Coverage summary

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JAMIE SMITH (Jan 16 1976)
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Your account does not have any active coverage.

Future

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Please note this coverage is not active until the displayed effective date.

Plans and benefits

ZAMB

Ambulance

Effective date: -
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Claim Requirements

Present your Manitoba Blue Cross identification card to the service provider so they may bill us directly. Direct billing is free to set up with Manitoba Blue Cross; however, the decision to offer this is at the discretion of the provider.

If you are required to pay for the services, upload your itemized receipt via mybluecross® along with a completed Ambulance/Medical Transfer claim form for reimbursement.

Note: Non-emergency ambulance and medical transfer claims must include the name of the referring physician.

ZDNT

Dental

Effective date: -
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Claim Requirements

Present your Manitoba Blue Cross identification card to the service provider so they may bill us directly. Direct billing is free to set up with Manitoba Blue Cross; however, the decision to offer this is at the discretion of the provider.

If you are required to pay for the services, upload your itemized receipt via mybluecross® for reimbursement.

Pre-authorization: To avoid unexpected costs associated with a product or service, your dental provider should send in a detailed description of the service or product with the estimated charges prior to start of treatment. Manitoba Blue Cross will then provide pre-authorization based on benefit eligibility, frequency limitations and maximums of your plan.

ZEAP

Employee Assistance

Effective date: -
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Claim Requirements

Manitoba Blue Cross provides direct payments to approved providers for EA counselling sessions.

For more information, contact the EA Centre directly at 204.786.8880 or 1.800.590.5553 or TTY 204.775.0586.

ZEHB

Extended Health

Effective date: -
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Claim Requirements

Present your Manitoba Blue Cross identification card to the service provider so they may bill us directly. Direct billing is free to set up with Manitoba Blue Cross; however, the decision to offer this is at the discretion of the provider.

If you are required to pay for a product or service, submit your claim online via mybluecross® or on the go via mybluecross® mobile (services only). If required by your plan, you may upload your medical referral or vision prescription under Add document.

Note: Claims for Accidental Dental, Orthotics, Orthopedic Shoes & Modifications, Assisted Care and Private Duty Nursing require specific claim forms and supporting documentation.

ZHSA

Health Spending Account

Effective date: -
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Claim Requirements

Manitoba Blue Cross will automatically pay balances remaining with your health or dental claim.

If you have unpaid balances with another carrier, find your claim and upload the Explanation of Benefits statement from that carrier so we may add these outstanding expenses to your account.

If you have unpaid health expenses that are not covered by your Health & Dental plan, upload your itemized receipts via mybluecross®.

Eligible expenses will be reimbursed when the Minimum Payment threshold is met.

If you have an HSA plan, you may request reimbursement for unpaid balances. When submitting any claim, just 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, simply Request an HSA payment. 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, upload the Explanation of Benefits statement from that carrier and Request an HSA payment at the same time.

Eligible expenses will be reimbursed when the Minimum Payment threshold is met.

ZHOSP

Hospital

Effective date: -
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Claim Requirements

Present your Manitoba Blue Cross identification card to the service provider so they may bill us directly. Direct billing is free to set up with Manitoba Blue Cross; however, the decision to offer this is at the discretion of the provider.

If you are required to pay for the services, upload your itemized receipt via mybluecross® along with a completed Hospital claim form for reimbursement.

PLACEHOLDER_LD

Life / Disability

Effective date: -
ZPDP

Prescription Drugs

Effective date: -
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Claim Requirements

Present your Manitoba Blue Cross identification card to your pharmacist when filling a prescription and they will bill us directly for eligible expenses. If your pharmacy does not participate in the BlueNet system, submit your claim online via mybluecross® or mybluecross® mobile.

If you have Pharmacare approval for EDS III prescription drugs, upload your Pharmacare EDS approval letter prior to filling your prescription. Manitoba Blue Cross will then update your file and process all applicable claims for the drug specified, according to the dates indicated in the letter.

ZTRV

Travel

Effective date: -
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Claim Requirements

To be eligible, travel claims must be due to a medical event that was sudden, unexpected and unforeseen.

For expenses incurred within Canada

• Present your original receipts or statements to your provincial health plan. Upon receipt of payment from the provincial health plan, submit a copy of your receipts, any medical reports and your provincial health plan statement of payment with a completed Travel Insurance claim form to CanAssistance, our emergency travel assistance partner, for reimbursement.

For expenses incurred outside of Canada

• Submit original itemized receipts/bills, medical reports and proof of departure date and return date with a completed Travel Insurance claim form  to to CanAssistance, our emergency travel assistance partner, for reimbursement. (Airline tickets, passport stamps, boarding passes, travel itineraries and dated receipts are examples of acceptable proof.) Payment will then be coordinated with Manitoba Health for Manitoba residents.

Note: For non-Manitoba residents, please contact CanAssistance at 1.866.601.2583 (toll free) for additional claim procedures.

ZVCA

Virtual Care

Effective date: -
ZVISION

Vision

Effective date: -
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Claim Requirements

Present your Manitoba Blue Cross identification card to the vision provider so they may bill us directly. Direct billing is free to set up with Manitoba Blue Cross; however, the decision to offer this is at the discretion of the provider.

If you are required to pay for the services, submit your claim online. Be sure to also upload a prescription that matches the details of your contacts/glasses purchase.

ZWSA

Wellness Spending Account

Effective date: -
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Claim Requirements

Submit your WSA claim online through mybluecross®. Or, submit a WSA claim form with itemized receipts in your name.

If a receipt does not clearly identify the item or service claimed, further proof of purchase may be requested.

Common questions

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.

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.

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.

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This information provides a convenient summary of your benefits. The specific benefits available and the terms and conditions under which they are provided, are governed by the Group Agreement between your employer and Manitoba Blue Cross. If there is any difference between the information viewed here and the information in the Group Agreement, the terms of the Group Agreement shall prevail. For complete details of your coverage, please refer to your benefit booklet or contact us.