by the Claims Department to support your claim.

What if you do not agree with a decision made concerning a claim?

You can ask that a committe review the decision!

- This committee will take into consideration all pertinent information provided by you and a decision will be rendered in writing within 30 days based on the general provisions and guidelines of the policy.

- Requests to review a claim decision must be made in writing no later than 30 days after the date of the decision.

- If disputed issues are not resolved by the committee, parties shall seek binding arbitration.

For any questions or inquiries, do not hesitate to contact SecuriGlobe at 1-888-211-4444.

SecuriGlobe would appreciate your comments and suggestions on your claim's process in order to improve the related procedures.

Please write to us at information@securiglobe.com