Travel Insurance - Medipac Travel Insurance

Online Forms

Important Dates

Required Proof

Travel Insurance Tips:

More Tips...

Need Help?
Call
1-888-939-0001

Email
rcl@medipac.com

Mail
180 Lesmill Rd.
Toronto, Ontario
M3B 2T5

Fax
416-441-7030

Medipac Travel Insurance Claim Forms

British Columbia:

Medipac Claims Form A - To be completed by insured ONLY.
Medipac Claims Form B - Use this form when another person is acting on behalf of the insured.
Medipac Expense Sheet
Return to Canada Benefit Affidavit & Declaration (if purchased) - Use this form if you returned to Canada due to the death of an immediate family member.
Schedule A
Schedule B
BC Provincial Claim Form

Quebec:

Medipac Claims Form A - To be completed by insured ONLY.
Medipac Claims Form B - Use this form when another person is acting on behalf of the insured.
Medipac Expense Sheet
Return to Canada Benefit Affidavit & Declaration (if purchased) - Use this form if you returned to Canada due to the death of an immediate family member.
Medipac Power of Attorney
Quebec Claims Form

Ontario and all other provinces:

Medipac Claims Form A - To be completed by insured ONLY.
Medipac Claims Form B - Use this form when another person is acting on behalf of the insured.
Medipac Expense Sheet
Return to Canada Benefit Affidavit & Declaration (if purchased) - Use this form if you returned to Canada due to the death of an immediate family member.

If you need help with any online claim form, call Medipac Claims at:
1-888-311-4761

If you require emergency assistance, call Medipac Assist at: 1-800-813-9374

2008 Medipac Travel Emergency Medical Insurance Policy Text

Table of Contents:

Download Policy Text...