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Claim Forms

ARTA works with health service providers across Canada to reduce the time you spend processing claims—the covered amount can often be deducted right at the cash register!

If not, you can easily make a claim for each type of coverage you have:

Extended Health Care

To make a claim for expenses covered under your Extended Health Care option (excluding expenses for Emergency Medical Travel), complete the required form and return it, along with original receipts, to the ARTA Retiree Benefits Plan administrator: Alberta School Employee Benefit Plan (ASEBP).

Note that a claim must be received before the end of the calendar year following the year during which you incurred the expense. Otherwise, it may not be paid.

About Prescription Drugs

Under the ARTA Retiree Benefits Plan, you get a pay-direct card to purchase your prescription drugs. This means the covered amount is deducted right at the point of sale and you only have to pay your portion of the cost upfront.

If you don’t use your pay-direct drug card at the time of purchase, you can make a claim using the required form.

To make a claim, download the…

Emergency Travel

To make a claim for emergency medical expenses incurred while travelling out-of-province or out-of-country, complete the required form and return it, along with original receipts, to Allianz Global Assistance.

Note that Emergency Travel coverage is only included in the Total Health and Ultimate Health options for Extended Health Care coverage. If you chose Health Wise or Health Wise Plus, you are not covered for Emergency Travel.

other travel forms:

Dental Care

To make a claim for expenses covered under your Dental Care option, you and your dentist must complete the required form. You must then return it to the ARTA Retiree Benefits Plan administrator: Alberta School Employee Benefit Plan (ASEBP).

Note that a claim must be received before the end of the calendar year following the year during which you incurred the expense. Otherwise, it may not be paid.

To make a claim, download the…

Trip Interruption/Cancellation Insurance

To make a claim for expenses covered under Total Health or Ultimate Health Trip Interruption / Cancellation Insurance, complete the required form and return it, along with original receipts, to Allianz Global Assistance.

To make a claim, download the…

NEW Enhanced Special Authorization

On January 1, 2017, the ARTA Retiree Benefits Plan implemented a change to the benefit plan that impacts the way we manage drug special authorization requests for members being treated for chronic hepatitis C, Crohn’s disease and colitis, multiple sclerosis, psoriasis and rheumatoid arthritis.

To make a request, download the…

Benefits Forms

ARTA Forms