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

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. 1

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 and medical expenses
Healthcare

Use this form to submit claims for healthcare expenses.

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.

Dental care Wellness account Travel insurance

You can submit a claim online or by mail for:

Disability

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

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

Critical illness

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

Accidental death and dismember­ment

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.