Submit Your Claim Online

You will need an electronic version of your claim receipts.
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Contact Information (for the person completing this form)

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Spending Account

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    Contact Information

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    Member/Policy Holder Information

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    Health Spending Account

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    Wellness Spending Account

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    Receipt Attachments

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    Agreement and Consent

    I confirm that the information I have provided is true, correct, and complete to the best of my knowledge. I certify that I am claiming expenses that were incurred by myself or a dependant(s) for whom I am entitled to claim a medical expense credit under the Income Tax Act. I understand that personal information is collected, used, and disclosed to confirm the accuracy of this claim, to administer the terms of the applicable insurance policy, to manage the business of Saskatchewan Blue Cross® and/or Blue Cross Life Insurance Company of Canada® (Blue Cross), and to develop and recommend suitable Blue Cross products and services. I consent to the use of this information for the above purposes and in accordance with the privacy policy of Saskatchewan Blue Cross. I understand I am able to revoke my consent at any time.