CLAIMS

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Please call or email our Claims Department as soon as possible:

HealthSure Claims through MSH International:

healthsure@americas.msh-intl.com

1-866-416-2259

To expedite the process to determine claim eligibility, we would suggest that you request copies of the referral, supporting documents and medical notes from your medical practitioner. When information is requested by “us”, on your behalf, the average response time is 8 weeks which can cause a significant delay the claims process. When information is requested by the patient the normal turnaround time is typically much faster. 

Proof of referral for medical specialist, diagnostic or surgical procedure; 

• Proof that the scheduled appointment date for medical specialist, diagnostic or surgical procedure is greater than 45 days from the date that the referral was made. In the event that confirmation of a scheduled appointment date cannot be obtained, documentation from the medical specialist, diagnostic or surgical facility, who will be performing the service, will be required. This document needs to state that you are on a waiting list and unable to get an appointment within 45 days or state the earliest anticipated possible date that an appointment will be scheduled. If the insured is unable to obtain documentation of an appointment, when 45 days from the referral date has elapsed it is assumed that an appointment is unavailable. 
• Supporting documents and medical notes from referring medical physician and/or specialist; 
• If an Insured member does not have medical specialist, or facility for diagnostic or surgical procedure please contact MSH International for assistance. 

To obtain authorization please forward the all pertinent information to; 

MSH INTERNATIONAL

Pre-Certification Department 

Re: HealthSure Insurance Program

300, 999 – 8th Street S.W. 

Calgary, Alberta

T2R 1N7 

This Policy does not cover expenses directly or indirectly related to:the Cost of obtaining or copies of:

• Referral for medical specialist, diagnostic or surgical procedure; 
• Documentation of scheduled or anticipated appointment for medical specialist, diagnostic or surgical procedure; 
• Supporting documents; 
• Medical notes; 
• Clinical notes. 

Any fees incurred are the responsibility of the claimant. 

In the event an insured person obtains diagnostic, specialist, or surgical services without the prior authorization of the Insurer, such service is not eligible for reimbursement.