Freedom to Choose™ Health and Dental Insurance
Have coverage through your advisor? You’re in the right place.
If you have coverage through your employer or plan sponsor, use our workplace benefits insurance forms. If you purchased coverage directly through Canada Life, use our Freedom to Choose™ forms.
Start a paper claim
Use these forms to request reimbursement for expenses covered by your plan, including vision, dental and prescription drugs. You'll find instructions on how to return the completed form on the form itself.
Standard claim form
Download this 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.
Use this form to claim expenses relating to medical or vision treatment and prescription drugs. You'll need itemized receipts for some sections.
Use this form to claim medical and travel expenses incurred outside of Canada. You will need to include Government Assignment Forms with your claim.
Use this form to make a claim for expenses from a trip being cancelled, interrupted or extended. You will need the doctor to fill in some sections.