Opencirclebenefits.ca

OpenCircle Benefits

WEBHave peace of mind. Under the Hour Bank Plan, companies can choose a flat Employee Life Insurance amount between $50,000 and $150,000. Office Supervisory Plan …

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URL: https://opencirclebenefits.ca/

OpenCircle Mental Health Kit

WEBThe OpenCircle Mental Health First Aid Kit provides tools, suggestions and prompts to assist with mental health challenges you or someone you know may be experiencing. …

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OpenCircle Benefits Claim Submission & Forms

WEBClaim Submission. To submit a health care or dental expense, you can: Use your pay-direct card at providers that direct bill Canada Life (card example shown below): Submit the …

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OpenCircle Benefits Plan Providers

WEBTo contact Teladoc Medical Experts, call toll-free 1.877.419.2378. Be sure to identify yourself as an OpenCircle Plan Member (plan number 158080). If your coverage under …

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How to use the Employee Assistance Program.

WEBThe EAP is free. The EAP is a service provided by your employer at no cost to you. That means that you pay nothing to use it. However, if you accept a referral to services

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Healthcare Expenses Statement

WEBHealthcare Expenses Statement. Healthcare Expenses Statement. INSTRUCTIONS. 1. Complete page 1 and 2 of this form in full. 2. Attach receipts for all services and retain …

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Prior Authorization Request Form: Chronic Idiopathic Urticaria

WEB2. Please have your physician submit the completed form to OpenCircle Benefits by email at [email protected] or by fax at 1 (780) 455- 6068. 3. If you or your physician …

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Employee Assistance Program.

WEBEmployee Assistance Program. Feel supported, connected and rewarded every single day with expert advice, recommendations and referrals from a conﬁdential Employee …

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GLP-1 MEDICATIONS Prior Authorization Request Form

WEBGLP-1 MEDICATIONS Prior Authorization Request Form Plan Member/Patient: Please complete pages 1 and 2 and have your physician complete pages 3 and 4.Completion of …

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Prior Authorization Request Form: High Cholesterol

WEB2. Please have your physician submit the completed form to OpenCircle Benefits by email at [email protected] or by fax at 1 (780) 455- 6068. 3. If you or your physician …

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Positive Airway Pressure Machine Assessment Form

WEBPositive Airway Pressure Machine Assessment Form. 1. Have your physician complete this form. 2. Attach the form and all receipts/estimate to your claim form. Retain copies of all …

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PART 1: INFORMATION TO BE COMPLETED BY THE PATIENT

WEBPatient_OpenCircle_EN.pdf. Plan Member/Patient: Please complete pages 1 and 2 and have your physician complete pages 3 and 4. Completion of this form is not a guarantee …

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