Get the free Green Shield Drug Claim Submission Form

For claims requiring completion, request forms from our CUSTOMER SERVICE Center 1-888-711-1119 DRUG CLAIM SUBMISSION FORM A. SUBSCRIBER INFORMATION Subscriber Surname Green Shield I.D. # Street Address

How to fill out green shield drug claim

How to fill out a Green Shield drug claim:

Obtain the necessary documents:

1. Ensure you have a copy of the Green Shield drug claim form.
2. Gather all relevant receipts and invoices for the prescription drugs purchased.

Personal information:

On the claim form, provide your personal information accurately, such as name, address, and contact information.

Policy information:

1. Locate your Green Shield policy number and include it on the claim form.
2. If applicable, provide any additional policy information requested.

Prescription details:

1. Fill in the details of each prescription being claimed, including the name of the medication, dosage, and quantity.
2. If available, include the prescription number provided by the pharmacy.

Receipt submission:

1. Attach all receipts and invoices related to the claimed drugs to the completed claim form.
2. Make sure the receipts clearly show the name of the drug, the amount paid, and the pharmacy's information.

Explanation of benefits (EOB):

1. If you received an EOB statement from Green Shield, include it with the claim form and receipts.
2. The EOB provides additional details about coverage and payment made by Green Shield, if applicable.

Review and double-check:

1. Before submitting the claim, review all the information provided on the form for accuracy and completeness.
2. Ensure all required documentation is attached.

Who needs a Green Shield drug claim:

1. Individuals who are covered by a Green Shield insurance policy and have incurred expenses for prescription drugs.
2. Anyone seeking reimbursement for eligible prescription medication expenses can submit a Green Shield drug claim.
3. It is important to review your insurance policy to determine if prescription drugs are covered and to understand any specific requirements for filing a claim with Green Shield.

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What is green shield drug claim?

Green shield drug claim refers to the process of submitting a request for reimbursement of prescription drug expenses to the Green Shield Canada (GSC) insurance provider.

Who is required to file green shield drug claim?

Any individual who is covered under a Green Shield Canada (GSC) insurance plan and has incurred eligible prescription drug expenses can file a green shield drug claim.

How to fill out green shield drug claim?

To fill out a green shield drug claim, you typically need to provide details such as your personal information, the drug name, dosage, quantity, cost, and the healthcare professional who prescribed the medication. The claim form can usually be obtained from the Green Shield Canada (GSC) website or through your employer.

What is the purpose of green shield drug claim?

The purpose of a green shield drug claim is to seek reimbursement for eligible prescription drug expenses incurred by individuals covered under a Green Shield Canada (GSC) insurance plan.

What information must be reported on green shield drug claim?

The information that must be reported on a green shield drug claim typically includes personal details of the claimant, the drug name, dosage, quantity, cost, and the healthcare professional who prescribed the medication.