If you paid out-of-pocket for an item, service, or travel that is covered by Health Benefits, you can request reimbursement.
To be reimbursed, you must meet the criteria for the item, service, or travel you received. If your request is approved, you will be reimbursed up to the maximum your plan allows. For how check your coverage, see the related benefit on the Health Benefits Guide page.
Submit reimbursement requests for dental, vision care and medical supplies and equipment items and services to Pacific Blue Cross (PBC) within one year of the purchase date.
Use your PBC Member Profile to submit a claim for reimbursement online or through the PBC app. This is the fastest and easiest way to request reimbursement. Watch the PBC video to learn how to submit a claim online.
Alternatively, you can mail reimbursement requests to PBC using the completed PBC reimbursement form and including all original receipts. This option takes longer than going online or using the PBC app.
Pacific Blue CrossPO Box 7000Vancouver, BC V6B 4E1
Submit requests for reimbursement for medical transportation to your Patient Travel Clerk.
If you do not have a Patient Travel Clerk, please send your request for reimbursement to Health Benefits by mail or fax within one year from the date of purchase.
Send in a completed FNHA Client Reimbursement Request Form with all your original receipts. If your travel was not pre-approved, please also send a completed Medical Transportation Request form.
Call Health Benefits (1-855-550-5454) to find out where to submit your request.
If you filled a prescription at a pharmacy in another province or a territory outside of BC, you will need to fill out a Pharmacare First Nations Health Benefits Out-of-Province Claim. Mail or fax the completed form with all original receipts to BC PharmaCare.
PharmaCarePO Box 9655 Stn Prov GovtVictoria BC V8W 9P2Fax: 250 405-3587
If you are denied reimbursement for a Plan W item by Pharmacare, you may be reimbursed by Health Benefits. Call Health Benefits at 1-855-550-5454.
If you have coverage under another public or private health insurance plan, you should submit claims to that plan first and to Health Benefits second. One exception is the pharmacy benefit, where claims should be submitted to PharmaCare first.