Call us from anywhere in the world 24/7 for help with a medical emergency while travelling.
If you have coverage through an advisor, use our personal insurance forms. If you purchased coverage directly through Canada Life, use our Freedom to Choose™ forms.
How to make a claim
Use these forms to make a claim for medical expenses you incurred while travelling outside Canada or while more than 500 kilometres from your home within Canada on or after June 1 2023.
Note: All out-of-country medical emergency claims incurred on or after June 1, 2023, are managed by Global Excel Management Inc.
Download the form and print it, or fill it out in Adobe Reader XI or higherOpens a new website in a new window (not your browser) and save.
Download the form and print it, or fill it out in Adobe Reader XI or higherOpens a new website in a new window (not your browser) and save.
If you’re having difficulty opening this form, we recommend accessing it on the official Alberta government website.
Alberta Health requires all claim documents be received within 12 months from the date the medical treatment was provided.
British Columbia residents are also required to submit the following 3 forms to Canada Life:
- #2814 (out-of-country claim)Opens a new website in a new window
- #2806 (Schedule A; medical travel assignment of payment)Opens a new website in a new window
- #2807 (Schedule B; authorization to provide medical information)Opens a new website in a new window
These Medical Services Plan (MSP) Forms should be downloaded from the official websiteOpens a new website in a new window of the Government of British Columbia, completed in full, and submitted as part of your claim. The MSP of British Columbia requires all claim documents be received within 90 days from the date of service, except for in-patient hospital services, which must be received within six months from the date the medical treatment was provided.
Manitoba Health requires all claim documents be received within 6 months from the date the medical treatment was provided.
The New Brunswick Medicare Plan requires all claim documents be received within 12 months from the date the medical treatment was provided.
Newfoundland and Labrador residents are also required to submit the out-of-province claim form available from the Government of Newfoundland and Labrador websiteOpens a new website in a new window.
Newfoundland and Labrador requires all claim documents be received within 12 months from the date the medical treatment was provided.
The Nova Scotia Medical Services Insurance Plan requires all claim documents be received within six months from the date the medical treatment was provided.
The Ontario Health Insurance Plan (O.H.I.P.) requires all claim documents be received within 12 months from the date the medical treatment was provided.
The Health and Community Services Agency of Prince Edward Island requires all claim documents be received within 6 months from the date the medical treatment was provided.
The Régie de l’assurance-maladie du Québec (RAMQ) requires all claim documents be received within 1 year from the date the medical treatment was provided, except for in-patient and out-patient hospital services, which must be received within 3 years from the date the medical treatment was provided.
Quebec residents are required to provide a completed Application for reimbursement formOpens a new website in a new window.
Saskatchewan Health requires all claim documents be received within 1 year from the date the medical treatment was provided.
To submit your provincial authorization and claim forms, choose 1 of the following options:
Create an account at www.globalexcel.com/canadalifeOpens a new website in a new window and upload your required documents.
Global Excel Management Inc.
P.O. Box 1237, Station A
Windsor, ON N9A 6P8
Canada
You can also submit your completed forms via mail by following the instructions on the form(s) themselves.