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Important notice

Class action against tobacco companies

If you need the Health Insurance Number of a tobacco victim, you must file a request for access to information for a deceased person. Find out more

Application for Reimbursement – Healthcare received outside Québec

Form
Updated on

 17 October 2024

This form is used to obtain a reimbursement of costs incurred for covered services outside Québec, but only if you don’t have private insurance.

To find out more about procedure and processing time, refer to the page Request a reimbursement for covered services.

Form 1896

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In order to offer you certain services, we need to collect, use, and sometimes disclose your personal information. To find out more about our privacy practices on our website, please refer to our Privacy policy webpage.