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Personal health insurance claims

Want to file a claim for health, dental or prescription drug expenses? Here's what you need to know.

If you have insurance through your employer

See how to file a group insurance claim.

Before you start

  • Check the maximum benefit amount per person per year in your policy.
  • Keep a copy of the receipt in case your claim is audited.
  • Submit a treatment plan before buying a product or receiving treatment that costs over $500.

Claim with your payment card

Have eligible expenses at your pharmacist, dentist or healthcare professional paid for right away.Go to note 1

We pay the portion covered by your plan, and you pay the difference. You get a receipt that shows the claim amounts, which you can keep for tax purposes.

Where to find the card

You can find your card in the Omni app or on our secure site (under  Your account). 
If you have an iPhone, you can add your payment card to Apple Wallet.

Claim online

You can submit all your healthcare claims online. This includes prescription drug, vision care and dental care claims.

Download the Omni app

How to file a claim online

Get step-by-step instructions on how to submit a claim on our secure site or in the Omni app.

FAQ

You must file your claim within 12 ­months of incurring the expense.

Yes. If you file a claim when there are 2 insurance plans, be sure to complete the Coordination of benefits section on the claim form. You may be entitled to a reimbursement of up to 100% of your eligible expenses.

No. Medical expenses covered by personal health insurance are not tax deductible. But premiums paid may be considered a deductible expense when calculating your net business income. They may also be eligible for the medical expense tax credit.

File a personal health insurance claim

By phone

Monday to Friday: 8 AM to 7 PM

1-888-558-5525 This link opens your phone app.

Claim forms

Health insurance – SOLO

Prescription drugs and healthcare

Certain expensive drugs or drugs with high risk of misuse need to be authorized before they can be reimbursed. Find out how to request prior authorization.

Dental care

You can also use the form provided by your dentist. If you do, make sure to clearly indicate your contract and certificate numbers.

Health insurance – Vision

Prescription drugs and healthcare

Certain expensive drugs or drugs with high risk of misuse need to be authorized before they can be reimbursed. Find out how to request prior authorization.

Dental care

You can also use the form provided by your dentist. If you do, clearly indicate your contract and certificate numbers.

Other forms

Life insurance and living benefits products are manufactured by Desjardins Financial Security Life Assurance Company.

If an additional exclusion applies to your insurance policy due to a specific medical condition, you'll have to pay the full amount and submit a claim.
To find healthcare professionals who participate in the direct payment program, see TELUS Health eClaims.
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