If you qualify for the Treatment Benefits Program, you will receive a VAC healthcare card.
How to access your benefits
Take your prescription, if applicable, and your VAC healthcare card to your registered, VAC-approved provider.
Requirements
The provider may need to receive pre-authorization from us before they can provide the healthcare benefit or service.
Pre-Authorization
To find if pre-authorization is needed, see the section – Pre-authorization Required – in that benefit’s details found in the Benefit Grid. Your provider can contact us (or Medavie Blue Cross at 1-866-811-6060) for pre-authorization. Most healthcare benefits and services will only need pre-authorization once.
Please note: we may not be able to reimburse the cost of services you purchased prior to having pre-authorization.
Prescription
You may need a prescription from your treating healthcare provider to be reimbursed for some healthcare benefits and services. A prescription confirms you are under the care of a health care provider and details their recommended treatment for your health need. To learn who can provide a prescription, see the section – Prescriber Required – in that benefit’s details of the Benefit Grid.
Choosing a provider
Using a registered provider
Registered providers have met VAC criteria and registered with Medavie Blue Cross (MBC). A registered provider can bill us directly so you do not need to pay out of pocket. To find registered providers in your area, please contact us or sign in to your Medavie Blue Cross account.
Using a non-registered provider
If you choose to use a provider that is not registered with MBC, you will have to pay this provider for their services and seek reimbursement from VAC. Please note that to get reimbursed by VAC, non-registered providers who supply you with healthcare benefits or services must be:
- licensed or certified in their province or territory;
- or where no provincial or territorial criteria exists, they must meet requirements set by VAC.
To determine if your provider is registered, please contact MBC (medaviebc.ca or 1-888-261-0433).
Reimbursement
You or your provider need to request reimbursement within 18 months from the date the healthcare benefit or service was provided.
You can submit requests for reimbursement through your secure account at www.medavie.bluecross.ca/MyInfo or download the form and mail it to:
National Reimbursement Centre
PO Box 6700
Moncton, NB E1C 0T8
How to register as a provider
If you are a health professional and would like to become a registered provider, you can do so on the Medavie Blue Cross portal.
Related information
Information for healthcare providers
Medavie Blue Cross, on behalf of Veterans Affairs Canada, provides authorizations and claims processing services in support of the Treatment Benefits Program.
Coverage details
The Treatment Benefits Program provides coverage for a variety of healthcare benefits and services. Find the details on how that coverage is provided.
Health-related travel
Sometimes you need to travel for healthcare. If you are eligible for the Treatment Benefits Program you may qualify to have certain costs related to this travel covered. Some items require preauthorization.
Benefit grids
The Benefit Grids are comprehensive lists of the variety of healthcare benefits and services available, dollar and frequency limits and approval requirements within VAC's treatment benefits program.
Medavie Blue Cross
Through your secure Medavie Blue Cross account, you can find registered providers, view your claim status and healthcare benefits and services coverage details, request a replacement card, and more.