Get Manulife Health Claim Form

Filling out the Manulife Health Claim Form online can simplify the process of submitting your health claims. This guide provides comprehensive steps to ensure that you complete the form accurately and efficiently.

Follow the steps to successfully complete your health claim form.

1. Press the ‘Get Form’ button to access the Manulife Health Claim Form and open it in your preferred editing tool.
2. Provide your plan member information, including your plan contract number, plan member certificate number, and personal details such as your name, address, and date of birth. Ensure that all entries are accurate to avoid processing delays.
3. Indicate if any of the expenses are related to a work incident and eligible for workers' compensation. This information is crucial for the claims assessment.
4. Complete the coordination of benefits section by stating if you or your dependants are covered under another plan. If applicable, provide details of the secondary insurance provider.
5. If using a Health Care Spending Account (HCSA), check the appropriate box to authorize reimbursement from this account for any unpaid portions of your claim.
6. Enter patient information for all expenses being claimed, detailing the patient's name, date of birth, relationship to the plan member, and relevant schooling details if they are a student.
7. Provide details regarding prescription drug expenses, ensuring to include all necessary receipts that display the drug identification number and the name of the prescription drug.
8. Document practitioner and paramedical expenses by including an itemized statement or receipt that confirms the treatment received and details the provider's information.
9. For equipment and appliance expenses, attach a written recommendation from the prescribing physician and any relevant provincial plan statements.
10. Submit vision care expenses, making sure to include an itemized receipt that lists all related costs and services.
11. Input your banking information and email address if you wish to enroll in direct deposit and receive electronic claim statements. Ensure these details are correct to facilitate prompt payments.
12. Confirm the total amount of all receipts submitted and include necessary authorizations and consents as per the guidelines provided in the form.
13. Once you have filled out the form completely, save your changes. You can then download, print, or share the completed form as required.

Start filling out your Manulife Health Claim Form online today for a seamless claims process.