Plan Administrators
Solutions to help you invest in your plan members.
Our Value to You
Flexible Plan Design
Flexible Plan Design
LEARN MOREUnique Cost-Containment Solutions
Unique Cost-Containment Solutions
Personalized Member Experience
Personalized Member Experience
Innovative Technology
Innovative Technology
Falcon - Our comprehensive claims adjudication system
Extensive Analytics Capabilities
Additional ClaimSecure™ Offerings
Additional ClaimSecure™ Offerings
White label custom branding available to clients
Freedom to Choose™ health and dental insurance from Canada Life. Learn More
Cost Management Solutions
Rely on our expertise in designing clinical programs and preferred pharmacy networks to provide innovative cost management solutions.
Protects the plan against the financial impact of high-cost Specialty Drugs and includes coverage navigation services to help find alternative funding for high-cost Specialty Drugs.
Risk management program that optimizes the use of benefit dollars for Specialty Drugs.
National prescription drug savings program through our exclusive retail and online pharmacy network offering un-matched savings and convenience.
Drug savings program for maintenance medications through our exclusive online pharmacy partner network.
Clinical Support Services
Clinical expertise and guidance to offer plan members and their dependants with appropriate drug management solutions
ClaimSecure offers a complete suite of drug plan designs, including traditional prescription drug plans, prescribed plans, and government formulary plans. In addition, we offer custom-managed formularies to meet our clients’ specific requirements. All new drugs are evaluated monthly, based on their indicated use, efficacy, safety, cost and value to our clients.
Certain drugs can only be reimbursed through a clinical review process called Special Authorization. These drugs are typically high in cost or have the potential for inappropriate use. To get coverage for these drugs, members must meet the pre-established clinical criteria set out in the ClaimSecure™ Special Authorization Drug and Approval Guidelines.
Plan Management Solutions
When precision and the personal touch matter, we bring our experience in plan administration, claims management, and business processes to deliver the right solutions for you.
National coverage, with fast and reliable adjudication processing for eligible health and dental claims.
- Drug
- Health
- Dental
- Healthcare Spending Account
- Wellness Spending Account
- Cost Plus
A dedicated team with a collaborative approach to plan design and claims management, ensuring comprehensive and cost-effective solutions.
- Client Day-to-Day Account Management
- Flexible Plan Designs
- Online Enrolment and Eligibility Management
- Online Reporting and Dashboards
- Invoicing and Remittance
Product flexibility addresses each client’s need with financial security in the event of catastrophic claims.
- Out of Country Travel Insurance
- Stop Loss Pooling
- Special Investigations Unit and Fraud Management
Delivering the best plan member experience using a technology driven and mobile first approach that makes managing health easy.
- Intuitive Member eProfileTM Mobile App
- Electronic eCard
- Extended Member Call Centre Hours
- Online Plan Coverage
- eClaims & PhotoClaims
