December 31, 2018 marks the deadline for submission of all 2017 Public Service Health Care Plan (PSHCP) claims. In order to be processed, Sun Life must receive an electronic or paper PSHCP claim 12 months following the calendar year in which the expense was incurred and paid in full. This means that if you or a dependant incurred expenses in 2017, you have until the end of December 2018 to submit your claim.
Claims received later than December 31, 2018 will not be accepted. Late claims will be considered only in exceptional or unavoidable circumstances, such as medical or psychological incapacity. If, in Sun Life’s opinion, submission was not reasonably possible within the 12 month timeframe, claims will be considered valid, provided they are submitted within 18 month following the calendar year in which the expense was incurred.
Submitting a Claim Electronically
PSHCP Members residing in Canada are now able to submit their most common health claims electronically through Sun Life’s Plan Member Services website or the my Sun Life Mobile application.
When submitting a claim electronically, Plan members can enter up to eight different claims in one transaction. Claims submitted electronically are adjudicated immediately and, if approved, any reimbursement amount is usually deposited directly into the member’s bank account within 24 to 48 hours. However, if the claim requires additional review or information, the processing time will be longer. Members must keep their receipts for 12 months as information may be requested to substantiate services or products that have been claimed.
Submitting a Claim by the Mail
When submitting your claim, ensure that it is processed quickly by following these simple steps:
- Include your claim form. An estimate or an invoice submitted without a completed claim form cannot be processed.
- Sign your claim form. A claim form must be signed by the Plan member. An unsigned claim form will be returned to you.
- Send in original invoices. Photocopies of original documents cannot be processed. Keep copies of these documents for your personal files. Please note that cash receipts are not considered as acceptable proof of payment.
- Avoid stapling your claim. All staples have to be removed by Sun Life prior to processing.
Members with Supplementary coverage should complete the PSHCP Claim Form and submit it to:
Sun Life Assurance Company of Canada
PO Box 6192 Stn CV
Montreal, QC H3C 4R2
Members with Comprehensive coverage should complete a PSHCP Out-of-Country Claim Form and mail it to:
Allianz Global Assistance
Public Service Health Care Plan
PO Box 880
Waterloo, ON N2J 4C3
For more information on how to submit a claim, click here.