Group insurance claims
Need to submit a group insurance claim? Find out how.
Before you start
Check your insurance booklet to see if the expense is covered.
Make sure you submit healthcare claims within 12 months of receiving the service.
Keep a copy of the receipt in case your claim is audited.
For health expenses expected to go over $500, submit a treatment plan first.
How to submit a claim
Type of claim | Secure site | Omni app | Payment card | Claim form |
---|---|---|---|---|
Healthcare professionals | Available | Available | Available | Available |
Vision care | Available | Available | Available | Available |
Dental care | Available | Not available | Available | Available |
Prescription drugs | Not available | Not available | Available | Available |
Other (devices, equipment, etc.) | Not available | Not available | Not available | Available |
Wellness account | Available | Available | Not available | Available |
Travel insurance | Not available | Not available | Not available | Available |
Disability / Death / Critical illness / Dismemberment or loss of use | Not available | Not available | Not available | Available |
Have a health spending account?
You can use your health spending account to pay for medical and dental expenses not covered or not completely covered by your plan.
Online
Submitting online claims is easy with our secure site and the Omni app.
Secure site
You can submit claims for most healthcare services, including vision care and dental care.
Omni app
You can submit claims for various healthcare services, including vision care.
Download the Omni app
Sign up for direct deposit
To submit a claim online, sign up for direct deposit first. Go to the secure site (in the Quick links section) or the Omni app.
Payment card
With your payment card (Desjardins Insurance card), eligible healthcare expenses can be paid for right away.
Good to know
You can add your payment card to Apple Wallet on your iPhone.
How to use your card
Show your payment card to your pharmacist, dentist or healthcare professional. If they participate in the direct payment program, we pay the portion covered by your plan right away, and you pay the difference.
You get a receipt showing the claim amounts, which you can keep for tax purposes.
Where to find your card
You can find your card in the Omni app or on our secure site (under Your account).
Claim form
For some types of expenses, you need to submit a claim form.
Good to know
You can save time by using the pre-filled forms on our secure site.
Under Submit a claim, select Claim forms.
3 steps of the claims process
-
Documentation
Fill out the appropriate form (or forms) and gather the required supporting documents. Send everything online or by mail (address listed on the form).
-
Analysis
Once we receive the required documents, we review your claim. Then we contact you to let you know if your claim is approved.
-
Payment
If your claim is approved, you receive your payment based on the terms of your plan and on your preferred method (cheque or direct deposit).
Find the right claim form
Healthcare
Use this form to submit claims for healthcare expenses.
For example:
- Devices and equipment
- Prescription drugs
- Medical care
- Services provided by a healthcare professional
- Vision care
Convalescent care
Prescription drugs
If medication requires prior authorization, be sure to get it approved before going to the pharmacy. Find out how to request prior authorization.
You can submit a claim online or by mail for:
- Emergency healthcare
- Accident while travelling
- Trip cancellation
- Baggage (damaged, lost, etc.)
If you have any questions, see our Disability claims guide This link will open in a new window. or call us at 1-800-463-7843 Phone number of Desjardins Insurance. This link opens your phone app.. We're here to help.
Initial forms
Submit each completed form as soon as you can. You don't need to submit all 3 forms at once.
If you have a doctor's note, send it to us so we can add it to your file.
Other form
If you have any questions, call us at 1-800-463-7843 Phone number of Desjardins Insurance. This link opens your phone app.. We're here to help.
Make sure you understand your coverage and the definitions of the critical illnesses, as well as any limitations and exclusions that apply. That way, you'll know if your condition is eligible for a payment.
If you have any questions, call us at 1-800-463-7843 Phone number of Desjardins Insurance. This link opens your phone app.. We're here to help.
Initial forms
Other form
If you have any questions, call us at 1-800-463-7843 Phone number of Desjardins Insurance. This link opens your phone app.. We're here to help.
Make sure you understand your coverage, the schedule of losses and any limitations and exclusions. That way, you'll know if you're eligible for a benefit.
Contact us
You'll need your group and certificate numbers.
By phone
Monday to Friday: 8 AM to 8 PM (Eastern Time)
1-800-263-1810 Phone number of Desjardins Insurance. This link opens your phone app.