Health Practitioner

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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.

If you are only covered by NAV CANADA Plans
If you are covered under the Health Care Plan you can submit your claims for certain health practitioners' services electronically. All other health practitioners' services expenses 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 Paramedical.
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 Paramedical 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 Extended Health Care Claim Form, and
  3. mail both the claim form and original receipt to Sun Life.

Coordination of Benefits

If you and your spouse are covered by more than one Benefit Plan, you may be able to claim up to 100% of eligible expenses, depending on what is eligible under your spouse’s plan. You can also coordinate benefits if you and your spouse are both covered under the NAV CANADA Health Care Plan and both have family coverage.

Always submit expenses first to the plan that covers you as a full-time or part-time employee (if, for example, you are covered under another plan as a spouse or retiree).

​For expenses incurred by...
​Submit your claim...
​You
  1. ​To your NAV CANADA plan
  2. To your spouse's plan, if a balance remains
​Your Spouse
  1. ​​To your spouse's plan
  2. To your NAV CANADA plan, if a balance remains
​Your Children
  1. To the plan of the parent whose birthday falls earlier in the year (if both parents have the same birth date, to the plan of the parent whose surname begins with the first letter in the alphabet)
  2. To the plan of the other parent, if a balance remains
If you are separated or divorced and are claiming for your children

Claims must be processed in the same order as if you have shared custody of your children. As long as you are the legal parent of the child, you can process his or her claims.

Claims must be submitted first to the plan of the parent with primary custody, then, to the plan of the other parent, if a balance remains.


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.

Checking Health 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