Electronic submission is not possible for all dental claims. Your dentist must provide AFBS with specific information, including x-rays, study moulds or casts. Check out the plans here under Plan Overview, Fall21 registrants: Sept. 01, 2021 to Aug.31, 2022, Winter22 registrants: Jan. 01, 2022 to Aug.31, 2022, Summer22 registrants: May 01, 2022 to Aug.31, 2022, Summer22 Opt in/Opt out begins May 01 and end June 30, 2022 (new registrants only). If your dentist recommends dental work that will cost more than $500 or includes procedures such as crowns, bridgework, veneers, implants, onlays or inlays, you must have your expense pre-determined by AFBS. if your provinces home care program is also providing nursing care in the home, include a detailed description of their services, including: how many hours per week your provinces home care plan covers, a description of who is providing the service (their title and whether theyre an RN, RPN, or PSW), if the home care plan doesnt cover service, explain why it isnt covered. How do I opt into the YUGSA health plan if I am not automatically opted-in? Find health and dental claim forms on our public website, or: How long does it take to process a claim? 7 0 obj if you cant buy the system, what is the cost to rent, including accessories? Why do Canadians struggle to save for retirement? Take some time to review any information materials, like your benefits booklet* (see the Your coverage tab), and consider these health expense categories before you spend any money: prescription drugs, medical equipment and provider coverage. 4 0 obj LAST 7 DIGITS OF YOUR STUDENT NUMBER + YGS. Please check your spelling or try another term. Students can also add their dependents from the dependent opt-in tile for an additional fee. Click Done to apply changes and return to your Dashboard. You can ask your medical service or equipment provider to provide you with acost estimate. Students who have alternative coverage for drugs AND dental can opt out before the opt-out deadline. The annual premium of the plan is as below: Plan duration: May 01, 2022, to Aug. 31, 2022, Full-time students can opt-out from the Opt Out tile, Summer 22 Opt-in/Opt-out deadline ends June 30, 2022. Copyright 1999-2022 Equitable Life of Canada. If your dental office cannot submit your claim electronically, you must send AFBS an original standard dental claim form which must be completed by your dentist. If you have direct deposit, addone or two more business days for funds to be deposited into your account. Our Health Plan Coordinators office hours are: Monday to Thursday 10 AM 4 PM (closed 1-2PM for lunch), 2021 York University Graduate Students Association - YUGSA, https://wespeakstudent.com/home/63-york-univ-graduate-students-. Travel Insurance:The YUGSA Health Plan includes travel insurance for up to 120 days per trip. an estimate from the oxygen supplier that includes: a description of the oxygen system and reasons they recommend that system, the cost to buy the system, including accessories. endobj To confirm if thats the case, please check with your provider. 5 0 obj In some cases, a drug youve been prescribed may need to go through a pre-approval process. If AFBS is the second payor, please include the receipt of claim settlement information, often called an Explanation of Benefits (EOB), from the other insurance company along with copies of the completed standard dental claim form to AFBS. If youre still not sure, simply send us the following information to confirm: For expensive equipment or procedures, before you buy, its always a good idea to check that your claim will be covered when you send it in. Find the right form for you and fill it out: No results. if you need more than one type of oxygen system, tell us why the second system is needed. 6 0 obj Out of Province Coverage:Emergency Out of Province Coverage and Assistance is provided by AIG Insurance Company of Canada under policy SRG9426200. The plan of the primary member will be the plan for the dependents. <>/Subtype/Form/Length 22/Type/XObject>>stream If you receive your money by cheque, please add standard mailing timelines to that (to allow time for mail delivery). (Scroll below). - claimsecure claim forms, Related Features Choose it from the list of records. Put together all of the official receipt(s) from your health care provider(s). Before you incurany health or dental expenses, its important to know what your plan covers and what it doesnt. Hold onto any receipts from September 1st onwards to make retroactive claims once you are activated. Full-time new Winter registrants will be automatically enrolled. a copy of the original receipt that shows: the name of the person who needed the ambulance, a copy of any statements you get from your provincial plan, the name of the person who needs the prosthesis, the reason why the provinces plan wont cover it, or why you didnt claim it through your provinces plan, the name of the person who needs the hearing aid, if your provinces health plan doesnt pay for any of the hearing aid cost, include a medical doctors referral if the hearing aid costs more than $3000.00, diagnosis or medical condition you need the product for, the medical reasons why you need a hospital bed rather than a regular bed, an estimate for how long youll need the hospital bed, a receipt that shows either the rental cost or the purchase price for the hospital bed, a quote with the cost for buying the equipment, if youre renting the item, the name of the person who needs the equipment, a medical doctors referral that includes a diagnosis or medical condition you need the product for, a statement from your provinces health plan confirming that they cover the supplies, a description of activities the equipment will be used for, tell us if youre buying this equipment for the first time, or tell us the reason youre replacing this equipment, if youre replacing this equipment, tell us how old it is and why youre replacing it. 234Fax: (807) 274-0678Email: amckinnon@rrdssab.on.ca, SSQ Financial Group Request for Optional Life Insurance, ClaimSecure How to Signup for Direct Deposit. At Equitable Life, you can find your passion and make a difference every day. All petitions will be reviewed by the Health Plan Committee after the deadline. Here are the steps you need to follow to get started with our professional PDF editor: It's easier to work with documents with pdfFiller than you can have ever thought. If you are enrolled as a full-time graduate student, you will be automatically opted-in to the YUGSA health plan. Travel Coverage Outside of Canada:When traveling outside of Canada, you have Travel coverage from AIG Insurance Company of Canada, administered by GLOBAL EXCEL, Coverage for Emergency Injury or Sickness. if you already have a wheelchair, how old is it and why are you replacing it? a letter from a medical doctor that shows: a diagnosis and description of the medical condition, an estimate for how long the patient will need nursing care, a copy of the doctors order for nursing care, a list of drugs the nurse will be giving, including strength, dosage, and method of administration, a confirmation of the level of nursing needed (R.N., R.P.N., L.P.N., Health Care Aide, etc. Related Forms Ask your doctor or health professional if your provinces health plan covers part of the cost. x+TTPpuVpb # And thats it! endstream Through the pre-determination process, you will have confirmation of the amount eligible for reimbursement through the Program before treatment starts. The YUGSA is responsible for the administration of the Health and Dental Plan for graduate students. All full-time students will be automatically enrolled in the plan and the GSA Healthcare charge will appear in their student accounts in mid-September. 1000 Yonge Street Your dentist will let you know when a paper claim form must be completed. For example, dental claims for procedures, including certain x-rays and major restorative work, cannot be submitted electronically. Just scan or take a picture of it, attach it digitally, and send in the claim through the app. The Arts & Entertainment Plan is a service of AFBS, a not-for-profit insurer. 9 0 obj endstream an estimate for how long youll need the wheelchair. When coverage is terminated AFBS must receive your claim submissions within 30 days of your coverage termination. confirmation that you are able to move on your own. Access to your Individual Investment and Insurance policy information such as account activity, balances, coverage and payment details. If you do not have comparable coverage the plan is mandatory for all full-time graduate students in order to ensure that graduate students have some support when medical expenses arise. You can then send us copies of your receipts along with the statement that shows what was covered by your provincial plan. If you think you have been incorrectly billed please contact the Health Plan office athealth@yugsa.caNO LATER than June 30, 2022. The YUGSA Health and Dental plan ismandatoryfor all full-time graduate students without alternate coverage and is optional for part-time students. endobj Part-time students should make a submission from the Student Opt-in tile. Toronto, Ontario <>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/Subtype/Form/Length 115/Type/XObject>>stream How can I modify claimsecure forms without leaving Google Drive? The YUGSA Health Plan is a supplementary plan which provides dental and drug coverage. To provide quality, people centred services in an efficient, affordable, and sustainable manner. You can attach this information as one file, or a few separate files. Never contact or send claims to ClaimSecure. You can then send it in for us to review. ClaimSecure provides many employee benefits administrative and claims adjudication services to insurance companies and employers. PART 1 DENTIST P A T I E N T I HEREBY ASSIGN MY BENEFITS PAYABLE FROM THIS CLAIM TO THE NAMED DENTIST AND AUTHORIZE PAYMENT DIRECTLY, Fill & Sign Online, Print, Email, Fax, or Download. The standard dental claim form is available from your dental office. Fall21 registrants who secure a TA contract in Winter will remain on the plan. Registered Retirement Savings Plan (RRSP), Travel insurance policies and product summaries, Creditor insurance Certificates and product summaries, Request a search for lost or unclaimed account, Six financial planning tips for business owners, Seven facts new entrepreneurs should consider before starting a business, Five things you should know as a business owner in Canada, Change, Destruction, Creativity, and Renewal, Choose the right options for your workplace savings plan, 11 considerations for choosing a group plan, Nine ways to keep your business on track for financial success, Canadians financial wellness impacts business, Help your employees bring their best to work, Learn how to support a healthier workplace for your employees, Building better pension plans with liability-driven investing, Shariah-aligned funds: A new investment offering from Manulife for Retirement Plan Members, Helping your members deal with market volatility, Healthy finances lead to a healthier life, Health, wealth and work engagement closely linked, Financial wellness & Retirement readiness. x+TTPpuVpb # UHIP is the equivalent insurance for international students. The Opt-in/Opt-out period for Winter registrants is Jan. 01 Feb. 28, 2022, Winter 22 Opt-in/Opt-out deadline ends Feb. 28, 2022. Simply attach any supporting documents, if required (i.e., receipts, provincial coverage details, statements from other health plans). Visit the Family Opt in tile athttps://wespeakstudent.com/home/63-york-univ-graduate-students-. If you need help submitting a claim, please contact our claims teams: group-health-claims@equitable.ca 1.800.265.4556, group-dental-claims@equitable.ca 1.800.265.4556. 2 0 obj Pre-determination is not necessary for a crown if a root canal has been performed on the tooth. If you want to enroll in a plan other than the Balanced Plan, make a submission from the Choose a Plan tile. If your provinceshealth plan should cover your claim, but youre not sending a claim to them, provide us a note to tell us why. endstream To find out if thats the case: In some cases, your provider can submit your claim directly to Manulife on your behalf. Download and fill out the card to keep track of your health plan ID number and basic information. You may try it out for yourself by signing up for an account. Because AFBS uses the ClaimSecure computer platform, any prescription drug or dental reimbursement cheques are issued by their system even when the claim has been adjudicated by AFBS staff. the type of wheelchair is it a scooter, a manual wheelchair, or an electric wheelchair? endobj Dependents of full and part-time students can be added from the Dependent Opt-in tile. 'X Log in to account. <>/Subtype/Form/Length 22/Type/XObject>>stream endstream You may be asked to provide a receipt for your claim. x+TTPpuVpb # Most eligible claims are paid within three business days; some in as little as 24 hours. Visit the Part-time Opt-in tile athttps://wespeakstudent.com/home/63-york-univ-graduate-students-. This Software Distribution Agreement, ("Agreement"), contain, Distributor Terminations Pursuant to Conspiracies, Validate Signature Employee Equipment Agreement. Certificate ID: Last 7 digits of your student number+YGS e.g. Here are the steps to submit a drug claim in those instances: If youre filing a claim yourself, depending on the claim, you may need to send us additional information, including pictures, receipts, images or x-rays. Part-Time Students; Second Year IMBA students away on exchange; Outgoing Exchange students (students leaving York, to go away to another country) who are away for more than 8 months; Incoming Exchange students (students who are coming to York on exchange from another country) who are enrolled for only four months. Fall 21 Contracts: If you have secured a TA contract in the fall term, you will be exempted from the YUGSA plan. If thats the case, please send us a statement indicating how much of your claim the other plan paid. Make sure you clearly label it as an estimate (not a cost you've already incurred) so that we know exactly what you need. Download the iOS or Android app, sign in, and submit your claims on the go! 3456789YGS). For out of province coverage or out of country medical referrals: If you need medical help when traveling out of province, send your claim to your provinces health plan first, as many items should be covered. To download the card and the benefit booklet, scroll down toBooklets & Forms. It is a good idea for students to contact their dental office for the code for an upcoming procedure, and then contact We Speak Student to confirm that the procedure will be covered. Take a photo of your receipt and click Submit. What is the difference between OHIP/UHIP and the YUGSA Health Plan? This information helps us understand what type of equipment your doctor thinks you can operate. <>/Subtype/Form/Length 22/Type/XObject>>stream endobj Fill out the interactive health or dental claim form. The YUGSA Health Plan is activated in September -end. Within one month of your enrollment into the Plan, you will receive a welcome letter that has your certificate and group number on it that you and your eligible dependants will use when claiming benefits at the dentist. Once your claimsecure claim forms is complete, you can securely share it with recipients and gather eSignatures with pdfFiller in just a few clicks. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. 1 0 obj One of the best things about Group benefits insurance is knowing some of your health and dental expenses are covered by your plan. ~W)fcA;vlagUDkKOt5 uj Global Excel:For emergency assistance call 1-866-870-1898, Outside North America, call collect: +819-566-1898. Edit claimsecure claim forms. You get your money back faster. The coverage for Fall registered students begins from September 1, 2021 and ends on August 31, 2022. <>/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]>>/Subtype/Form/Length 103/Type/XObject>>stream To find an approved provider, or check to make sure we cover yours: Before you incur any health or dental expenses, remember the following: Another health plan may help cover some of your expenses. a description of how the orthotics were created, which must include: the orthotics have been given out to you, or, an estimate for how long youll need oxygen therapy. % We want you to receive all the money youre entitled to. Without it, they will not be able to process an eligible claim electronically. Printable versions of our claim forms are available on EquitableHealth.ca under My Resources > Forms. x+TTPpuV(T0 BCSK=##c=3TpCBHGjNBHP. The integration will let you make, change, and sign documents, like claimsecure claim forms, without leaving Google Drive. Visit Google Workspace Marketplace and install pdfFiller for Gmail. 3 0 obj To do so: Please submit all other claims on paper (instructions below). Sign in to submit an EZClaim, review coverage and access valuable health resources. Weve made submitting health and dental claims fast, easy and secure with Equitable EZClaim. Send in an estimate before you send in your claim. Get rid of time-consuming steps and manage your documents and eSignatures effortlessly. a medical doctors referral (once every 12 months) that shows: the diagnosis or medical condition you need the stockings for, a statement showing your provincial plan paid part of the cost (if needed), the name of the person who needs the stockings, the stocking style (knee high or full length), a description of activities the stockings will be worn for, indication of whether the stockings were custom-made or stock, the name of the person who needs the supplies. if the doctor is recommending an electric wheelchair, they should include details about why they are recommending electric instead of manual, if you can move a manual wheelchair on your own, what activities youll use the wheelchair for, how long will the wheelchair help you to move on your own, the name of the person who needs the wheelchair, a breakdown of costs, including any accessories, the diagnosis or medical condition the person was treated for, the details of any discounts you received, your Allianz case number, if you were travelling outside of Canada, whether the person was treated for the same diagnosis or medical condition before leaving Canada, the dates of the trip, including when the person left Canada, when they came back to Canada, and where they were travelling to, whether the person was covered under any other travel or group insurance plan, statements showing any payment or decline from your provinces health plan, the name of the person receiving the service, Click on the Group Benefits tile, then click Go under the plan you want to access, You have already paid for and received the service, The claim is for your spouse and they arent covered by another plan, The claim is for your dependant(s) if your spouse is not covered by another plan OR your spouse is covered by another plan, but you are the parent whose birthday (month and day) that falls earlier in the year, The service provider type is listed in the Online Claim Submission tool, Your plan includes the Online Claim Submission feature, Under the Claims tab, click Claim forms, Narrow the list by type of form in the menu on the right side of the page, Attach your receipts and supporting documentation. Check your booklet to find out yours. M4W 2K2. pdfFiller and Google Docs can be used together to make your documents easier to work with and to make fillable forms right in your Google Drive. endstream Upload a file. x+TTPpuVpb # endstream <>/Subtype/Form/Length 22/Type/XObject>>stream <>/Subtype/Form/Length 22/Type/XObject>>stream Part-time students can join the health plan by opting in from the insurance website. OHIP is the Ontario Health Insurance Plan for Ontario residents which covers general medical care, including doctors appointments and hospitalization. Click. Some plans may have different rules for referrals. If you have a question or are experiencing difficulty accessing your benefits, please contact Human Resources: Joanne Spence, CHRL, Human Resources OfficerRainy River District Social Services Administration Board450 Scott StreetFort Frances, ONP9A 1H2Phone: (807) 274-5349, ext.