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Medical expenses claim form

Bought Freedom to Choose™ health and dental insurance coverage directly through Canada Life? You’re in the right place.

If you have coverage through your employer or plan sponsor, use our workplace benefits insurance forms. If you have coverage through an advisor, use our personal insurance forms.  

Submit your claim online

Your online account makes it easy to submit your claims online or print forms that are pre-filled with your personal information.

Sign in now  - Opens in a new window

Start a paper claim

Use this form to request reimbursement for medical expenses covered by your plan. You'll find instructions for submitting each form on the form itself.

Standard claim form

Download the form and print it, or fill it out in Adobe Reader XI or higherOpens a new website in a new window - Opens in a new window  (not your browser) and save.

Not what you're looking for? Find the forms you need.

I have coverage through my employer.

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I bought coverage through an advisor.

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I bought coverage online directly through Canada Life.

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