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Important notice

Interruption of online services

We will be carrying a maintenance of our online services from 22:00 p.m. on April 4 to 8:00 a.m. on April 5. Our online services will be unavailable, including the following: registration for and deregistration from the prescription drug insurance, replacement of a Health Insurance Card, organ donation, and advance medical directives. Thank you for your understanding.

  • 1 A quel nom
  • 2 Your identity
  • 3 Your contact information
  • 4 information on the services received
  • 5 Description of the services to be reimbursed
  • 6 Page des pièces jointes
  • 7 Next
  • 8 Fin
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Request a reimbursement for covered services

Unless otherwise indicated, answer all the questions.
In what capacity are you filing the application?

In what capacity are you filing the application?