Rbc Employee Login My Information Updater Client

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. Submit your claim under your plan first, and send any remaining balance to your spouse’s plan. Your spouse's claims should go to his or her plan first, with any remaining balance sent to your plan.

Dependent children are covered first by the plan of the parent whose birthday falls earlier in the year. So, if your birthday falls in January and your spouse's birthday is in March, you should submit your child’s claims to your plan first. You will receive an Explanation of Benefits (EOB) statement from the first insurance company you file with showing how much of the claim has been covered. Submit the EOB statement, along with copies of your expense receipts, to the second insurance company in order to claim any remaining eligible balance. Get pre-authorization first. Not sure if a service is covered? We recommend that you get pre-authorization from us first before you receive any service valued over $300.

This can help avoid surprises and out-of-pocket expenses in case a certain service isn’t covered. Ask your provider to submit claims on your behalf. Some health and dental providers can submit claims to us on your behalf, and let you know if you owe any amounts due to deductibles and reimbursement levels. Check with your provider to see if this option is available. Submit all forms as soon as possible. Once we receive your completed claim form, we will acknowledge our receipt of it within one business day. We will schedule a telephone call with the assigned disability claims specialist, and make a decision to approve—or ask for more information—within 10 business days.

You will be provided with a status of your claim every 30 days until a decision is made.We recommend submitting your completed claims forms (client + authorization, employer and physician statements) 8 weeks prior to the end of the elimination period to ensure a timely decision. Ensure all forms are completed in full. Here’s how:. Complete the sections on the form that apply to you, and have your doctor complete the ‘attending physician’s’ section of the form. Be sure your doctor includes a specific diagnosis and indicates how your condition affects your ability to do your job. Your doctor will also need to list all treatments you are receiving, including surgery, medications, physiotherapy, etc. Submit the form to your benefit administrator or human resources department so they can complete their section to confirm your absence.

Double-check claim forms. Make sure your claim form is accurate and completed in full, signed, and submitted with the paid receipt enclosed. We cannot accept photocopies and faxed receipts. Keep your information current.

Always keep your personal information up-to-date (bank account, address, etc.) You can make updates easily by to our Online Group Benefit Solutions service. Ensure claim forms aren’t fraudulent. Ensure your Explanation of Benefits claim statements are correct and double-check receipts to be sure you received what is being charged to your plan. Providing false claim documents or exaggerating services constitutes fraud. If you realize you have made a mistake after submitting a claim, let us know right away so we can help correct the situation. Need entertainment planning or assistance during your trip? Take advantage of our complimentary concierge services.

Form/document instructions:Complete this form when submitting a claim for critical illness insurance benefits. Form/document instructions:Complete this form to submit a claim for vision care expenses such as eye glasses and contact lenses. Form/document instructions:Complete this form to submit a claim for audio expenses such as hearing aids.

Please note that this form must be filled out for all pay plan member claims.Send the completed form, along with itemized receipts that include the information below, to RBC Insurance. Patient name. Services and dates. Audiologist name and address. Breakdown of charges (i.e. Acquisition cost, fee, mold)Note: This form is available, pre-filled with your personal details, within our service for Plan Members.Mail the completed form to:RBC Life Insurance CompanyAttention: EHS DepartmentP.O.

Box 1610Windsor, OntarioN9A 0B7. Form/document instructions:Complete this authorization form to request prior approval of claims for custom braces.Please note that the details requested on this form are mandatory and that a claim may be denied without prior authorization.Mail the completed form to:RBC Life Insurance CompanyAttention: EHS DepartmentP.O.

Box 1610Windsor, OntarioN9A 0B7After reviewing your request, we will send you a response letter outlining your eligibility as soon as possible.Note: This form is available, pre-filled with your personal details, within our service for Plan Members. Form/document instructions:Complete this authorization form to request prior approval of claims for prosthetics.Please note that the details requested on this form are mandatory and that a claim may be denied without prior authorization.Mail the completed form to:RBC Life Insurance CompanyAttention: EHS DepartmentP.O. Box 1610Windsor, OntarioN9A 0B7After reviewing your request, we will send you a response letter outlining your eligibility as soon as possible.Note: This form is available, pre-filled with your personal details, within our service for Plan Members. Form/document instructions:This form must be completed by a Hospital Official and should be forwarded to our office (Attn: Hospital Claims Department) after the month for which the co-payment fee applies.An assessment to determine eligibility for a reduced rate must be completed by a Hospital Official and copies of the results MUST be forwarded with the initial claim. The hospital will have a supply of the assessment forms as they are provided by the Ministry of Health directly to the hospital.the completed form to:RBC Life Insurance CompanyP.O. Box 1603Windsor, OntarioN9A 0B6Note: This form is available, pre-filled with your personal details, within our service for Plan Members.

Form/document instructions:Complete this form to submit a claim for dental services.We recommend that you also submit a pre-determination to us first before you receive any service valued over $300. This can help avoid surprises and out-of-pocket expenses in case a certain service isn’t covered.Send the completed form, along with your original, fully paid receipt, to:RBC Life Insurance CompanyAttention: Dental DepartmentP.O. Box 1614Windsor, OntarioN9A 0B9Be sure to keep a copy of your receipt for your records.Online Claims SubmissionYour dentist may also be able to submit claims to us on your behalf, and confirm if you owe any amounts due to deductibles and reimbursement levels. We will pay your dentist directly.If you have the Deferred Payment option, you must pay your dentist in full and your dental office can then submit the claim to us electronically.

Reimbursement will be sent directly to you.Note: You can also check your eligibility for this benefit and access pre-populated forms through the service for Plan Members. Form/document instructions:Complete this form to submit a paramedical claim for services provided by a massage therapist, naturopath, chiropractor, etc.When completing the form, be sure to include the following information:.

Client

Patient name. Type of service ie.

Chiropractor, massage therapy, etc. Individual date and nature of treatment.

Charge for each serviceMail the completed form, along with itemized receipts, to:RBC Life Insurance CompanyAttention: EHS DepartmentP.O. Box 1603Windsor, OntarioN9A 0B6Online Claims SubmissionYou may be able to submit this type of claim online.

To find out more, sign in to the service for a list of eligible expenses.Note: You can also check your eligibility for select practitioners and access pre-populated forms through the Online Group Benefit Solutions service for Plan Members. Form/document instructions:Complete this form for all general claims. Detailed instructions for eligible expenses are included on the form.Send the completed form to the appropriate address listed on the form.Online Claims SubmissionSome claims can be submitted online. To find out more, sign in to the service for a full list of eligible expenses.Note: You can also check your eligibility for some benefits and access pre-populated forms through the Online Group Benefit Solutions service for Plan Members. Form/document instructions:Travel Emergency MedicalSelect the form required for the type of claim you are making:.Residents of Manitoba, New Brunswick, Northwest Territories, Nova Scotia, Nunavut, Ontario, Prince Edward Island, Saskatchewan, or the YukonResidents of AlbertaResidents of British ColumbiaResidents of Newfoundland and LabradorResidents of Quebec.Attach all original itemized to support your claim.Attach any you may have been given at the time of treatment.

For hospitalization claims, we require a complete copy of your medical records from the treating facility.For Multi-Trip Annual plans, attach proof of both departure from and return to your province of residence. The depends on whether you travelled via airline or car.For hospitalization claims, we will require a complete copy of your medical records from the treating facility.Please note: Depending on the claim, we may request more information. Form/document instructions:Trip CancellationIf you need to cancel your trip you will need to complete the following steps to submit your claim:.Call your travel agent, airline, tour company or the carrier immediately to cancel your trip (no later than one business day after the cause of cancellation).Notify us by calling one of the numbers below:. 1-855-603-5571 (toll-free from Canada or U.S.). (905) 608-8251 (collect call from anywhere).Complete and sign the.Mail the form, along with all applicable documents outlined below, to:RBC Insurance Company of CanadaP.O.

Box 97, Station AMississauga, Ontario L5A 2Y9.If the cancellation is due to an injury or sickness of yourself, an immediate family member or your travelling companion, you must have a fully completed by the treating physician. The physician who fills out the certificate must be the same one who treated the sick or injured person on the date of the cause of cancellation.If the medical condition is for yourself or your spouse, you will also need to provide your family physician's clinical notes from the 90 days prior to your insurance application date up to the present date.Submit an itemized copy of your invoice, providing a breakdown of the cost of your trip including airfare, hotel, taxes, service fees, and anything else. You'll need to provide for each item.Attach original unused airline ticket(s) and any other original travel documents. If you received a refund from your travel agent or travel supplier, you'll need to provide a copy of the statement or refund.If cancelling for non-medical reasons, you'll need to provide substantiated evidence. This could be a copy of subpoena for court/jury duty, a letter from your employer, a report from your airline/cruise, or a death certificate. Form/document instructions:Trip InterruptionIf you had to return home early from your trip due to a sickness, injury or another unexpected covered situation that occurred during your trip, follow these steps to submit a Trip Interruption Insurance claim:.Complete and sign the.Mail the form, along with all applicable documents outlined below, to:RBC Insurance Company of CanadaP.O. Box 97, Station AMississauga, Ontario L5A 2Y9.If the interruption is due to an injury or sickness of yourself, an immediate family member or your travelling companion, you must have a fully completed by the treating physician at your travel destination.

The physician who fills out the form must be the same one who treated the sick or injured person at your travel destination.Submit an itemized copy of your invoice, providing a breakdown of the cost of your trip including airfare, hotel, taxes, service fees, and anything else. You'll need to provide for each item.Attach original unused airline ticket(s) along with the new return tickets you purchased. If you paid a change fee, you'll need to include the original receipts for this cost.If the interruption is due to non-medical reasons, you'll need to provide substantiated evidence. This could be a copy of subpoena for court/jury duty, a letter from your employer, a report from your airline/cruise, or a death certificate.If you incurred additional expenses as a result of one of the insured risks, you'll need to submit original receipts for all additional costs such as hotel accommodations, meals, essential telephone calls, or taxi fares. Form/document instructions:Trip Interuption ClaimIf you had to return home early from your trip due to a sickness, injury or another unexpected covered situation that occurred during your trip, follow these steps to submit a Trip Interruption Insurance claim:.Complete and sign the.Mail the form, along with all applicable documents outlined below, to:RBC Insurance Company of CanadaP.O. Box 97, Station AMississauga, Ontario L5A 2Y9.If the interruption is due to an injury or sickness of yourself, an immediate family member or your travelling companion, you must have a fully completed by the treating physician at your travel destination. The physician who fills out the form must be the same one who treated the sick or injured person at your travel destination.Submit an itemized copy of your invoice, providing a breakdown of the cost of your trip including airfare, hotel, taxes, service fees, and anything else.

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You'll need to provide for each item.Attach original unused airline ticket(s) along with the new return tickets you purchased. If you paid a change fee, you'll need to include the original receipts for this cost.If the interruption is due to non-medical reasons, you'll need to provide substantiated evidence. This could be a copy of subpoena for court/jury duty, a letter from your employer, a report from your airline/cruise, or a death certificate.If you incurred additional expenses as a result of one of the insured risks, you'll need to submit original receipts for all additional costs such as hotel accommodations, meals, essential telephone calls, or taxi fares. To access your ID card:.Sign in to our secure, select ‘Manage Now’ to enter your Online Health & Dental Claims Centre and from the main page, select ‘Print Your ID Card’.OR.Download the and sign in using your username and password. On the main menu, select ‘ID card’. (To access your ID card without signing in, slide the “offline view” indicator to “on” from the ID card page.)How do I update personal information under my group benefits policy? How do I update personal information under my group benefits policy?

Inform your Plan Administrator or Human Resources department of any changes to your personal information (e.g. Name, date of birth or language). This includes adding or deleting a dependent or changing your family status (e.g. From “single” to “couple” or “family”). Your Plan Administrator is also responsible for updating any changes to your role, salary or number of hours worked.To update your mailing address, banking information or email address:.

Sign in to our secure. Select ‘Manage Now’ to enter your Online Health & Dental Claims Centre.

From the left-hand navigation, select ‘Plan member Summary’ to update your mailing address or select ‘Direct Deposit’ to update your banking information and email address.What do the pharmacy ratings mean and how are the generated? What do the pharmacy ratings mean and how are the generated? We are committed to preventing insurance fraud. Audits on group benefits claims are conducted regularly to help guard against both intentional and unintentional misuse. Fraud increases plan costs for your employer, which puts your own coverage at risk. You may end up needing to pay increased premiums or lose certain benefits to cover these higher costs.

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Should you receive a claim audit questionnaire, please complete it promptly—it helps us protect all of our plan members and their benefit plans from abuse. If you are going to be absent from work for an extended period of time and you anticipate that you will not be returning to work prior to the end of your elimination period (i.e. Waiting period before benefits are paid), you should begin the claim process.To avoid delays, claim forms should be completed and submitted to us at least 8 weeks before the end of the elimination period, or as quickly as possible.

You can request forms through your employer or.What forms are required to start the group disability claims process? What forms are required to start the group disability claims process?.: You will need to complete this form. Provide as much detail as possible about the circumstances that led to your absence from work. Be sure to sign the section that authorizes us to communicate directly with the doctors and specialists who are treating you.: Your employer must complete this form and submit it directly to RBC Insurance.: Your doctor must complete this form. If you had tests done, or if you saw a specialist for your condition, be sure to have your doctor send us copies of all results, consultation or clinical notes, and hospital records with the completed form.

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The cost for completing these forms is your responsibility; however, we will pay a nominal fee for copies of your medical records.How do I submit completed group disability claim forms? How do I submit completed group disability claim forms? Once we have received all of your completed forms we will assign a disability claims specialist to your claim and begin our assessment. We will contact you for a telephone interview to answer any questions we have about your claim and to better understand your functional capabilities and limitations related to your condition. You will also be able to ask us questions about your claim.We may also need to contact your doctor and/or your employer to ask additional questions or collect any missing information.When will I hear back about my group disability claim? When will I hear back about my group disability claim? After your claim has been approved, we will call to notify you and your employer.

We will also send you an approval letter confirming the decision and outlining the next steps and expectations for the ongoing management of your claim.You will be assigned a disability claims specialist who will call you on a regular basis to understand your medical status and ensure your recovery is progressing as expected. We may also ask that your doctor provide medical updates and we will work together to ensure you are receiving appropriate treatment. In some cases, we may ask you to have an independent medical examination to further clarify your medical situation. If this is required, we will arrange and pay for the examination.What happens if my group disability claim is not approved? What happens if my group disability claim is not approved? We will call to notify you and your employer. We will also send you a detailed letter clearly explaining why benefits cannot be paid and outlining the necessary steps to appeal our decision.

If you disagree with our decision and wish to appeal, you will have 90 days from the date of the decision letter to submit your written request. Your benefit is based on a percentage of your monthly earnings at the time you stopped working. It may be reduced by other sources of income as defined by your group policy.

For example, if you are receiving any disability benefits under the Workers’ Compensation Act or Canada/Quebec Pension Plan (CPP/QPP), these amounts may be subtracted from your disability payment.Will I receive a tax slip for group disability benefits I receive? Will I receive a tax slip for group disability benefits I receive? You will continue to receive payments as long as you:. Meet the definition of disability outlined in your group policy. Satisfy other contractual requirements outlined in your group policy, such as complying with appropriate treatment or participating in a vocational rehabilitation programPlease see your Employee Benefits Booklet or group policy for more information.Will income from other sources affect my group disability benefits? Will income from other sources affect my group disability benefits? While you can collect income from other sources—such as Workplace Safety and Insurance Board (WSIB) benefits or Canada Pension Plan (CPP)/Quebec Pension Plan (QPP) disability benefits—your group disability benefits will be reduced by these amounts as outlined in your policy.

Let us know as soon as you have been approved for any other benefits so that we can recalculate your benefits and avoid any overpayment.Do you share information about my group disability claim with my employer? Do you share information about my group disability claim with my employer?. Focus on your recovery and follow all treatment programs that your doctor recommends. Keep in touch with your disability claims specialist and let them know of any changes in your medical condition, how you are recovering, and if you are receiving income from other sources. Stay in touch with your employer.We will also talk to you about returning to work when the time is right, and may expect you to participate in a rehabilitation or return-to-work program.What happens if I am ready to return to work after a disability? What happens if I am ready to return to work after a disability? RBC Insurance will send you an application package for Canada Pension Plan (CPP)/Quebec Pension Plan (QPP) disability benefits.

Once you receive the application, call your disability claims specialist with any questions you have regarding completing the application and we will try to help with your questions. The complete application should be sent to.We will also include authorization forms that should be completed and returned to RBC Insurance that permit Service Canada to communicate with us concerning your application, and also, permit Service Canada to send us the first payment so that an overpayment does not occur on your RBC Insurance claim. The letter will identify where each form should be sent.Why should I apply for CPP/QPP disability benefits? Why should I apply for CPP/QPP disability benefits? It would be beneficial for you to apply for Canada Pension Plan (CPP)/Quebec Pension Plan (QPP) disability benefits as the period during which you receive benefits from CPP/QPP is included in CPP's/QPP’s contributory period when retirement benefits are calculated.

A period of disability not recognized by CPP could adversely affect your contributory period and the retirement benefit you may receive from CPP/QPP could be reduced.As per the terms of your contract, if you do not apply for CPP/QPP disability benefits, and pursue the relevant appeals if you are denied, RBC Insurance may deduct from your disability benefit an estimate of the amount that you would be entitled to receive as CPP/QPP disability income payments if you had successfully applied. Depending on the type of claim, you may be able to file online, from your smartphone, or have your service provider file electronically on your behalf. Sign in to our secure, select ‘Manage Now’ to enter your Online Health & Dental Claims Centre or use the and select ‘Submit a Claim’.

If additional information is required, you will be prompted. For additional assistance, please call our health and dental claims department at 1-855-264-2174.Can I claim drug, health and dental expenses under both my plan and my spouse/partner’s benefits plan? Can I claim drug, health and dental expenses under both my plan and my spouse/partner’s benefits plan? Yes, if you or your dependents are covered under more than one benefit plan (for example, your spouse's employee plan), you may be eligible to claim up to 100% of an eligible expense by coordinating your benefits under both plans.

To coordinate your benefits:. Submit your claim under your plan first, and send any remaining balance to your spouse’s or partner’s plan. Your spouse/partner’s claims should go to his or her plan first, with any remaining balance sent to your plan. Dependent children’s claims should first be submitted to the plan of the parent whose birthday falls earlier in the year (e.g. If your birthday falls in January and your spouse's birthday is in March, you should submit your child’s claims to your plan first and then submit any remaining balance to your spouse’s plan).

You will receive an Explanation of Benefits (EOB) statement from the first insurance company you file with showing how much of the claim has been covered. Submit the EOB statement, along with copies of your expense receipts, to the second insurance company in order to claim any remaining eligible balance.What is the deadline for submitting health and dental claims under my group benefits plan? What is the deadline for submitting health and dental claims under my group benefits plan? You can sign in to our secure, select ‘Manage Now’ to enter your Online Health & Dental Claims Centre and view the status of your claims. From the left-hand navigation, select ‘My Claims’, ‘View Statements’ to see if your claims have been processed and how much was reimbursed. If a claim form is submitted and you have subscribed to the Online Group Benefit Solutions service, you will receive an email notification once the claim has been adjudicated. You can also view your claim’s status through the by clicking ‘Claim History’ on the home screen.How do RBC Insurance health and dental audits affect my claim submissions?

How do RBC Insurance health and dental audits affect my claim submissions? Unless your benefit plan documents state otherwise, dependent children are covered to the end of the month in which their 21st birthday occurs, or the end of the month in which their 26th birthday occurs if they are a full-time student. For students, you must submit proof to your Plan Administrator on an annual basis that the dependent is enrolled full-time at an accredited college, university or educational institute.What medical expenses are covered under my Health Spending Account? What medical expenses are covered under my Health Spending Account? You can use your Health Spending Account (HSA) for eligible health-related expenses such as:. Deductibles or co-insurance payments for health and dental expenses. Health or dental expenses in excess of maximum coverage amounts.

A wide range of other health-related expenses that are not covered by your health and dental plan, but qualify as a medical expense under the Canadian Income Tax ActYou can find a full list of eligible expenses on.How do I know if a drug is covered under my group benefits policy? How do I know if a drug is covered under my group benefits policy? Sign in to our secure, select ‘Manage Now’ to enter your Online Health & Dental Claims Centre and from the home page, select ‘Is My Drug Covered?’ or use the on your smartphone, where you will find a lookup tool that allows you to verify whether or not a drug is covered under your benefits plan.To begin your lookup, enter the drug name or Drug Identification Number (DIN). Then select the plan member from the drop-down menu. If the drug is eligible as a benefit of the plan, you will see ‘covered’. If the drug is not covered by the plan, you will see ‘not covered.

If the drug requires authorization, a link to the form will appear. If the drug was substituted with a lower cost alternative, a special message will be displayed.

View the steps in our.Where can I find a local provider? Where can I find a local provider? To locate professional service providers, use the ‘Find a Health Provider’ lookup feature. Sign in to our secure, select ‘Manage Now’ and from the home page, select ‘Find a Provider’ or use the on your smartphone.All providers found are registered with RBC Insurance. Once you select a provider, confirmation will appear if the provider has the ability to bill RBC Insurance directly on your behalf and if the provider will direct bill. If your provider is not shown, additional information may be required at time of claim. Call our health and dental claims line at 1-855-264-2174 to confirm a provider’s eligibility prior to receiving services.How do I know if my dental, medical device or orthotics are covered?

How do I know if my dental, medical device or orthotics are covered? To verify if coverage for various medical expenses are available, use the ‘Benefit Eligibility’ feature. Sign in to our secure, select ‘Manage Now’ and from the left-hand navigation, select ‘My Benefits’, ‘Benefit Eligibility’ or use the on your smartphone.

You can also have your provider submit a pre-determination request before you have expensive medical or dental treatments or call our health and dental claims line at 1-855-264-2174 to verify your coverage eligibility.My medication was covered under my prior plan; am I still covered? My medication was covered under my prior plan; am I still covered? Prior to travelling, review your Employee Benefits Booklet to understand what your benefits cover.

Your ID card contains contact information you’ll need in the event of an emergency, so be sure to keep it with you while travelling. Also download the Path app for free from the. With this app, you can:. Search your location to find a medical facility for emergency assistance. Call or email Assured Assistance directly for emergency medical assistance. Access worldwide assistance numbers. Contact local emergency services.

Access up-to-date travel advisoriesNote: Before you seek medical treatment, it’s important that you call the number listed on your ID card as soon as possible. The call centre is available 24 hours a day, 365 days a year worldwide, and can help to ensure that you get the care you need without incurring unnecessary out-of-pocket costs. Call 1-855-603-5571 (in Canada or the U.S.) or 1-905-608-8251 (collect from anywhere in the world).Can I convert my group benefits to an individual policy if I leave my job? Can I convert my group benefits to an individual policy if I leave my job?

Diversity for growth and innovation is one of RBC’s core values. We embrace the power of a diverse workforce and provide an inclusive and collaborative workplace-one that unleashes the talents of all our employees. We believe diversity creates better value, delivers superior client experiences and develops innovative solutions for the markets and communities we serve.The following chart provides a snapshot of the representation of our diverse Canadian federally regulated population.

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