Resolving Claim Issues for Fair Coverage
Q: What should I do if my claim is denied under the 60+ Plan?
A: Claims under the 60+ Plan are not appealable, but you can contact Canada Life at 1-855-729-1839 to ask why the claim was denied and find out if any documentation is missing or incomplete. They can guide you on what may be needed for resubmission.
Tom’s friend, George, recently submitted a claim for paramedical services under the 60+ Plan, but to his surprise, it was denied. Feeling unsure about what to do next, George turned to Tom for advice.
Tom clarified that claims under the 60+ Plan are not appealable, but that didn’t mean George was out of options. He suggested that George contact Canada Life directly at 1-855-729-1839 to find out why the claim was denied. Often, claims are rejected due to missing documents, incomplete forms, or services that don’t meet coverage criteria.
George followed up with Canada Life, who explained that a required physician’s note had not been included. Once he submitted the missing documentation, the claim was reprocessed and approved.
For George, the reassurance came from knowing that a denial doesn’t always mean the end of the road—it’s often just a matter of clarification or follow-up. And for Tom, it was another example of how understanding the process empowers members to make full use of the benefits available to them.