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Click ‘Get Form’ to open the PSHCP claim form in the editor.
Begin by filling out the Member Information section. Enter your last name, first name, date of birth, language preference, gender, certificate number, home telephone number, and permanent address.
Proceed to the Coordination of Benefits section. Indicate if your spouse is a member of another health care plan and provide their details if applicable.
If claiming for dependants, complete the relevant fields for each dependant's information including their names, dates of birth, and relationship to you.
In the Information about your claim section, detail any prescription drug expenses or other medical expenses incurred outside Canada. Attach original receipts for each expense claimed.
Finally, sign and date the Authorization and Signature section to certify that all information provided is accurate and complete.
Start using our platform today to easily fill out your PSHCP claim form online for free!
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