Submit a Benefits Claim
The extended health plan helps you with medical expenses, such as prescription drugs, vision care, medical services, and supplies. Check out what's covered under the plan and confirm your eligibility on GroupNet before to your purchase. Eligible expenses are subject to the deductible, coinsurance, and plan limits. If you have questions about eligible expenses, contact Great-West Life at 1-855-644-0538.
The assure Card is your benefits ID card that has your Great-West Life Plan number on it. You can share this number with your dentist, pharmacist and other healthcare service providers. If you haven't received your ID card in the mail, you can register with GroupNet and print out a card. Register using Plan number 50088 and your ID number. If you don't know your ID number, or if you have problems registering with GroupNet, please call GWL at 1-855 644-0538. You and your spouse have an assure Card. Any dependent children don't receive one, but you'll see them listed under your coverage through GroupNet.
You're able to register for GroupNet through the online form which gives you access to your benefits and claims information. You can also download the GroupNet Mobile app to your personal device. Remember, when you're entering your 10 digit ID found on your assure card, drop the leading zeros (for example, instead of 0000123456, enter only 123456).
You'll see your plan numbers 50088, your group plan, and 170688, your travel assistance plan in GroupNet. The travel assistance plan provides assistance if you experience a medical emergency while traveling out of province. See the Travel Assistance brochure for further details.
Update Your Information
If you need to update your benefit enrolment information (such as adding or cancelling a spouse or dependent), find out how for Bargaining Unit Employees and Excluded Employees in the Flexible Benefits Program.
Please ensure that your address is updated with your employer and in GroupNet for Plan Members. If you have access to Employee Self Service (ESS), you can update your address online, or, call MyHR (1-877-277-0772) and a Service Representative will be able to update your information in PeopleSoft.
You should submit your claims immediately after treatment. You're responsible for ensuring that claims are received by Great-West Life on or before the claiming deadline. Great-West Life must receive both extended health and dental claims no later than 15 months from the date of service. Late claims will not be accepted.
You can make your extended health claim in several ways.
- Pay Direct: Show your assure card to your pharmacy or provider. You'll pay only the part of the expense that's not covered under your benefit plan. Show your spouse’s benefits card if you have coordinated benefits. See the Coordination of Benefits section for more information. Great-West Life offers direct claims submission for prescription drugs, chiropractors, physiotherapists, acupuncturists, naturopathic doctors, podiatrists, psychologists, massage therapists and optical stores/optometrists/ophthalmologists. Your provider must be participating in the Great-West eClaims service. Check if your provider is registered in the Great-West eClaims Service. If they aren't, use one of the methods below.
- Online: You can submit your expenses for reimbursement through GroupNet for prescription drugs, physiotherapy, massage therapy, acupuncture, chiropractic services, naturopathy, psychology, podiatry and vision care expenses. Remember to keep your original receipts in the event that you are asked to submit them.
- Mail: For all other eligible health expenses, you can mail in your claim. If you're submitting a paper claim, complete the Extended Health Claim Form (Bargaining Unit) (PDF, 631KB) or the Extended Health Claim Form with Healthcare Spending Account (Flexible) (PDF, 563KB). Follow the submission instructions found on the form. Photocopy your expense receipt(s) as the originals won't be returned to you.
- Mail the signed form with your receipts to:
PO Box 6040, Station Main
Prior Authorization for Prescription Drugs
Certain prescription drugs need prior authorization from Great-West Life. These drugs need a detailed assessment and management process to ensure that they're a reasonable treatment.
If you're prescribed one of these drugs, complete and submit a prior authorization form. Choose the drug from the list on the Great-West Life Prior Authorization Form web page. You'll receive instructions on the steps involved in submitting these claims.
The dental plan helps you with the cost of your dental care and reimburses most basic and major dentistry and orthodontic services.
Great-West Life must receive dental claims no later than 15 months following the date of service. You should submit your claims immediately following treatment to avoid missing the deadline. Late claims won't be accepted.
Most dental offices will bill Great-West Life directly when you present your assure card (and the card for your spouse's plan if you have coordinated benefits). You'll pay only the part of the service not covered by your benefits plan(s).
If your dental office doesn't submit claims directly to Great-West Life through eClaims, fill out a the Great-West Life Extended Dental Plan Claim Form (Bargaining Unit) (PDF, 222KB) or Extended Dental Plan Claim Form with Healthcare Spending Account (Flexible) (PDF, 614KB).
- Mail the signed form with your receipts to:
PO Box 6040, Station Main
You can submit monthly orthodontic treatments for reimbursement through GroupNet.
If you've provided Great-West Life with your banking information, they'll deposit your reimbursement into your bank account. You'll also receive an email confirmation that your claim statement is available to view and download on GroupNet. You can set up banking information on the Great-West Life website. If you aren't set up for direct deposit, you'll receive a cheque in the mail.
Most health and dental claims are processed electronically through member eClaims or provider direct billing. Electronic claims are usually processed within the next business day. Paper claims are processed within 5 calendar days.
All plan members must sign up for PharmaCare to assist with prescription coverage. This limits the impact on your lifetime maximum. For some high-cost drugs, you need to complete a Special Authority Request Form before you can be reimbursed.
If you're using Pay Direct, any part of your expenses that aren't covered can be claimed against your Health Spending Account (HSA). Complete the form and submit with your receipt(s).
If you're making an online claim through GroupNet, you can claim any unpaid balances to your HSA.
To mail in your claim, complete the Health Claim Form and include your receipts. Check off that you would like to apply any unpaid balance(s) to your HSA.
You must submit claims for eligible medical expenses to your extended health and dental plan and to any other plans before claiming from your HSA.
The HSA Claim deadline is February 28, following the year that you obtained the service. Late claims won't be accepted.
Great-West Life allows you to coordinate benefits to receive maximum coverage if you're covered under more than one plan. If you and your spouse are both with Great-West Life, you only need to submit one claim form and Great-West Life will coordinate benefits for you. Ensure you include your spouse’s information and ID number on the claim form.
If your spouse is with another carrier, check if your spouse's benefit plan allows for coordination of benefits.
Insurance companies follow the guidelines below to determine which plan pays first and how benefits are calculated.
If the expense is for you, claim first under your own plan. Great-West Life will provide an explanation of benefits statement. Send this statement to your spouse's insurance company.
Your Spouse's Claims
If the expenses are for your spouse and they're covered under another plan, you must submit the claim to their plan first.
Submit claims for children first to the plan that covers the spouse whose birthday falls earlier in the calendar year (for example, if your birthday falls in February and your spouse's falls in June, submit your children's claim to your plan first).
You can submit any part of the claim not covered under the first plan to the other spouse's plan along with the explanation of benefits statement.
A retiree plan will always pay after any group plan that covers you as an employee.
- Make sure that you have added your spouse's plan information to your record in GroupNet.
- Submit your claim to both plans at the same time by showing the ID cards at any service provider who offers Pay Direct, such as the pharmacy, paramedical services, and optometrist/optical offices.
- If your spouse's plan doesn't offer Pay Direct, you must submit to their plan separately along with the explanation of benefits statement (which you receive after submitting to your plan).
- Otherwise, submit to your plan first online through GroupNet or by mailing Great-West Life a paper Great-West Life form. Great-West Life will send you an explanation of benefits statement which you will then submit to the other insurance company.
To initiate a life insurance claim, contact MyHR at 1 877 277-0772. A representative will mail the claim information to the beneficiary and will be available to answer questions.