Did you know that an average Canadian person spends $450 on prescription drugs a year? Add in the cost of dental surgery and it can be quite a sum that you must pay out of pocket.
The best thing you can do is get insurance for yourself. SSQ is a mutual diversified financial institution that offers group insurance, car insurance, travel insurance, and critical illness insurance.
If you have insurance with SSQ, you are probably wondering about SSQ claims and how to submit those claims. With SSQ Insurance, you can submit your claims online, directly to your medical provider, or through the SSQ App.
Keep on reading to find out exactly what steps you need to take to submit your insurance claim.
Submitting SSQ Claims Online
The first thing you need to do to submit your SSQ insurance claim is to sign for the account. If you have insurance through SSQ, you can submit your claims online. It takes two minutes to sign up.
SSQ allows you to submit your claims and get reimbursed within 48 hours, estimate reimbursement amounts, and get statements for income tax purposes.
You should also review your insurance policy to understand what you can and cannot claim. Each insurance policy has different terms and conditions, so you should understand what that entails by reading more about the full guide on life insurance.
If you’re still not sure if your particular expense is covered under your plan, you can check your online account before you submit your SSQ claims. You can even get medical expenses approved in advance by contacting SSQ Insurance.
Step 1: Sign up for Account
To sign up, you need to go to ssq.ca and click the “Login” button.
You’ll see several options including Insured, Investor, Administrator, Advisor, and Health Professional. Choose “Insured”.
On the next page, you’ll find a “Register” button under “Not Registered?”
It will ask you for your personal information like name, date of birth, and postal code. You need to know what type of product you have with SSQ. You will pick from a drop box with the following options:
- Group insurance
- Auto insurance
- Home insurance
- SSQ Privilege individual insurance
You also need your policy number. The policy number can be found on the top right corner of the insurance contract or proof of insurance. If you haven’t received your insurance certificate, use the personal code that was emailed to you.
You can then create your account with your email address and a password. Once you register, you’ll get an activation link in your email. When you click on the activation link, you’ll be fully registered.
Step 2: Log in to Your Account
You can use the email and password you created and login into your account. You will now be redirected to the Customer Centre page.
Step 3: Submit Your Claim
Under “Group Insurance”, you will see a shortcut to “Submit a Claim”. This is what you can use to submit your insurance claim.
Once you click on it, it’ll take you to a separate page. Click on “Submit a Claim” again.
Step 4: Pick Your Treatment
Depending on your coverage, you may be covered for many different types of treatments. This page will list all the different types of treatment including dental, medical items, and professional services like acupuncture, chiropodist, and counselling services.
Step 5: Find Your Provider
You can search for a new provider using a phone number or name. You can only make an SSQ claim for providers that are listed. Once you find your provider, click on their name.
If you don’t know your provider, check your receipt. The full name of the doctor, clinic, and phone number should be listed on the invoice.
If you have already submitted claims before, you will find your provider already listed there.
Step 7: Complete the Form
You’re almost done submitting your claim.
Add the type of treatment, the date of treatment, and the total amount of your visit. You can add up to 5 claims for the same provider here. For example, if you have made 5 appointments with the massage therapist in the past 3 months, you can add all of it at once and submit your claim.
Step 8: Check Accuracy
This is the final step. You can review the information you just submitted and double-check if it's accurate. Click submit and wait for your reimbursement.
You will get the reimbursement within 48 hours. The amount of your reimbursement depends on your coverage.
Mock Claim for Benefits
Before you submit your claim, you can also check whether the benefit is eligible for reimbursement under your plan. You can do this in the Customer Centre by clicking on “Estimate the reimbursed expense” in the shortcut box on the right.
You can even make a mock claim for a particular expense by clicking on “Benefit Eligibility”. You will see a list of health care treatments is displayed. There are some expenses that you can’t make a mock claim for.
You can enter the date and total amount of the expenses. You’ll need to select the province where the service was or will be obtained. Click “Submit”.
Once you click on submit, you’ll receive details about the expense. It will tell you about specific situations that could have an impact on your coverage. Take your time and read the details provided.
If you still have questions, you can always call customer service at 1-888-651-8080.
Through Your Medical Provider
For some places, you can use your SSQ Insurance Card and get the reimbursement right away. Before you choose your dentist or pharmacy, confirm whether they’re able to claim directly through your insurance card. You can use your SSQ Insurance Card at the dentist’s office or the pharmacy.
This makes your life easier as you will only pay the amount based on your coverage. For example, if you have a $500 dentist bill and 80% of it is covered. You will only pay $100 for your service. The dentist will contact your insurance provider directly and get the rest of the $400 from them.
You can also use your SSQ Insurance card at the pharmacy when you’re filling your prescription. If your contract allows it, your pharmacy can simply submit SSQ claims on your behalf. This means that you don’t need to submit the claims online.
You may have to pay a portion of the cost for the services, depending on your coverage. You will also have to pay any deductibles. Learn more about why insurance deductibles exist.
Submitting SSQ Claims Via Mail
If for some reason you can’t access your online account, then you can also submit your SSQ claims by mail. You will need to go onto the SSQ website and find the forms.
Fill out the details and print out the claim form. The claim form will ask for the same information that you would have to submit online. You can find personalized forms in your Customer Centre account.
Remember to sign the claims form. You also need to attach copies of your receipts when you submit your claim for verification purposes.
If you can’t find the right form, call customer service at 1-888-651-8181.
Via the SSQ Mobile App
You can access your account on the SSQ Mobile App on your smartphone. You can download and install the SSQ app.
You can log in to the SSA app using the same email and password. If you have a smartphone that allows for it, you can also log in using fingerprint or facial recognition. You can have everything you need at your fingertips.
With the SSQ app, you also get access to the virtual assistant, ZOBLA. It can help you answer a lot of questions.
Submitting an SSQ Claim When I Have Another Plan
You can still submit SSQ claims when you have multiple plans by coordinating between the two plans. You can find more information in the Customer Contact center on your health insurance coverage, expenses covered, the reimbursement percentage, and the maximum number of treatments per year. This can help you coordinate between the two plans so you get the maximum reimbursement.
When you submit your claim online, in step 8, you will be asked if you have coverage under another benefits plan.
If you have a health spending account, you can use the funds to pay off any unpaid portion of your claim. This is also in Step 8 where the form asks if you would like to use your health spending account for the unpaid portion of your claim.
Compare Insurance Quotes
Now you know how to submit your SSQ claims online, by mail, or using the SSQ app, you’re ready to get that massage therapy to reduce stress or that root canal you’ve been dreading because of the price. You can easily submit your claim and get the reimbursement within 48 hours.
You can even satisfy yourself that you have the best quote for health and dental insurance by comparing quotes at Insurdinary.
