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Use this feature to upload medical referral, and pharmacare documents to your account.

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Do not submit any receipts using this form. Please submit claims here.

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If you have been directed by Manitoba Blue Cross to submit supporting documents, visit claim history to locate the applicable claim.

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Common questions

Where can I find my certificate number?

Your certificate number is located on the front of your ID card. If you have an older card, this may show as contract number.

Do you accept photocopies of receipts?

We accept photocopies of receipts for all claims, except travel claims.

How many ambulance trips am I allowed in a year?

There is no maximum to the number of emergency ambulance trips you can take. If you have emergency ambulance coverage, it is covered at the coverage per cent indicated by your plan and subject to the usual & customary rates in place for the region of service.

* This does not include Out of Province ambulance and Medical Transfer benefits. These benefits are separate and subject to their own exclusions and limitations.

What are usual, customary, and reasonable charges?

Usual, customary, and reasonable charges refer to the range of charges by individuals of similar training and experience providing the same services or supplies within a specified location/province. These may also include charges considered justifiable under special circumstances by the provider's professional association.

If your provider charges more than the reasonable and customary limit (including more than one visit in a day), you will be responsible for paying the difference. Shopping around for health care products and services helps members reduce out-of-pocket expenses and helps employers reduce benefit plan costs.

Where am I covered when I travel?

You are covered anywhere outside of Manitoba, unless the Government of Canada has placed an "avoid all travel" advisory on your destination. View travel advisories on the Government of Canada website.

What is a Health Spending Account?

A Health Spending Account (HSA) is a tax-free allocation of credits that an employer may offer to employees to provide reimbursement on a wide range of out-of-pocket health expenses. In general, expenses are considered eligible if they qualify as a medical expense tax credit under the Income Tax Act of Canada and have not been 100 per cent reimbursed by another benefit plan. Deductible amounts and co-insurance also qualify.

An HSA is administered in accordance with Canada Revenue Agency guidelines, and is always last payer (after government, employer, individual, student, and spousal plans).

How can I save money on drugs and maximize my benefits?

There are a number of ways to maximize your drug coverage:

  • Check with several pharmacies to find out who has the lowest dispensing fees and mark-up. Pharmacies have their own practices and costs, resulting in various prices for the same prescription. Dispensing fees can range from $4 to $20 or more per prescription across different pharmacies. You have the option to shop around.
  • Reduce your dispensing costs by purchasing the maximum supply of a prescription drug at one time (100-day supply).
  • Choose generic wherever possible. Generic drugs are strictly regulated in Canada and must contain the same active ingredients, provide the same strength per dosage, and be administered the same way as their brand-name counterparts. If prescribed a brand-name medication, ask your doctor about a generic alternative. You can also ask your pharmacist to substitute a generic version when filling your prescription.
When can I buy new glasses again?

Vision coverage frequency varies by plan. Visit Coverage in mybluecross® and view your vision eligibility to find out when you are eligible for your next eyeglass or lens purchase, or contact us.

What is the Employee Assistance Program (EAP)?

The Employee Assistance Program (EAP) is a comprehensive, voluntary program that provides confidential counselling to assist in identifying and resolving concerns affecting you and your family's health and well-being.

What should I do if part of my claim has been paid by another plan or government program (e.g. Senior Eyeglass program for Manitoba residents over age 65)?

To submit a claim that has been partially paid by another carrier or the government program:

  • Respond "Yes" to the question: "Has a portion of this expense been paid by another policy or a government program?". This field is required even if the amount paid was zero.
  • Enter the amount paid by the other plan(s) under "Other Plan(s) Paid", "Government Paid", or both, depending on who paid a portion of your claim. The amount entered should reflect what is shown on the Explanation of Benefits (EOB) provided by the other plan.
I entered wrong information. How can I correct it?

Click the Back button to go back to make any corrections. Ensure all information is correct before submitting your claim.

If the claim status is Processed, why haven't I been paid?

If the Paid Amount is $0.00, please review the claim details.

If the claim status is Processed and a Paid Amount is indicated, a payment will be direct deposited with 1-3 business days from the Processed Date. Cheque payments are issued weekly.

Do I need to include a standard claim form with my uploaded claim document?

Only specialty claim forms are required.

What does Queued mean?

Queued means your claim is being held for processing. This has happened because you have a claim in Audit status. When a claim is selected for audit, the system places a temporary hold on all subsequent claims. Once Manitoba Blue Cross receives the requested receipt(s) for your Audited claim, all Queued claims will be released for processing.

Why am I being audited? Why does Manitoba Blue Cross audit claims?

Manitoba Blue Cross is committed to protecting your benefits from fraud and abuse. One of the ways we do this is by auditing claims to confirm the accuracy of information provided.

Visit Insurance Fraud and Abuse to learn more.

When will my claim be processed?

Claims are processed in the order in which they are received.

Where is your office located?

We are located at 599 Empress Street, Winnipeg MB. Our office hours are Monday through Friday 9 a.m. - 4 p.m. For additional contact information please visit our Contact us page.

I mailed a claim over a week ago. Why can't I view it under My Claims?

Claims are processed in the order in which they are received.

For faster processing, register for direct deposit under Manage Account and payment will be transmitted as soon as your claim is processed. As an added benefit, you'll also be able to submit claims online through mybluecross. An EFT payment will be deposited to your bank account within 1-3 business days from the processed date.

I was transferred from one hospital to another. Is that covered?

Manitoba Health will cover the full patient cost of inter-facility transports when:

  • the patient is a resident of Manitoba with a valid Manitoba Health card
  • the patient medically requires transportation by ambulance as determined by a physician
  • the patient is being transferred between designated health-care facilities for diagnostic tests or treatments, or from a more specialized level of care to another facility closer to home for rehabilitation or recovery.
Do you allow direct billing from all service providers?

We allow direct billing from all qualified service providers. Direct billing is free to set up with Manitoba Blue Cross. However, the decision to offer this is at the discretion of the provider.

What documentation should I bring when travelling?

Each country has its own documentation requirements. Before travelling, we recommend you visit the Goverment of Canada website for information on the country you're visiting. Be sure to travel with your Manitoba Blue Cross certificate or policy, which includes contact information for International Travel Assistance.

How many credits do I have in my Health Spending Account?

Health Spending Account credits are deposited into your account as directed by your employer. Visit Coverage in mybluecross® to view your HSA coverage information, including credits accrued and credits used.

My spouse has BlueNet and my plan does not. Can I just use his card at the pharmacy?

Based on coordination of benefits' guidelines, you must submit prescription drug claims under your own plan first, even if your spouse has BlueNet.

*This coordination of benefits guideline also applies to dependents. When making claims for eligible dependents, you must first claim under the plan of the parent with the earlier birth month in the calendar year.

For faster processing, register for direct deposit and gain access to submit claims online. This convenient service allows you to bypass the manual processing wait times by processing prescription drug claims in real time. As an added benefit, payment will be transmitted to your bank account as soon your claim is processed.

How do I submit a claim for my spouse or dependent(s) covered by another plan?

Ensure the claim has been submitted under their primary plan first. Then, when adding an expense:

  • Respond "Yes" to the question: "Has a portion of this expense been paid by another policy or a government program?". This field is required even if the amount paid was zero.
  • Enter the amount paid by the other plan(s) under "Other Plan(s) Paid", "Government Paid", or both, depending on who paid a portion of your claim. The amount entered should reflect what is shown on the Explanation of Benefits (EOB) provided by the other plan.
What should I do if part of my claim has been paid by another plan or government program?

To submit a claim that has been partially paid by another plan or government program, please upload your Explanation of Benefits or government statement along with your claim.

Why does the Total Amount Paid show as $0.00?

If the Total Paid Amount is $0.00, select "View this claim" to review claim details.

How do I resolve an Audited claim?

To resolve an Audited claim, use Claim Search to find your claim and submit your receipt(s).

Important: If you prefer to mail your receipt(s), you must include the Reference Number of your audit, which you will find under Claim Details.

Why don't I see my claim here?

Only processed claims will appear in results. Most claims are processed in real-time by our system. However, claims that include document uploads are manually reviewed and will be processed in the order in which they are received. Note: Travel and Employee Assistance claims are not available for viewing in your Claim History. Contact us for information on these claims.

How do I replace my lost or damaged ID card?

Select View or request an ID card, under the user account menu. Here, you can print a card for temporary use, request a new permanent card or immediately display the electronic version to your service provider.

When will I receive my reimbursement cheque?

Cheques are mailed weekly (this does not include the time needed by Canada Post to deliver your claim or Explanation of Benefits statement). Busier periods or complex claims may require additional processing time.

For faster reimbursement, register for direct deposit by selecting Manage Direct Deposit under the account dropdown. It's safe, secure and eliminates the risk of lost or stolen cheques. Plus with direct deposit, payments will be transferred directly into your bank account (and not subject to mail delays like cheque payments) so you'll gain access to your money sooner.

Where can I find more information about my Extended Health coverage?

Visit Coverage in mybluecross® to view the details of your coverage.

What is the difference between basic, major, or orthodontic coverage?
  • Basic Services covers basic diagnostic and preventative services. This includes examinations, radiographs, basic restorations, periodontal cleaning, maintenance of dentures, and extractions.
  • Major Services cover major restorative procedures such as crowns, onlays, veneers, bridgework and dentures.
  • Orthodontic Services cover treatment used to straighten teeth and align the bite.

* This information is based on a standard plan. Manitoba Blue Cross has many non-standard plans. For specific information regarding your plan, refer to your benefit booklet or contact us.

What services are provided?

Areas of personal counselling include marital and family counselling, addictions, emotional/behavioural concerns, occupational stress, adjustment, and financial counselling. For active mybluecross® members, visit Coverage to view your benefit details or contact the Employee Assistance Centre at 204.786.8880 (within Winnipeg), 1.800.590.5553 (toll-free), or 204.775.0586 (TTY) to find out how we can help.

My service provider is not listed. What do I do?

If your provider is not listed:

  • Verify the name of the service provider entered matches the service provider shown on your receipt
  • Try limiting your search to only one or two fields
  • Try entering a partial name, using only some letters of each word per field

If you still cannot find your service provider, select "Can't find my provider" and upload your claim instead.

What if I have coverage under more than one certificate?

If a person is a member of more than one plan, the adjudication priority is as follows:

  • The employer plan where the member is an active full-time employee
  • The employer plan where the member is an active part-time employee
  • The employer plan where the member is a retiree
  • The individual plan that a member has purchased on their own
  • The plan where the person is covered as a dependent
My claim requires a prescription. How do I submit this?

Some plans require a medical prescription for services or products to be eligible for coverage. You may upload your medical prescription at any time.

Important: If you prefer to mail your medical prescription, you must include your certificate number.

Why can't I find my pharmacy?

If your pharmacy is not listed:

  • Verify the name of the pharmacy entered matches what is shown on your receipt (e.g.: Loblaws Pharmacy, Drugstore Pharmacy, etc.)
  • Try limiting your search to only one or two fields
  • Try entering a partial name, using only some letters of each word per field

If you still cannot find your pharmacy, select "Can't find your provider?" and upload your claim instead.

Why does Total Amount Paid show only a partial reimbursement?

To understand the reason for a partial payment, select "View this claim" to review claim details.

What will happen if I do not resolve an Audited claim?

If you do not submit receipts for an Audited claim, we will be unable to process that claim or any future online claims.

How do I update my address?
  • If you have benefits through an employer or group, it is recommended that you contact your plan administrator to update your address.
  • If you have purchased benefits through Manitoba Blue Cross or an agent, please contact us to update your address.
Why is a certain benefit not covered by my plan?

Coverage details vary by plan. Visit Coverage in mybluecross® to view the benefits you are covered for, benefit eligibility, dollar maximums and frequency limitations of your plan.

Is a medical referral required? How do I submit this?

Some plans require a medical referral for services or products to be eligible for coverage. Review the coverage summary under Coverage to determine whether your plan requires a medical referral for the products or services being claimed. You may upload your medical referral at any time.

How do I request reimbursement from my Health Spending Account?

If you have an automatic claim payment plan, you do not need to request reimbursement. Manitoba Blue Cross will automatically pay balances remaining from previously submitted claims with the payment of a health or dental claim or when you reach the minimum payment threshold. If you have unpaid balances with another carrier, add an Explanation of Benefits (EOB) from that carrier to your claim on mybluecross®. Or, if you have unclaimed expenses, be sure to submit your claim on mybluecross.

If you have an on request claim payment plan, you will need to request reimbursement for unpaid balances:

The easiest time to do this is during initial claim submission to your health or dental plan. When completing your online or paper claim, check Yes where it says "Pay remainder from Health Spending Account."

To request reimbursement after a claim has been submitted to your health or dental plan, use the Request HSA payment feature within mybluecross®. This web-based application allows you to quickly request reimbursement for outstanding balances previously submitted to your health or dental plan.

If you have unpaid balances with another carrier, please submit an Explanation of Benefits (EOB) from that carrier on mybluecross® so we may add these outstanding expenses to your account. Or, if you have unclaimed expenses, be sure to submit your claim on mybluecross.

Why don't I see everyone on my plan appearing in the list?

View account details under Manage account to confirm all eligible dependents were added during enrollment, or upon date of eligibility (e.g. marriage date, birth date).

*For over-age dependents to be considered eligible, we must receive confirmation of full-time enrollment.

Why have I been audited? How do I resolve an audited claim?

Manitoba Blue Cross is committed to protecting your benefits from fraud and abuse. One of the ways we do this is by auditing claims to confirm the accuracy of information provided. Visit Insurance Fraud and Abuse to learn more.

To resolve an audited claim, simply upload your receipt(s) and any related documents (e.g. prescription, claim statement from another carrier).

Important: If you prefer to mail your receipt(s), you must include the printed claim showing the Reference Number.

How do I request payment of the balance from my Health Spending Account?

To request payment from your Health Spending Account, select "Yes" where it says "Pay remainder from Health Spending Account."

  • Visit Documents in mybluecross® to view your Explanation of Benefits statements online.
  • Visit Claim history in mybluecross® to view the details of your claims.
Where can I view payment details?

Visit Payments history once your claim is processed to view the details of your claim payment.

How do I resolve an Audited claim?

To resolve an Audited claim, click the Audited claim to submit your receipt(s) and any related documents (e.g. prescription, claim statement from another carrier).

The information on my ID card is incorrect. How do I get this updated?

Changes to account information must be requested in writing by the member.

  • If you have benefits through an employer or group, it is recommended that you contact your plan administrator to update your information.
  • If you have purchased benefits through Manitoba Blue Cross or an agent, please submit your written request and appropriate supporting documents to Manitoba Blue Cross.
What kinds of claims can I submit online?

You may submit any claim as long as the expense:

  • was incurred in Canada
  • is payable to you
  • is for you, or
  • is for your spouse or dependents (provided they have already claimed through their primary plan, if applicable).
What is considered an acceptable medical receipt?

In accordance with Canada Revenue Agency guidelines, proper receipts must support all amounts claimed as qualifying medical expenses. A receipt should indicate the purpose of the payment, the date of the payment, the patient for whom the payment was made and, if applicable, the medical practitioner, dentist, pharmacist, nurse, or optometrist who prescribed the purchase or gave the service. A cancelled cheque will not be accepted as a substitute for a receipt.

What is an EDS II or Part 2 Exception Drug?

An EDS II or Part 2 drug is a drug that is allowed by Manitoba Pharmacare only when a doctor specifically indicates it is medically necessary and "Meets EDS."

What does one unit of scaling amount to?

One unit of scaling or polishing (as part of a dental cleaning) is equivalent to 15 minutes of time. Make a note of how long it takes to get your teeth cleaned (excluding the time it takes for your examination, X-rays and fluoride). Discuss any discrepancies about the number of units billed with your dental office and contact Manitoba Blue Cross if you have any unresolved issues.

When will I get paid?

If your claim submission is successful, the final screen will confirm payment details. You will receive an email notification when payment is processed. Your bank account should reflect payment within 2-3 business days.

How do I add a dependent to my plan?

Changes to account information must be requested in writing by the member.

  • If you have benefits through an employer or group, contact your plan administrator to update your information.
  • If you have purchased benefits through Manitoba Blue Cross or an agent, please submit your written request to Manitoba Blue Cross.

Provided the change is submitted within 30 days, coverage will be effective upon date of eligibility (e.g. marriage date, birth date). If the change is submitted outside this time frame, coverage will become effective after three full months in accordance with the enrollment rules of your plan.

How far back can I claim?

The claim limitation period indicates the deadline to submit health or dental claims for the prior benefit year and can vary based on your plan. Refer to the Claim Submission Deadline in Coverage.

*The health spending benefit has a separate limitation period.

What is an EDS III or Part 3 Exception Drug?

An EDS III or Part 3 drug is a drug that is only allowed by Manitoba Pharmacare under special circumstances. In order to be eligible, your doctor must receive approval from the Manitoba Drug Standards and Therapeutics Committee and a copy of the approval must be provided to Manitoba Blue Cross prior to prescription fill. EDS III drugs usually fall into one of the following categories:

  • The drug is ordinarily administered only to hospital in-patients but is being administered outside of a hospital because of unusual circumstances.
  • The drug is not ordinarily prescribed or administered in Manitoba, but is being prescribed because it is required in the diagnosis or treatment of an illness, disability, or condition rarely found in Manitoba.
  • Evidence, including therapeutic and economic evidence, is provided to the Health Minister in accordance with established criteria and supports a specific treatment regime which includes use of the drug.
I have multiple certificates. Why can't I see all of my certificates in the drop-down menu?

Ensure all certificates have been added to your online account. Visit Add certificates in mybluecross® to add a missing certificate to your account.

If you are covered under our National plan, your certificate is not eligible for claim submission through this application.

How do I update my bank account information?

Visit Update Direct Deposit in Manage Account to add or edit your bank account information.

My employment is ending. When is the deadline to submit claims?

The deadline to submit claims once coverage has been terminated is determined by your employer. Refer to Coverage.

Why does my drug need to be approved by Pharmacare?

Many drug plans follow the Manitoba Pharmacare Drug Formulary, which means prescription drugs must be eligible under Pharmacare to be covered under these plans.

Some drugs are only allowed by Pharmacare under special circumstances (Exception Drug Status). To obtain approval, your doctor must apply to the Exception Drug Status office on your behalf. You will be notified in writing of their decision.

Can I submit a claim for my spouse or dependent(s) if they are covered by another plan?

Yes. You may submit a claim for a spouse or dependent with coverage under another plan through mybluecross® as long as they have submitted the claim under their primary plan first.

What are the benefits of direct deposit?

Direct deposit is safe and secure. It eliminates the risk of lost or stolen cheques and gives you quick access to your money. Unlike cheques, direct deposit payments are transferred directly into your chequing or savings account, and not subject to mail delays. No need to worry about when your cheque will arrive or when you can get to the bank — your money is there when you need it.

Visit Update Direct Deposit in the account dropdown to sign up for direct deposit.

My spouse and I both have benefit plans. Can we claim under both plans?

Yes. Coordinating benefits can provide coverage up to 100 per cent of the expense. To coordinate, first claim under the plan for which you are the primary member, then claim any amount not reimbursed under your spouse's plan.To claim under the second plan, submit your statement from the first carrier showing payment or denial of your claim. The statement must include the service date, service provider name, type of service provided, and patient name. If this information is not included on the statement, include your receipts.* When making claims for eligible dependents, you will need to first claim under the plan of the parent with the earlier birth month in the calendar year.

If I sign up for direct deposit, can Manitoba Blue Cross withdraw from my account?

Money cannot be withdrawn from your account. Direct deposit only allows Manitoba Blue Cross to deposit claim payments into your account.

My spouse also has a Manitoba Blue Cross plan. Do you we need to submit two claim forms?

If both plans are with Manitoba Blue Cross and we have the most up-to-date information on file, you can submit one claim and it will automatically be considered under both plans. Contact us if you need to update your coordination information.

How does Manitoba Blue Cross keep my information safe?

At Manitoba Blue Cross, we respect your privacy and take protecting it seriously. Your personal information is held in strict confidence. We do not sell or share your information with anyone else.

Sensitive information (such as login credentials or bank account information) is stored within secure databases, using the latest in data protection systems. Manitoba Blue Cross uses a secure sockets layer (SSL) to protect your sensitive information, in addition to other physical, technological and organizational safeguards.

How is my claim paid if I have coverage under more than one certificate?

If a person is a member of more than one plan, the adjudication priority is as follows:The employer plan where the member is an active full-time employeeThe employer plan where the member is an active part-time employeeThe employer plan where the member is a retireeThe individual plan that a member has purchased on their ownThe plan where the person is covered as a dependent

Terms and Conditions

Our terms and conditions are in place to protect the validity of the Online Claims Submission system. If you have questions or concerns about any of the terms listed, contact us.

  • Manitoba Blue Cross may verify the accuracy of the claim being submitted by asking you to submit the receipt(s) and, if needed, further supporting documentation. If requested, you agree to send us this information within 30 days of the request.
  • Manitoba Blue Cross reserves the right to request that you submit your claim receipt(s) and supporting documentation within 12 months of submitting your claim.
  • Manitoba Blue Cross reserves the right to remove your access to Online Claims Submission without notice.
  • Manitoba Blue Cross may deny your online claims and terminate your coverage if you provide false, incomplete, or misleading information.
  • Manitoba Blue Cross reserves the right to deduct any monies or overpayments that you may owe to Manitoba Blue Cross from your future claim payments.
My group coverage is ending. Can I continue coverage on my own?

Yes. We have a selection of personal plans available to meet your needs.

If you are transitioning from another plan with comparable coverage, avoid the three-month dental waiting period by applying within 60 days of loss of coverage. Coverage will be continuous as long as you pay premiums for the first month of coverage loss.

How do I check the status of a claim?

Visit Claims in mybluecross® to view the status of your claims. Claims are processed in the order in which they are received. A Health Spending Account (HSA) claim will need to be first processed under your health or dental plan before it can be submitted to your HSA.

CanAssistance, Manitoba Blue Cross' emergency travel assistance provider says they paid all my bills related to my medical emergency, however I received a bill from a collection agency. Why?'

Do not worry as this can sometimes happen. Billing departments are not always located within the medical facility and are often a separate service. As a result, there are times when CanAssistance makes a payment to the medical facility, but this information does not reach the billing department immediately. In the mean time, an automatically-generated reminder bill may be sent to the member. If you receive a bill from a collection agency, contact CanAssistance at 1.866.601.2583 (toll free). CanAssistance will contact the facility and the collection agency and have this rectified. Continue to forward any new bills you receive to CanAssistance, with reference to your existing claim.

What is the deadline for submitting my Health Spending Account claim?

To maximize credit use, it is recommended that members submit Health Spending Account (HSA) claims within the same benefit year, ideally at time of expense. Each HSA plan has a grace period following the benefit year which is referred to as the claim limitation period. This grace period varies by group. Visit Coverage in mybluecross® to view your Health Spending Account (HSA) plan information including claim limitation period and benefit year.

* Based on coordination of benefits' guidelines, a member's HSA plan will always pay first, followed by the plan where they are covered as a spouse. To maximize credit use, it is important that members request reimbursement within the same benefit year, prior to allocation of their next year's credits.

When will my benefits become effective?

If you have benefits through an employer or group: Contact your plan administrator to determine the effective date of your plan.

If you have purchased benefits through Manitoba Blue Cross or an agent: Your benefits will become effective on the first of the month following the effective date. There is a three-month paid waiting period* for dental.

*If you are transitioning from another plan with comparable coverage, we will waive the dental waiting period provided you apply within 60 days of loss of coverage.

How will I know if my claim has been processed?
  • If your claim is submitted electronically, you will receive an email advising you when a claim has been processed. Visit Claims to view the details of your claims.
I dropped off a Health Spending Account claim before the end of the claim limitation period. Why was it not included in the HSA payout?

Paper claims may take up to 15 business days to process. This does not include the time needed by Canada Post to deliver your claim to us, or the time required to process your claim through your health or dental plan if needed.

Provided the HSA claim was received within your group's claim limitation period, it is still considered eligible and will be included in the next payment run. Cheques are mailed every Wednesday and direct deposit payments are transmitted every Monday, Wednesday, and Friday.

To avoid delay, sign up for direct deposit and gain access to HSA Online Request. This service allows you to request reimbursement for outstanding balances previously submitted to your health or dental plan. If you have receipts or unpaid balances with another carrier, be sure to submit an Explanation of Benefits (EOB) from that carrier so we may add these outstanding expenses to your account.

How do I cancel my coverage?

If you have benefits through an employer or group: Contact your plan administrator to determine cancellation eligibility based on the rules of your plan.

If you purchased benefits through Manitoba Blue Cross or an agent: You may request cancellation at any time; however, re-enrollment would have to be authorized by Manitoba Blue Cross (unless you have cancelled as a result of obtaining comparable coverage through an employer, group or spouse).

To cancel your coverage, notify Manitoba Blue Cross in writing (by email or letter). Upon receipt of notification, your coverage will be cancelled on the last day of the following month.

If the claim status is Processed, why haven't I been paid?

If the Paid Amount is $0.00, click on your claim to view details. If the claim status is Processed and a Paid Amount is indicated, a payment will be direct deposited within 1-3 business days from the Processed date. Cheque payments are issued weekly.

I didn't use all of my Health Spending Account credits. Will I receive a cheque back for the balance?

No, unused credits will not be reimbursed to you. In accordance with The Income Tax Act:

  • Health Spending Account credits may only be used to reimburse medical expenses within a specified time period.
  • In order to receive reimbursement, you must claim an expense.
  • Credits not used within the specified time period are forfeited.
If I cancel my coverage, can I reapply when I want to?

If you have benefits through an employer or group: Contact your plan administrator to determine re-enrollment eligibility based on the rules of your plan.

If you have purchased benefits through Manitoba Blue Cross or an agent: You may be eligible to re-apply. Contact Manitoba Blue Cross or your insurance broker/agent.

How current is the claim information on mybluecross®?

Claim information is current as of today; however, recent transactions may still be in process. Claim information does not include claims received by our office but not yet entered, or claims incurred but not yet submitted.

Where can I view my coverage information?

Visit Coverage in mybluecross® to view the details of your coverage.

Is a pre-authorization required for claim approval?

No, a pre-authorization is not required for claim approval; however, without a pre-authorization claim coverage cannot be guaranteed. To avoid unexpected costs associated with a product or service recommended by a provider, ask your provider to send in a detailed description of the service or product with the estimated charges. Manitoba Blue Cross will then provide pre-authorization based on benefit eligibility, frequency limitations and maximums outlined by your plan.

What is Blue Advantage®?

Our Blue Advantage program provides you with discounts on medical, vision, and dental services/products across Canada. These savings are available to all members, regardless of coverage type. Simply present your Manitoba Blue Cross ID card to a participating service provider and mention the Blue Advantage program. We are continually adding new providers to the program. Visit Blue Advantage today to view participating providers.

I've misplaced my statement. How can I get a new one?

Visit Documents to view or print a copy of your claim. A duplicate statement can also be issued, for a fee, by contacting us.

Can the Health Spending Account reimbursement be sent to me through direct deposit?

Yes. Visit the Update direct deposit in the mybluecross® account dropdown to set up direct deposit using your account number, transit number, and bank number (located on your personal cheque or in your online banking account details). Banking information will be updated within one business day.

Why did I only receive a partial reimbursement on my claim?

Manitoba Blue Cross produces a statement called an Explanation of Benefits (EOB) for every claim processed. If your claim is only partially paid, your EOB will indicate whether any deductibles, maximums, or co-payments have been applied to the payment of your claim.

Why does my Health Spending Account have to be used as the last source of payment?

Your Health Spending Account (HSA) is administered in accordance with Canada Revenue Agency guidelines which state that an HSA must be the last payer (after government, spousal, and student plans, etc.).

Will you return my receipts once a claim is processed?

Manitoba Blue Cross does not return receipts. Instead, we produce an Explanation of Benefits (EOB) statement. Your EOB provides information that may be required for tax purposes, as well as any deductibles, maximums or co-payments applied to the payment of your claim. Your EOB can also be used to coordinate coverage if you have coverage under another plan. If you need to keep your original receipt, Manitoba Blue Cross will accept photocopies for claim processing.

Why does Manitoba Blue Cross need proof that I have registered for Pharmacare?

Manitoba Pharmacare is a provincial drug benefit program available to all Manitobans. The program covers 100 per cent of eligible drug costs once a deductible is reached. Pharmacare drugs paid by your Manitoba Blue Cross plan count towards this deductible.

To protect your plan, Manitoba Blue Cross temporarily suspends drug payments once you reach a specific dollar threshold (amount varies by plan). This ensures your plan does not pay for prescription drugs covered by Pharmacare.

If I pay upfront for my claim, can I be reimbursed directly into my bank account?

Yes. Visit Manage Account in mybluecross® to set up direct deposit using your account number, transit number, and bank number (located on your personal cheques). Banking information will be updated within one business day.

Where can I view my coverage details?

Visit Coverage in mybluecross® to view your coverage details.

My son will reach the dependent age this month. When does his coverage end?

Dependent coverage termination varies based on your plan. Refer to your benefit booklet or contact us for more information.

How do I submit my compound prescription through Online Claims Submission?

Online Claims Submission allows only one Drug Identification Number (DIN) to be submitted per prescription. Since a compound is comprised of multiple drugs, you will need to submit a paper claim to Manitoba Blue Cross.

My daughter is graduating from university this month. When does her coverage end?

Provided your daughter is below Student Age, she is eligible for coverage until the day of her last exam. It is your responsibility to notify Manitoba Blue Cross when a dependent no longer meets the criteria to remain on your plan.

I was told my cheque was issued last week, but I still haven't received it. Can you issue me a replacement cheque?
  • If your claim payment cheque has not arrived after allowing for sufficient mailing time, contact us to request a bond form for replacement. We recommend allowing Canada Post three weeks to ensure we do not cancel a cheque that may be in transit.
  • To avoid mailing delays, sign up for direct deposit and have claim payments transmitted directly to your bank account.
What is an Audited claim? Why does Manitoba Blue Cross audit claims?

If a claim is in Audited status, this means it has been selected for review by our online system.Manitoba Blue Cross is committed to protecting your benefits from fraud and abuse. One of the ways we do this is by auditing claims to confirm the accuracy of information provided.Visit Insurance Fraud and Abuse to learn more.

How do I resolve an Audited claim?

To resolve an Audited claim, use Claim Search to find your claim and submit your receipt(s).

Important: If you prefer to mail your receipt(s), you must include the Reference Number of your audit, which you will find under Claim Details.

What will happen if I do not resolve an Audited claim?

If you do not submit receipts for an Audited claim, we will be unable to process that claim or any future online claims.

What is a Queued claim?

Queued means your claim is being held for processing. This has happened because you have a claim in Audit status. When a claim is selected for audit, the system places a temporary hold on all subsequent claims. Once Manitoba Blue Cross receives the requested receipt(s) for your Audited claim, all Queued claims will be released for processing.

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