Introducing Your Personal eProfile™
Health Made Easy with eProfile™
In-App Registration
Sign up in seconds directly through the mobile app or online.
eClaims & Photoclaims
Quickly submit claims with instant submission confirmation
Coverages & Balances
View what’s covered under your benefit plan. View current available balances.
Messages
View important messages about your plan and your exclusive offers.
Direct Deposit
Enroll for next-day payment with Direct Deposit
Provider Search
Search for a health, dental or pharmacy providers. View which providers support direct billing.
Benefits eCard
Quick access to Drug, Health & Dental Group & Certificate #. Conveniently add to your mobile wallet.
Customer Response Centre
Contact us directly from the app from
Mon-Fri 8am-9pm EST - the longest call center hours in the industry. View real-time claim processing and call centre wait times.
Discover your eProfileTM
Did you know you can access more exclusive videos and resources using the ‘Learn More’ icon on your eProfile™ Home Screen?
Preferred Provider Network
Special Authorization
Certain drugs can only be reimbursed through a clinical review process called Special Authorization. These drugs are typically high in cost or have the potential for inappropriate use. To get coverage for these drugs, members must meet the pre-established clinical criteria set out in the ClaimSecure™ Special Authorization Drug and Approval Guidelines.
Freedom to ChooseTM health and dental insurance
Losing Benefits?
Are you or someone you know nearing retirement, leaving a job, or otherwise ineligible for group benefits? Freedom to Choose™ health and dental insurance from Canada Life can help fill the gap between your provincial health coverage and what you pay out of pocket.
It can pay for things like:
- Prescription drugs
- Dental care
- Vision care
- Physiotherapy
Forms
Quickly find any of the claims forms you’ll need throughout your healthcare journey. Click the Download button to access the PDF form you’re looking for, and save to your desktop.
Not sure which form you need? You can also search by using keywords.
This form is to be completed when enrolling new employees or changing existing coverage information.
Explanation of Benefits (Sample)
Statement describing submitted and paid claim details by line of benefit, explanation of adjustments and/or rejections and address details.
OAD Eligibility Form
This form is to be completed when enrolling a new over-age-dependant or changing existing coverage information.
Dental
This form is to be completed when submitting a dental claim for reimbursement. Be sure to include the original receipt along with the completed claim form.
Drug
This form is to be completed when submitting a drug claim for reimbursement. Be sure to include the original receipt along with the completed claim form.
Extended Health Care
This form is to be completed when submitting a major medical claim for reimbursement. Be sure to include the original receipt along with the completed claim form.
Health Service Spending Account (HSSA)
Health Service Spending Account (HSSA)
Wellness
This form is to be completed when submitting a Wellness claim for reimbursement. Be sure to include the original receipt along with the completed claim form.
Answers to frequently asked questions relating the Special Authorization process.
This claim form is to be completed when an individual is applying for a drug that requires clinical review prior to approval.
List of all drugs that may be classified as “Requires Special Authorization” by the plan sponsor under our Managed Plans, including specialty medication.
This claim form is to be completed when an individual is applying for a drug that requires clinical review prior to approval.
List of Specialty drugs only. These drugs may be classified as “Requires Special Authorization” by the plan sponsor – plan members may download this list and provide it to their Healthcare Providers.
This claim form is to be completed when an individual is applying for a drug that requires clinical review prior to approval.
This claim form should be completed when an individual whose plan design includes mandatory generic is applying for coverage for the full cost of the brand name drug.
This form is to be completed when an individual is accessing the coverage navigation service for assistance applying to government and/or manufacturer sponsored programs for Specialty Drug coverage.
This questionnaire is to be completed when submitting a Custom Knee Brace estimate. Be sure to complete all required information and submit an estimate, prior to approval.
This questionnaire is to be completed when submitting a Hospital Bed estimate. Be sure to complete all required information and submit an estimate, prior to approval.
This questionnaire is to be completed when submitting a Nursing Care estimate. Be sure to complete all required information and submit an estimate, prior to approval.
This questionnaire is to be completed when submitting a Wheelchair estimate. Be sure to complete all required information and submit an estimate, prior to approval.
This form is to be completed when enrolling new employees or changing existing coverage information.
This form is to be completed when enrolling a new over-age-dependant or changing existing coverage information.
This form is to be completed when submitting a drug claim for reimbursement. Be sure to include the original receipt along with the completed claim form.
This form is to be completed when submitting a major medical claim for reimbursement. Be sure to include the original receipt along with the completed claim form.
Health Service Spending Account (HSSA)
This form is to be completed when submitting a Wellness claim for reimbursement. Be sure to include the original receipt along with the completed claim form.
This form is to be completed when submitting a dental claim for reimbursement. Be sure to include the original receipt along with the completed claim form.
List of Formulary Select drugs and alternatives in the same therapeutic class.
Answers to frequently asked questions relating the Special Authorization process.
This claim form is to be completed when an individual is applying for a drug that requires clinical review prior to approval.
List of all drugs that may be classified as “Requires Special Authorization” by the plan sponsor under our Managed Plans, including specialty medication.
List of Specialty drugs only. These drugs may be classified as "Requires Special Authorization" by the plan sponsor – plan members may download this list and provide it to their Healthcare Providers.
This claim form is to be completed when an individual is applying for a drug that requires clinical review prior to approval.
This claim form should be completed when an individual whose plan design includes mandatory generic is applying for coverage for the full cost of the brand name drug.
This form is to be completed when an individual is accessing the coverage navigation service for assistance applying to government and/or manufacturer sponsored programs for Specialty Drug coverage.
This questionnaire is to be completed when submitting a Wheelchair estimate. Be sure to complete all required information and submit an estimate, prior to approval.
This questionnaire is to be completed when submitting a Custom Knee Brace estimate. Be sure to complete all required information and submit an estimate, prior to approval.
This questionnaire is to be completed when submitting a Hospital Bed estimate. Be sure to complete all required information and submit an estimate, prior to approval.
This questionnaire is to be completed when submitting a Nursing Care estimate. Be sure to complete all required information and submit an estimate, prior to approval.
This form is used for submission of Cost Plus Benefits for reimbursement.