Submitting Claims


Submitting Supplementary Health and Healthcare Spending Account (HCSA) Claims —
(Great West Life - Plan Number 20778):

The HCSA pays out only on the balance remaining after all other insurance plans have paid out. That includes your basic plan, your spouse's plan, and provincial plans.

On the top right hand corner of the Supplementary Healthcare claim form you are asked to select whether any portion of the expense should be paid from the HCSA. It is very important that you clearly identify how you would like your expenses paid.

Some things to remember about submitting your claim are:

If you are covered under the University of Manitoba Supplementary Health Plan:

  • Send in your claim to Great-West Life for your regular Healthcare expenses.
  • If your spouse has coverage, your expenses should be sent to your spouse's insurer for any additional payment.
  • Your HCSA (GWL) for any unpaid portion of your claim.

If you have opted out of the University of Manitoba Supplementary Health Plan because you have coverage under your spouse's plan:

  • Your expenses should be sent to the spouse's insurer.
  • Your HCSA (GWL) for any unpaid potion of your claim.

For Your Spouse's claim:

  • Send in your claim to your spouse's insurer.
  • Send the claim to GWL for any additional payment under the Supplementary Healthcare Plan (if you have maintained your coverage).
  • Your HCSA (GWL) for any unpaid portion of the claim.

For Dependent Children:

  • Health claims are processed first through the plan of the parent whose birthday is first in the calendar year.
  • Other parent's plan.
  • Your HCSA (GWL) for any unpaid portion.

Please note:

  • The policy year is April 1 to March 31.
  • Expenses to be paid from your Healthcare Spending Account must be received, processed, and paid by Great West Life no later than 90 days (June 30) following the end of the fiscal year. In order to allow adequate time for processing, please ensure your claim is submitted to GWL no later than June 15.
  • If you do not spend the full allocation, you cannot carry forward any unused amount. If you do not use it, you lose it.
  • Supplementary Health claims are to be submitted promptly and expenses should be claimed no later than the immediately following April 30 or 16 months from the date incurred.
  • Hospital Benefits may be assigned to the hospital. For all other types of benefits, costs may be assigned to the service provider if they accept this form of payment. Otherwise, you must pay the provider of the service, and Great-West Life will pay any benefits due to you.  Assignment of benefits do not apply to drug claims.
  • Claim forms can be obtained from the Staff Benefits website, the Staff Benefits Office or P001 Pathology Building, Bannatyne Campus.
  • If you have any questions about your claim please call Great-West Life, at 1-800-957-9777. Please have your employee number handy.

 

Submitting Dental Claims
(Blue Cross - Plan Number #67000-Full-Time benefits; #67025-Part-Time benefits)

  • Blue Cross Dental claim forms can be obtained from the Staff Benefits website, the Staff Benefits Office, or P001 Pathology Building, Bannatyne Campus.
  • There are parts of the form to be completed by you and your dentist. The completed form can then be sent directly to Blue Cross.
  • If the dental procedure is one covered under the Supplementary Health Plan with Great-West Life (such as accidental injury to natural teeth), then the special Great-West Life dental claim form should be obtained from the Staff Benefits Office, completed by you and your dentist and the completed form returned to Great-West Life.
  • If there are portions of your dental claim that are not covered by Blue Cross but that you would like to be paid using your Healthcare Spending Account, please submit your Explanation of Benefit from Blue Cross along with your claim form to Great-West Life for payment from your Healthcare Spending Account.
  • Please note that the dental benefits, whether paid by Blue Cross or Great-West Life, are assignable if your provider allows this provision. 
  • If you have any questions about your claim please call Blue Cross, at 204-775-0151 or 1-800-873-2583 if outside of Winnipeg, but within Manitoba.  Please have your employee number handy.

     


     

    Questions on Group Insurance Benefits
    please e-mail the Staff Benefits Generalists

    Employee surnames beginning with:
    A to L   phone: 204-474-8085
    M to Z   phone:  204-474-9771

     

    Group Insurance
    - Home Page


     

    Download claim forms (pdf)


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