Get Group Medical Services Claim Form

This guide provides clear and concise instructions for completing the Group Medical Services Claim Form online. Whether you are a first-time user or need a refresher, this step-by-step approach ensures you fill out the form accurately and efficiently.

Follow the steps to complete the Group Medical Services Claim Form online

1. Press the ‘Get Form’ button to access the Group Medical Services Claim Form and open it in your preferred online editor.
2. In section A, fill out your personal information, including your first name, last name, address, date of birth, gender, city/town, phone number, province, and postal code. Provide your email address and GMS ID number, along with your employer’s name and group plan number if applicable.
3. Proceed to section B, titled 'Other Coverage Information.' Indicate whether you, your spouse, or dependents have coverage under another insurance plan. If yes, complete the relevant fields such as name of the insured, coverage start and end dates, insurer details, policy and certificate numbers, plan type, and coverage options.
4. In section C, enter claims information. Specify if any claims are related to a work-connected accident or a motor vehicle accident. Input the type of expense incurred and the number of claims, followed by the total amount claimed.
5. Complete section D, the declaration. Confirm that the statements made are true and complete. Authorize Group Medical Services to collect and use your personal information for processing your claim. Ensure all claimants 18 years and older provide their signatures and the date.
6. Before submission, review the important notes regarding claims submission, including the requirement to submit within 12 months, attach original receipts, and retain copies if necessary. Verify that your total expenses meet the minimum of $20.
7. You can now save your completed form, download it for your records, print it, or share it as needed.

Begin filling out your Group Medical Services Claim Form online today!