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Ministry of Health,
Medical Services Branch
1st Floor, 3475 Albert Street,
Regina, SK, S4S 6×6OutofProvince Medical Claim FormIMPORTANT: This form must be completed and signed by the patient or their
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How to fill out out-of-country claim form
How to fill out out-of-country claim form
01
Obtain the out-of-country claim form from your insurance provider or employer.
02
Fill in all personal information such as name, address, and policy number.
03
Provide details of the medical treatment received abroad, including dates and locations.
04
Attach any relevant receipts or documentation supporting the claim.
05
Submit the completed form to your insurance provider for processing.
Who needs out-of-country claim form?
01
Individuals who have received medical treatment outside of their home country and are covered by an insurance policy that includes out-of-country coverage.
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What is out-of-country claim form?
The out-of-country claim form is a form that allows individuals to request reimbursement for medical expenses incurred outside of their home country.
Who is required to file out-of-country claim form?
Individuals who have received medical treatment outside of their home country and wish to be reimbursed for the expenses are required to file the out-of-country claim form.
How to fill out out-of-country claim form?
To fill out the out-of-country claim form, individuals must provide details of the medical treatment received, including the date, location, and cost of the treatment.
What is the purpose of out-of-country claim form?
The purpose of the out-of-country claim form is to facilitate reimbursement for medical expenses incurred outside of an individual's home country.
What information must be reported on out-of-country claim form?
Information such as the date, location, and cost of the medical treatment received must be reported on the out-of-country claim form.
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