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.
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
How long do I have to file a personal health insurance claim?
You must file your claim within 12 months of incurring the expense.
Can I file a claim if I'm covered under 2 health insurance plans?
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.
Are medical expenses tax deductible?
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
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.