- Enrollment Questions
- Claim Submission
- Prescription Drugs
- Travel Coverage
- Appeal Questions
- Other Questions
- You retire, or
- Coverage terminates under a spouse’s group plan, or
- Coverage terminates under any other group plan.
- Termination of coverage under any group plan.
- Date of marriage.
- One-year common law date.
If a request is made to add a spouse after 60 days, he/she is considered a late applicant and must submit evidence of good health.
Emergency travel coverage is designed for sudden and unforeseen medical emergencies while travelling away from your home province. If you have been diagnosed with a medical condition or are working with a doctor to explore a current health condition, the condition must be considered stable if any travel is planned.
To be considered stable, a condition must not have required new medical investigation, diagnosis, treatment or hospitalization in the three months immediately preceding the departure date. Routine checkups with no change in medication or treatment are not considered medical investigation, diagnosis or treatment.
- Within 3 months from the date of the initial claim decision, submit a written request outlining the basis for your appeal to the attention of Manager, Health and Dental Claims at Saskatchewan Blue Cross (516 2nd Avenue N Saskatoon SK S7K 2C5). This request should include any additional documentation in support of your claim that you would like considered. A written decision and explanation will be provided to you, in most cases within 30 days from the receipt of your appeal.
- If you are still not satisfied with the claim decision, you may request a second and final level of appeal by submitting a written request to the attention of VP, Customer Service at Saskatchewan Blue Cross (516 2nd Avenue N Saskatoon SK S7K 2C5). Please include any additional documentation in support of your claim that you would like considered. This subsequent appeal, along with any additional documentation, must be received within 3 months from the date of the initial appealed decision. A written decision and explanation will be provided to you, in most cases within 30 days from the receipt of your appeal.
- If you are still not satisfied with the claim decision, you may contact the OmbudService for Life and Health Insurance (OLHI) who provide independent assistance to consumers at no cost to you. Additional information about OLHI can be found on their web site www.olhi.ca or by calling them directly at 1-888-295-8112.