- Standard claim forms
- Apply for disability income benefits
- Ambassador, CANUS and Welcome Plan claim forms
- Group critical illness claim forms
- Out-of-country claim forms
- Health SolutionsPlus claim forms
- Application and evidence forms
- Prior authorization forms
- Drug dosage increase form
- Direct deposit form
- Brand name drug coverage form
- Sonata claim forms
- PlanDirect claim forms
- Prelude claim forms
To find out the status of your claim:
- Contact our individual health unit.
Important information about using Prelude claim forms
Your Prelude information package includes a supply of the forms you are most likely to need. If you need additional forms, contact the individual health unit, or download the forms listed above.
Complete the appropriate form and send it to our individual health unit.
How to make a claim
How to submit your claim form
Once your claim form is completed, mail it to the address on the form.
We need all the information that we ask for on the forms. To avoid delays, please ensure all questions are answered in full.
Be sure to include your Prelude policy number on all claim forms. You can find your policy number on the policy specifications page in your Prelude information package, or on your Prelude benefit card.
Make sure you’ve attached all the receipts supporting your claim, and that all receipts are originals. We cannot accept photocopies. Your original receipts will not be returned. You will, however, receive an explanation of benefits for your records.
For help with completing a form, contact the individual health unit.
Unless you’ve chosen to have payment sent directly to your service provider, Great-West will mail all cheques to your home address with a complete explanation of benefits paid.
You may also choose to have claims paid to you by direct deposit.
Important notice - Please read carefully
Travel insurance is designed to cover losses arising from sudden, unexpected and unforeseeable circumstances. It is important that you read and understand your policy before you travel as your coverage may be subject to certain limitations and exceptions. If you have any questions about your coverage, please call The Great-West Life Assurance Company individual health unit at 1-866-430-2863.
You should also review your provincial plan coverage before travelling to ensure you have sufficient insurance. Your provincial plan coverage may have time limits on submitting claims that would also apply to your policy.
A pre-existing exception will apply to medical conditions and/or symptoms that existed prior to your trip. Check to see how this applies in your policy and how it relates to your departure date, date of purchase or effective date.
In the event of an accident, injury or sickness, your prior medical history will be reviewed when a claim is reported.
Your policy provides travel assistance. You are required to notify the designated assistance company prior to treatment. Your policy limits benefits if you don’t contact the assistance company within a specified time period.
Emergency travel medical benefit claims
Contact your provincial health plan before leaving the country to determine the extent of its coverage. Many provincial health plans have time limits for submitting claims. These time limits will apply to your Prelude claim as well.
If your provincial health plan refuses payment, you may be asked to reimburse Great-West for any amount we have already paid on their behalf.
For emergency assistance and advance approval of major medical treatments.
Before entering a hospital or being treated for a medical emergency, immediately call, or have someone call on your behalf, one of the following numbers. These numbers appear on your Prelude Emergency Travel Assistance card, which you should carry with you when travelling.
Your benefit amount may be reduced if you do not call before being treated. In addition to helping you find appropriate medical care, the Assistance Centre will obtain Great-West’s prior approval for medical services and supplies and assistance services, where required, and will arrange to have hospital and doctor bills sent directly to us for payment.
To submit emergency travel medical claims
If you have paid a medical provider for emergency medical services while travelling, contact our individual health unit when you return home. We will send you the necessary forms and help you prepare and submit a claim.
For eligible claims, Great-West will pay your provincial health plan’s share of the claim for you, on the province’s behalf (except for residents of Manitoba, where the province pays its share of the claim directly). The provincial health plan requires that you sign a release permitting them to reimburse Great-West for their portion of the claim.
Provincial third-party agreement forms
Great-West has entered into third-party agreements with most Canadian provinces. If your province of residence has a third-party agreement with Great-West, we may submit your out-of-country medical expenses to your provincial healthcare plan on your behalf. To do so, the provincial healthcare plans require specific provincial authorization and release forms to be completed, in full, by the person who incurred the medical expense.
You must submit the provincial authorization form with your completed out-of-country benefits claim form.
If you have any questions or need help in completing these forms, contact our individual health unit.
For the appropriate authorization form, choose your province of residence here.
The PVS visioncare and hearing aid program provides a discount on quality eyewear and hearing aids as an added feature of your Prelude plan. Most PVS locations also apply the discount to non-prescription eyewear, accessories and laser eye surgery.
When you visit the practitioner and before you make your purchase, identify your PVS program member status by presenting your Prelude benefit card.
Some providers do not offer a discount on contact lenses. In some cases you cannot combine the PVS discount with a promotional discount that the practitioner is offering. Check with your practitioner before making your purchase.
You are not limited to making a purchase through a PVS provider. You can go to the provider of your choice.
PVS does not impact the practitioner’s clinical role or professional judgment.
If you have a question about the PVS discount, or to find the nearest PVS location, contact PVS directly:
Call toll-free: 1-800-668-6444
Visit the PVS website.
Update your personal and payment information
To renew your Prelude coverage
Your policy is for a term of one year beginning on the effective date shown on your Policy Specifications.
Great-West will automatically renew your Prelude policy each year, on your policy’s annual renewal date. Your policy specifications show your annual renewal date.
At each renewal, Great-West will re-establish your premium. Your new premium will take effect on the annual renewal date. Each year, your premium will be changed to reflect such things as increasing healthcare costs, shifts in expenses from provincial to private plans, and whether you have moved to a new age band. In most cases, you can expect your premium to increase on renewal. You will be notified at least 31 days before any change in premium.
To cancel your Prelude policy, or to cancel coverage for spouse and/or child(ren)
Any requests must be submitted by the Prelude policy owner. Your coverage will end on the last day of the month in which you cancel your coverage. If you’ve paid premium in advance, it will be refunded as of the first of the month following your cancellation.
For claims information
Contact Great-West’s individual health unit to submit claims or if you have questions about your claims.
8 a.m. to 5:30 p.m. Monday to Friday (EST)
The Great-West Life Assurance Company
Individual Health Unit
P.O. Box 6000
Winnipeg, MB R3C 3A5
For general inquiries and assistance
If you would like more information on your policy, want to make changes or have any questions, contact your representative or Great-West Life.
Toll-free 1-800-565-4066 or 416-490-0072
8 a.m. to 6 p.m. Monday to Friday (EST)
200- 211 Consumers Road
Willowdale, ON M2J 4G8
To sign up for direct deposit
Direct deposit formpdf
You can have your Prelude claim payments automatically deposited to your bank account, free of charge.
Direct deposit is convenient, safe and secure. We’ll deposit your claim payment cheques directly into your account with any credit union, trust company or bank in Canada, and will send you an explanation of benefits statement indicating when your cheque was deposited.
To apply for direct deposit, or to change your banking information, complete the direct deposit form and send it to our individual health unit.