International Health Insurance Forms

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International Health Insurance Forms

Except in cases of emergency, it is essential that the pre-authorization form be processed before surgery. Failure to do so聽will automatically聽result in a refused claim.

International Health Insurance Forms
Form	Details
Health Insurance Claim Form - Extended Health Care Benefits	To be used to claim reimbursement after having paid for eligible medical expenses. Original receipts must accompany this form. If you no longer have access to your Medavie Blue Cross app/portal, please mail your claims via mail: C. P. 3300, SUCCURSALE B, MONTR脡AL (QU脡BEC) H3B 4Y5
Health Insurance Claim Form - Medical Expenses	To be used when health care provider has agreed to bill Medavie Blue Cross directly for eligible medical expenses. The student has not incurred an expense related to the claim.