Access your group benefits and claims information for the past 24 months through GroupNet at Canada Life. You can also sign up for direct deposit claim payments (claims will be paid directly to your bank account).

There are two situations in which a predetermination is required:

• Private Duty Nursing, speech treatment plans and long-term use of medical aids and appliances should be submitted for pre-authorization of benefits.
• When dental treatment will involve the use of crowns, bridges or dentures and is expected to cu_event_cost $300 or more, you must obtain a written estimate from the attending dentist.

Assure Health handles drug claims for Canada Life and requires a separate claim form, and as a result, you will receive two cheques any time you submit a claim through the mail that has prescriptions and other medical expenses attached. Canada Life’s cheque will usually arrive prior to Assure Health’s cheque.

In future, use the Assure Card Claim Form for prescription drugs and you will receive your reimbursement quicker.

This is called Coordination of Benefits (COB). You must notify your Benefits Specialist of any changes regarding coordination of benefits. The following steps will help you submit a COB claim:

• To determine which insurer pays a claim, you and your spouse must submit claims to your own plan first. Children must submit their claims to the plan of the parent with the earlier birth date in the calendar year.
• Take photocopies of your claim and receipts.
• Submit your original claim forms and receipts to the insurer who is the first payer based on the above criteria.
• Once you receive your cheque and statement, complete a new claim form, ensuring you include your spouse’s plan and ID numbers. Attach to this claim the statement from the insurer and photocopies of your original claim and receipts. Submit this information to the coordinating plan.

Notes:

• If your spouse is also insured with Canada Life, submit your claim form indicating both plan numbers. Canada Life will look after coordinating between the plans. You will receive two separate cheques.
• If you and your spouse are both employees of Carleton, you may co-ordinate benefits as of May 1, 2020.

Typically, we will ask you as a new employee to wait approximately 3 weeks in order to receive your Canada Life pay direct wallet drug card before submitting any claims. This will ensure that you are set up on the Canada Life system and that your claims will be processed smoothly.

The policy number for the health and dental plan is 51801. Your member ID is your 9-digit employee ID.