If you have been denied coverage for an item, service, or travel, you have the right to appeal the decision. You can submit an appeal up to 12 months from the date that your benefit was denied. Appeals can be submitted by the client, their parent or guardian, or a representative.
Call Health Benefits at 1-855-550-5454 to learn more about the appeals process.
Once you have spoken to Health Benefits and are ready to appeal a decision, write a formal letter that describes the situation in detail, including the following information:
Your appeal also needs to include relevant documentation, such as:
Once you are ready, please mail your appeal to:
FNHA Health Benefits Program#540 – 757 West Hastings StreetVancouver, BC V6C 1A1
To appeal orthodontic coverage, please include the following information with your formal letter. You can get this information from your dentist or orthodontist.
- cephalometric radiographs with associated scale for calibration- frontal and profile photographs- intra-oral photographs depicting the right, left, and anterior occlusal relationships- panoramic radiographs
- cephalometric radiographs with associated scale for calibration
- frontal and profile photographs
- intra-oral photographs depicting the right, left, and anterior occlusal relationships
- panoramic radiographs
Please mail orthodontic appeals to:
Pacific Blue CrossPO Box 7000Vancouver, BC V6B 4E1
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Mailing AddressPacific Blue CrossPO Box 7000Vancouver, BC V6B 4E1