Submit a Claim Form - Saskatchewan Blue Cross

The form below is for Personal Health Plan Claims.

If you are a group/employer plan member, you can also log in to Group Member portal or download the app to submit your claim.

For Travel Claims, please refer to the Travel Assistance & Claims section here. For Disability Claims, please use the Disability documents section here.

You will need an electronic version of your claim receipts.

Contact Information

Name

Phone Number

Member/Policy Holder Information

Policy Number

ID/BC Number

Date of Birth

Last Name

First Name

Other Coverage

Do you or any of your dependants have coverage under any other plan?

Yes

Spending Account

Please apply the attached receipts or any outstanding amount from this claim to my:

Health Spending Account

I understand that I am responsible for payment of any taxes that may arise from reimbursement of these expenses

Wellness Spending Account

A Wellness Spending Account is a group/employer benefit that provides reimbursement for wellness‐related activities.

Upload Receipts

Receipts

Drop files here to upload them

Select files

• Unlimited number of files can be uploaded to this field.
• Allowed types: png, jpg, jpeg, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.
• 80 MB limit per form.
• 20 MB limit per file.
• If uploads are not loading in a timely manner, please ensure you have a strong wifi or cellular network connection.

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.

Agree