|
Emergency Hospital & Medical for Canadians
How to Make a Claim
Important:
In the event of a medical emergency, TIC Emergency Assistance must be notified prior to any surgery being performed or within 24 hours of admission to a hospital.
- Please fully complete the Claim Notification Form online, and press "Submit Form". Once done, print and sign a copy of the form, and then mail the form, along with all applicable documents noted below, to the Claims office.
TIC Claims and Travel Assistance
2100 - 250 Yonge Street
Toronto, Ontario, Canada M5B 2L7
- Please complete the appropriate provincial health claim forms.
- British Columbia
Schedule A and
Out-of-Country claim form
- Quebec
Application for Reimbursement and Power of Attorney
- Newfoundland & Labrador
Out-of-Province Claim form
Application for Newfoundland Hospital Insurance Benefits
- Saskatchewan
Schedule A and Schedule B
- Ontario
OHIP Authorization and Release Form
- Attach all original itemized bills and receipts to support your claim.
- Attach Medical Certificate completed by the treating physician/dentist at your destination.
- Attach any medical records you may have been given at the time of treatment such as a copy of the ER report or written letter from your treating physician. For hospitalization claims we will require a complete copy of your medical records from the treatment facility.
- For Multi-trip travel health insurance Plans, attach proof of departure and return to your province of residence.
- For hospitalization claims we will require a complete copy of your medical records from the treating facility.
- Please include any additional information relevant to your claim. Depending on the claim, we may request more information.
- If you would like your agent or a third party to assist with your claim, be sure to complete and include a Privacy Release Form.
Third Party Privacy Release Form
Agent Privacy Release Form
To assist the processing of your claim, please provide the requested information, including a valid e-mail address. Please note that the security setting of your e-mail account needs to be properly set to avoid our e-mails being directed into your spam folders.
|
|