Submitting Benefits Claims - Human Resources

Claim Your Medical and Dental Benefits Online
Health Care Information
Dental Claims
Drug Claims
Vision Care Claims
Extended Health Care Claims
Emergency Travel Insurance

To see your current benefit plan details, go to the Employee Services section on Carleton Central and click on Benefits and Deductions.

To change your benefit information, please fill out the applicable form(s) and submit to Benefits Specialist. For a full list of benefits forms, visit the forms section on our website.

Claim Your Medical and Dental Benefits Online

Canada Life administers the Health & Dental Benefits at Carleton University. Carleton employees with Canada Life extended health or dental benefits can register on GroupNet, Canada Life’s online benefits portal, to access a variety of personalized, user-friendly services in a secure environment:

GroupNet for plan members
Member ID: your 9 digit employee number (10xxxxxxx)
Policy Number: 51801
Download the Canada Life App for your smartphone: Android Apple

Health Care Information

Reduce your drug costs using Costco Pharmacy
The Health Assessment Resource may be accessed by logging into your Canada Life account
Private Supplemental health/dental coverage

Dental Claims

Dental claims can be submitted in two ways, by electronic or mail-in submission. Some dental treatments require pre-approval before they can begin. This is called Predetermination of Benefits.

Many dentists will submit claims directly to Canada Life. You need to provide dentist with your employee ID (member ID) and the dental policy number (51801)

Submit your Claim Online

Some dentists will submit claims to Canada Life but require payment for services.
Submit your payment as a claim through GroupNet. Canada Life will send the reimbursement directly to you

Submit your Claim via Mail

If your dentist does not use electronic submission they should fill out the “Dentist” section on the Standard Dental Claim Form.
Complete the remainder of the form and submit to Canada Life
Claims must be submitted within 6 months of the date of service
Note: Do not sign the “assignment to dentist” section if you have paid the dentist

Drug Claims

Prescription drugs may be claimed either at the time of purchase by using the Pay Direct Drug Card or submitted later to Canada Life using a Healthcare Expenses Statement form.

Use the Pay Direct Drug Card

Present your pay direct drug card to a participating pharmacy
The pharmacy will collect only the deductible and/or co-payment amount (if applicable) from the subscriber
The pharmacy will submit a claim directly to the insurer, who will pay the pharmacy

Submitting a Healthcare Expenses Statement

Submit an original itemized paid receipt and a Healthcare Expenses Statement form
Please note cash register receipts or copies of visa receipts alone are unacceptable
When medication has been injected by a physician, submit an itemized receipt and subscriber information as above. Cost of the medication only, and not the doctor’s fee will be eligible for reimbursement

Vision Care Claims

Claims for Eye Examinations

Submit claims using the Healthcare Expenses Statement or online using GroupNet

Claims for Glasses and Contacts

Submit claims for glasses and contacts using the Healthcare Expenses Statement
Obtain an original itemized paid receipt which includes: the vision prescription, a breakdown of charges for lenses and frames, and the date the glasses were picked up
Claims must be submitted within 18 months of the date of service
Note: If you want to submit online using GroupNet, you may do so, but ensure you have Section 4 of the Visioncare Claim Form filled out for your records

Extended Health Care Claims

Complete the Healthcare Expenses Statement claim form or use GroupNet to submit your claim online
Claims must be submitted within 18 months of the date of service

Pre-Authorization of Benefits

Under the extended health plan a few treatments require advance approval from Canada Life
Submit to Canada Life a Pre-Authorization Form (contact Canada Life for forms), as well as a doctor’s prescription with the diagnosis and prescribed treatment

Emergency Travel Insurance

If you are enrolled in Extended Health Care, emergency travel insurance is available to you and your dependents through Canada Life.

To submit a claim for out-of-country medical expenses fill out the following forms and send to Canada Life.

More information on travelling outside Canada: OHIP Information – Travelling outside Canada

Out of Country Authorization and Release Form

Submit this and the 'Out of Country Claim Form' to claim out-of-country medical expenses

Out of Country Claim Form

Submit this and the 'Out of Country Authorization and Release Form' to claim out-of-country medical expenses

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