Dental Insurance Claim Submissions
You can download the Claim Form in PDF format below, or visit the MSU Main Office, located in MUSC room 201, for a physical copy.
GROUP NUMBER: 515324
STUDENT ID #: _ _ _ _ _ _ _ _ _ M (Your student ID is 9-digits, the correct ID would look like 0 0 1 2 3 4 5 6 7 M)
How do I make a claim?
NOTE - The McMaster Students Union office does NOT adjudicate claims and all claim forms MUST be submitted to the Insurance provider. To make an online claim, your dental office will need the policy information in order to process your claim. If your dentist is not familiar with the procedure for processing a claim through Claimsecure, you may hand to your dentist a Claimsecure claim form (from the link above) and assign benefits to your dentist. This means that your dentist will submit the manual claim on your behalf and receive payment for services rendered. If you experience complications with the above procedures, you will be required to pay in full for services rendered and manually submit a claim. Complete all sections of the form that apply to your claim and once you sign it, attach the original receipts, and send it directly to Claimsecure. It will take approximately 4-6 weeks, depending on mail service, to receive your reimbursement.
Claimsecure mailing address:
PO BOX 6500
SUDBURY, ON P3A 5N5
Who is the Plan Administrator for the Dental Plan?
The Dental Plan consultants are ACL Student Benefits. They can be reached at 1-800-315-1108. You may also check out their website for more information about your MSU Dental Insurance Plan, along with downloadable forms and insurance booklets. www.wespeakstudent.com
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