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Claims FAQs

Whether it’s a question about our claim process, when and how to submit a claim, or what to do with claim forms, you’ve come to the right place. Below, Claims at TuGo answers the most common questions we receive.

Have questions about your travel insurance policy? Visit our Travel Insurance FAQs page.

FAQs

General Claims

Do I have to pay for my expenses upfront if I need to make a claim?

If you’re claiming for medical expenses, medical providers always have the option to send the bill(s) directly to Claims at TuGo®, but they may have their own protocols that could require you to pay upfront. If that’s the case, be sure to keep all the itemized bills and receipts so that you can send them to us, along with your completed claim form.

For any other type of expenses that require immediate payment (such as hotels, flights, meals, taxis, etc.), you need to pay for these upfront and submit the itemized bills and receipts to Claims at TuGo.

Please keep in mind that if you need to reschedule or book a new flight, Claims at TuGo is not able to do so on your behalf. Airlines have privacy policies in place that require you to contact them directly to make the necessary flight arrangements.

Can I come in person to submit my claim?

Claims at TuGo’s offices are closed to the public. To start claim as quickly as possible, please submit a claim online with myTuGo. Detailed instructions on how to use myTuGo, along with tips to help process your claim quickly are available here.

How long will it take to process my claim?

Since every claim is different, we work with a number of different providers to resolve your claim. The more parties involved, the longer it could take. However, know that we’re committed to processing your claim as quickly as possible!

To help speed up the claim process:

  • Send your claim to your group benefits or extended health provider at the same time you submit your claim to TuGo, and be sure to let them know you have a policy with TuGo.
  • Make sure to obtain the complete medical records for the condition(s) claimed while you are travelling.


Once we review your completed claim form, we may ask you to obtain additional information and documentation from parties such as:

  • Your attending physician's reporting (the medical records incurred when the emergency happened)
  • Your family doctor (at home), to obtain your medical history for a certain period of time based on your stability period
  • Reports or invoices from other providers you visited related to your claim (i.e., chiropractors, dentists, etc.)
  • Records of your travel/transportation providers as needed
  • Your car insurance provider
How can I help speed up this process?

Great question! Here are some tips to help expedite the process:

  • We recommend submitting your signed claim forms online within 60 days from the day you were treated.
  • Make sure you provide all itemized bills and receipts including:
    • Your full name
    • Date(s) of service
    • Amount charged
    • Type of service/diagnosis
    • Complete medical records for the condition(s) claimed while travelling
    • Prescriptions with the itemized pharmacy-issued prescription receipt, not the till or credit card receipt
  • Make sure you’ve signed all required documents
Where can I find/download the claim forms?

Claim forms are available for download directly from myTuGo, where you can manage or extend your policy, manage your claim, upload claim forms, and keep track of your claim status from start to finish.

Why are there so many forms?

No one likes paperwork… but we need some important details in order to get your claim processed. There are a number of parties involved, and each one has its own requirements:

  • The policy Underwriter requires your completed claim form to confirm the claim has been submitted. The decision to pay or decline your claim will be based in part on this information.
  • Provincial Healthcare plans require certain forms to be completed and returned to them. Completing and returning these forms helps expedite the process.
  • Other Insurers (employment/retirement/other healthcare plans, credit card companies, etc.) require an Assignment of Payment. In order to speed up the claim process, we recommend sending your claim to your group benefits or extended health provider at the same time you submit your claim to TuGo, and be sure to let them know that you have a TuGo policy.
Do I need to fill out each form that’s sent to me?

Yes. Each form must be completed in full, regardless of the amount of your claim. Incomplete information may result in a delay.

Can I submit a copy, instead of an original bill?

Yes. Once you’ve completed and signed your forms, log into myTuGo, and upload your signed claim forms along with itemized bills, itemized receipts, and other required documents under the Claims section > Upload documents. Make sure to keep a copy for your own records.

Also be prepared to provide:

  • Provincial and extended health information
  • Credit card information for expenses paid by credit card
  • Airline documentation (for Trip Cancellation & Trip Interruption policies)

Note: we can’t start your claim without fully completed and signed claim forms, so it’s important that you upload these documents as soon as possible. If original receipts are required, we’ll let you know.

What if my bills are in a foreign language?

Don't worry; we’ll translate them for you! All you have to do is provide all the documents/receipts you have. However, if you wish to translate them before sending them in, feel free to do so.

What type of medical records/history are you looking for?

A medical history and/or detailed medical records for the condition(s) claimed may be required. If necessary, we’ll request that you obtain these records from your doctor(s), and/or all medical providers that you visited while travelling. These records include complete medical records from all medical providers that treated you for the condition(s) claimed, for all dates of treatment while travelling. This includes an ER report (if treated in a hospital), clinical notes (if seen in a clinic or doctor’s office), and all other records related to the condition(s). If admitted to the hospital, please provide complete medical records for the entire admission; this includes ER, admission, discharge and testing reports, and any follow-up consultations while travelling.

How long do I have to send in all my forms? What is the deadline?
  • While you have up to one year from the day of treatment/loss, we suggest that forms be submitted within 60 days. Provincial healthcare plans have tight deadlines for submitting claims. Since we coordinate with these plans on your behalf, if we don’t receive your forms within 60 days of the treatment/loss, your reimbursement could be impacted.
  • You have up to one year after the treatment/loss date to submit all your forms and other paperwork to us. After that, your claim is permanently closed.
What should I do if I receive a bill/statement after I've submitted my claim forms?

Many US medical providers send automatic statements every 30 days to you, without informing us. If you receive any additional bills/statements showing an outstanding balance, upload these additional bills to myTuGo, and we’ll help resolve this issue on your behalf.

Who signs the Medical Authority section, and why?
  • If you’re making the claim, you’ll need to sign this section.
  • For minors, the legal guardian must sign this section.
  • If you’re signing on behalf of the traveller, you'll need to include a copy of the Power of Attorney, to show you’re legally authorized to do so.
  • This Authority is needed to request your medical information in order to fairly and accurately evaluate your claim.
  • To coordinate with provincial healthcare plans, the Ministry also requires this Authority.
  • If this section isn’t signed, it will delay the processing of your claim.
Why do you need my employer/retirement/other insurance information?
  • In order to keep travel insurance premiums as low as possible, it’s necessary to share the cost of your claim with other insurers to which a premium has already been paid.
  • Employers often provide extended health benefits to employees and these benefits often continue into retirement. Since travel insurance supplements your other insurance coverages, you’ll need to share this information with us to process your claim.
  • If you (or your spouse) don’t have extended healthcare, or benefits available through another travel insurance plan, travel supplier or credit card, you must sign to acknowledge this.
Who needs to complete the Assignment of Payment section?

You’ll need to complete it, if you have other insurance through a group benefits plan, credit card, etc. However, if your spouse is the primary policyholder, he/she will need to sign it.

Do I need to complete the Out-of-Country Claim Form for the Medical Services Plan (MSP) of BC?

If you’re a BC resident, and were hospitalized overnight outside the province, MSP requires this additional form. You’ll only need to complete Section A, and we’ll complete the rest for you.

My claim was denied, what can I do?

You have the right to dispute you claim denial. For more information on the Complaint process, click here.

Still have questions? Feel free to contact us!