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Extended Health ClaimPlease print your Firm & Certificate #Firm #Certificate #EMPLOYEE INFORMATION Firm Name Employees Full Name Home Mailing AddressApartment/Streetcar / TownPlease provide a phone
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How to fill out extended health claim

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How to fill out extended health claim

01
Gather all the necessary documents and information, including your claim form, receipts, and any supporting medical documents.
02
Fill out the claim form accurately and completely. Provide all the required personal information, such as your name, address, and policy number.
03
Specify the healthcare services or treatments for which you are making the claim. Include the date of the treatment, the name of the healthcare provider, and the total amount paid.
04
Attach all the original receipts and supporting documents to your claim form. Make sure they are legible and clearly show the details of the expenses.
05
Review your completed claim form and attached documents to ensure everything is accurate and complete.
06
Submit the claim form and supporting documents to the appropriate insurance company or administrator as per their instructions.
07
Keep a copy of the entire claim submission for your records.
08
Follow up with the insurance company to track the progress of your claim and address any inquiries or requests for additional information.
09
Once your claim is processed and approved, you will receive reimbursement for the eligible expenses as per your policy coverage.

Who needs extended health claim?

01
Anyone who has an extended health insurance policy may need to file an extended health claim. This includes individuals who have coverage through their employer, private insurance plans, or government programs.
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Extended health claim is a request for reimbursement of medical expenses not covered by basic health insurance.
Anyone who has incurred eligible medical expenses not covered by basic health insurance can file an extended health claim.
Extended health claim forms can usually be completed online or through a paper form provided by the insurance provider. All relevant information about the medical expenses must be accurately reported.
The purpose of extended health claim is to seek reimbursement for out-of-pocket medical expenses that are not covered by basic health insurance.
Information such as the date of service, description of the medical expense, amount paid, and any supporting documentation must be reported on the extended health claim form.
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