Documents to download

In order to meet cutomer needs effectively, MédicAssurance makes the following documents available for downloading.

MédicAssurance

icône pdf Claim Form
icône pdf Direct Deposit

Medavie Blue Cross

icône pdf Change of Beneficiary
icône pdf Dental Care Claim Form
icône pdf Direct Deposit
icône pdf Extended Health Care Benefits Claim Form

If you wish to use one of these forms, print it, fill it out and send it to us.

Montreal : by fax at 514 871-4943 or e-mail it to us at reclamations@medicassurance.ca or mail it to us at 2197, Sherbrooke Street East, Montreal (Quebec) H2K 1C8

Québec : by fax at 877 871-4943 or e-mail it to us at reclamations@medicassurance.ca or mail it to us at CP 47115 SCP Sheppard, Quebec (Quebec) G1S 4X1