Private Health Services Plan Client Forms
To enrol in the Private Health Services Plan (PHSP) with Cost Efficient Benefit Plan, fill out and submit the enrolment form.
Use this form to enrol in the Private Health Services Plan (PHSP). The included Terms form explains the agreement between your company and Cost Efficient Benefit Plan.
The enrolment fee of $100 plus GST/HST can be paid over the telephone (VISA or MasterCard only).
Once we have received your enrolment form and the enrolment fee you may proceed to submit your claim.
If your company has already been enrolled, please use the above form to enrol employees.
Covid Testing Eligibility Update
As of January 18, 2022, CRA states, “Laboratory procedures or services including necessary interpretations – prescription needed. COVID-19 tests, such as those for travel, would still need a prescription, even if they are mandatory.”
To submit a claim, fill out the remittance form with the description of the expenses incurred. To expedite your form, please attach your scanned documents. To attach additional documentation, use the link below. Once we have received the claim and reviewed the receipts, we will contact you via e-mail with any questions or to confirm the amount owing, along with instructions on how to pay. Please feel free to contact us if you have any questions about the process, or to obtain your account number for online banking. We will process your claim quickly.
Should you wish to submit a claim by printing and mailing it to us, the remittance form can be downloaded here.
Simplify Your Claims
Submit Your Claims Electronically
Submit your claims conveniently by choosing the ‘Remittance Form’ option. Just answer a few questions regarding your claim, attach an electronic copy* of your receipts and submit.
Enjoy the convenience of electronic claim submission and avoid the burden of filling out paper claim forms and mailing in your claims.
This means Cost Efficient Benefit Plan receives your claims sooner so you can get your money faster!
* Scanned images of receipts must be clear, and legible. Files may contain multiple pages. Acceptable file types are gif, jpg, png, pdf, and tif.* Be sure any transaction slip (debit/credit card receipt) does not cover pertinent information (e.g. name, date of service, etc.) on your provider receipt when scanned.
* CEBP has the right to ask for original receipts at any time, so please retain your original receipts.
Pay Your Claim Online
Your claim may be paid online at most major financial institutions. Look for Cost Efficient Benefit Plan on your financial institution’s list of payees. Contact us to obtain your account number for online banking.
Fast Electronic Reimbursement
Direct Deposit is recommended to reimburse you without waiting on the mail. Please provide a void cheque with your banking information and we will set up direct deposit on your file.
Your funds will be deposited directly into your bank and a statement emailed to you, conserving time, paper, and postage.
Use the above link to upload a void personal cheque or direct deposit form, for you to be set up for direct deposit refunds.
We retain all receipts submitted to Cost Efficient Benefit Plan for seven years, then shred them.