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You’ll need receipts when you submit your claim.
Submit a claim
If we receive your eligible claim before 5 p.m. MT, we may be able to reimburse you as early as the next business day. Most claims are processed within 5 to 10 business days, depending on your claim details and your bank’s processing times.
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Sign in to your member account.
If you do not have one, you need to register for a member account.
- Go to Claims and select Submit a claim.
- Select a claim type. For health claims, check which category your claim falls under.
- Select the person this claim is for.
- For all claim types, we'll ask you about coordination of benefits.
Select Yes if you have coverage for this benefit with another provider. Select No if you do not have coverage for this benefit with another provider.
- Click the box to add an expense.
- Enter details about your expense. For drug, dental, health and vision claims, you will
need to choose a provider from the list.
- To add a new provider, select Find a provider. Fill out the fields and search.
- To use a provider you’ve submitted a claim for before, choose from your recently used providers in the dropdown.
- Upload your receipts and supporting documents.
- Use your phone to take a photo of your receipt or upload a JPG, PNG or PDF file.
- Your receipt should show, where applicable, the name of plan member or dependent, date and type of service or product, provider details, and paid-in-full amount.
- Select Add. You can Click to add an expense if you have another claim to make under the same claim type for the same person.
- Review the details to make sure it’s accurate. Read and agree to the acknowledgement and consent before submitting your claim.
Frequently asked questions
Make sure your receipt or document clearly shows the:
- first and last name of the person receiving the service or product
- date of service
- name of the service or product
- health care or medical service provider’s name, address, phone number and registration number, if applicable
- amount charged, which has been marked as paid in full (zero balance owing)
If this information is not included, it will result in requests for more information and delay your claim.
If you're submitting a claim for a COVID-19 vaccine, check the receipt requirements for that specific claim.
Keep your receipts and any supporting documents for 2 years from the date of your claim submission.
If you have another benefit provider who paid a portion of your claim, you’ll need to provide a claim statement. It should include the:
- other benefit provider’s name (e.g., Sunlife, Manulife)
- first and last name of the person receiving the service or product
- date of service
- name of the product or service
- health care or medical service provider’s name, address, phone number and registration number, if applicable
- amount charged
- amount paid
You can submit a claim for a COVID-19 vaccine through your drug coverage. Check how much drug coverage you have left before getting your vaccine. Many plans have annual vaccine limits.
- Sign in to your account.
- Go to Benefits.
- Go to the drug section and use the look-up tool to check your eligibility.
- Enter the following drug names or Drug Identification Numbers (DINs):
- Spikevax, provided by Moderna (DIN 02557770)
- Spikevax, provided by Moderna (pediatric dose DIN 02541270)
- Comirnaty, provided by Pfizer (DIN 02552035)
The vaccine cost and injection fee are also eligible for coverage through your Health Spending Account, if you have one.
You'll need to request a receipt from Alberta Health Services. You can call them toll free at 1-855-919-6097 or 780-946-8951 in Edmonton. Press 3 to reach billing. Your receipt will be mailed out to you.
More information
Claims
Everything you need to know about managing claims.