Out-of-country claim forms
How to submit a claim
Use these forms to submit a claim for medical expenses incurred while travelling.
You should use these forms if:
- You have coverage through your employer or an advisor
- You've travelled abroad, or have travelled within Canada more than 500km from your home
The type of form(s) you'll need to complete a claim will depend on the type of coverage you have. Please read the instructions carefully to make sure you complete the right forms.
To submit your claim, you'll either need to sign in to GroupNet or download the form and return it to us. Adobe Reader XI or higherOpens a new website in a new window - Opens in a new window is required to save and fill out a form.
If you're unsure of which forms you should use, call our Out-of-Country Claims department at 1-800-957-9777.
Submit a claim if you have coverage through your employer
Use these forms to submit a claim for reimbursement if you've incurred out-of-pocket expenses for a medical emergency.
You'll need to complete the relevant out-of-country claim forms along with the provincial/territorial form that matches your residential address
Step 1 - Enter your policy number
Step 2 – Download the relevant forms
Step 3 – Sign in to GroupNet via the website to submit your completed claim. Please note that submitting forms through the GroupNet app is not supported at this time.
Submit a claim if you have individual coverage
Use these forms if you have PlanDirect or a Sonata plan.
You'll need to complete the relevant out-of-country claim forms along with the provincial/territorial form that matches your residential address.
Step 1 - Download the Out-of-Country claims form – M5975(IHP)
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Use this form to claim medical and travel expenses incurred outside of Canada. You will need to include Government Assignment Forms with your claim.
Step 2 - Choose your province of residence, and download the provincial third-party agreement
Step 3 – Sign in to GroupNet via the websiteOpens a new website in a new window - Opens in a new window to submit your completed claim. Please note that submitting forms through the GroupNet app is not supported at this time.
For any assistance with making a claim, contact our Individual Health Unit customer service on 1-800-430-2863.
Not the forms you're looking for? Go back to the find a form page.