Benefit & Claims Forms

Extended Health Care

You can now submit Extended Health Care claims online through myarta.net >  My ARTA Claims. If you submit online, you DO NOT need to complete a hard copy form.

If you would prefer to submit a hard copy 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 address listed on the form.

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 will not be paid.

To Make a Claim:

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.

You can now submit travel insurance claims via Allianz Global Assistance’s new, user-friendly, mobile-responsive online claims submission portal. The portal provides a smoother, more efficient claims process, while keeping you informed at each stage along the way.

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.
To Make a Claim:

Trip Cancellation / Interruption 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.

You can now submit travel insurance claims via Allianz Global Assistance’s new, user-friendly, mobile-responsive online claims submission portal. The portal provides a smoother, more efficient claims process, while keeping you informed at each stage along the way.

To Make a Claim:

Other Travel Forms

Currently, these forms must be submitted to the ARTA Head Office for consideration. Online submission is not possible.
To Make a Claim:

Dental Care

You can now submit Dental Care claims online by clicking the MyARTA Claims button in the main menu of the MyARTA webpage. If you submit online, you DO NOT need to complete a hard copy form.

If you would prefer to submit a hard copy claim for expenses covered under your Dental Care option, you and your dentist must complete the required form below. You must then return it to the address on the claims form.

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:

Maximum Acquisition Cost (MAC) policy

The Maximum Acquisition Cost, or MAC pricing, policy (previously called the Therapeutic Alternative Reference Pricing (TARP) policy) encourages cost-effective prescribing for common medical conditions. MAC drugs that are grouped together have similar active ingredients, are used to treat the same medical condition, and are proven to be equally safe and effective. All drugs in a particular MAC group will continue to be covered by the ARTA Retiree Benefits Plan. The extent to which they are covered, however, is limited to the reference product in that specific therapeutic class. If you are unable to take the reference product consideration for coverage of an alternate drug may be given via pricing authorization. To apply for pricing authorization, please complete the appropriate form below with your physician.
To Make a Claim:

For More Information…

visit ARTAbenefits.net

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