Health Spending Account

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Making a Claim


In provinces with a program to cover expenses also covered under the NAV CANADA Health Care Plan (for example, prescription drugs, artificial limbs and other assistive devices, dental services, etc.), first, submit your claim to the province. Then, submit any eligible expenses remaining under the Health Care Plan.

Claiming Under the NAV CANADA Plan

To receive maximum benefits, begin by claiming the expense(s) under the Health Care Plan or Dental Care Plan. If you have an unpaid amount or any expenses that are not covered under the above plans you can submit either electronically or by paper claim form:

* Expenses incurred in the previous calendar year must be submitted by paper claim form.
 
Mobile
  1. Go to Sun Life Mobile,
  2. sign in with your Access ID and password,
  3. click on Submit a Claim,
  4. click on Health Spending Account.  
Online
  1. Go to www.mysunlife.ca/navcanada,
  2. sign in with your Access ID and password,
  3. click on My claims,
  4. click on Health Spending Account e-claim under the Submit a claim section.
You can get an Access ID and password by calling Sun Life at 1-800-361-6212 or by clicking "Register now" on the sign-in page www.mysunlife.ca/navcanada.
 
Paper Claim Form
  1. Pay the expense and get a receipt,
  2. complete all applicable sections of the claim form including:
  3. mail both the claim form and original receipt to Sun Life. 
Coordination of Benefits 
To maximize your coverage using the Health Spending Account, if you and your spouse are covered by more than one Benefit Plan, expenses should be submitted as follows:
  1. to the plan that covers you as a full-time or part-time employee,
  2. to the secondary plan, then
  3. any remaining balance to your Health Spending Account.
Claim Deadlines 
Expense claims must be received by Sun Life no more than 90 days after:
  • the end of the year in which the expense is incurred, or
  • termination of coverage.
 Expenses incurred in the previous calendar year must be processed using a paper claim form.
Checking Health and Dental Claims Status

Call the Sun Life toll-free customer service number, and select the option “Medical and Dental Claims Information”, Monday through Friday 7 am to 8 pm, Eastern Standard Time, at 1-800-361-6212.

Alternatively, go online to the Sun Life Member Services web site at www.mysunlife.ca/navcanada using your Access ID and PIN. You can get an Access ID and PIN number by calling Sun Life at the above number.

Published on February 01, 2016