Have your insurance pay FinalMedic directly. Pick your insurer or use our universal intake form below.
How it works
One signed form. No more reimbursement chase.
An Assignment of Benefits (AOB) authorizes your insurer to pay FinalMedic directly for covered medical supplies. You sign it once — after that, you stop paying out of pocket and waiting weeks to be reimbursed.
Each insurer handles direct billing differently. Some have a dedicated AOB form, others embed it inside their claim form, and some only allow direct billing through provider portals. We make sense of it for you.
1
Find your insurer
Or use our universal intake form if you're not sure.
2
Fill and sign
Policy number, signature, date. Takes 2 minutes.
3
Send it back
Email a scan or drop the original in the mail. We handle the rest.
Great-West Life / London Life — routed via TELUS eClaims
Canada Life has no standalone medical AOB. Direct billing runs through TELUS eClaims — sign the TELUS form above. FinalMedic must be enrolled with TELUS.
Industrielle Alliance — call iA group line for case-by-case auth
iA does not provide a public AOB. Direct billing requires FinalMedic to be registered with TELUS eClaims for iA. Sign our universal intake form and we will coordinate.
Just send us your SAAQ claim number and adjuster name. We submit form 4079 30 (signed by your clinician) directly via SAAQclic-Partenaires. No patient signature needed beyond our intake.
Send us your CNESST claim number ("numéro de dossier") and assigned agent name. We bill directly via the authorized-supplier process. No patient signature needed beyond our intake.
Send us a photo of your VAC Health Identification Card and your date of birth. We bill Medavie Blue Cross directly via the VAC provider portal. No patient signature needed beyond our intake.
Form:POC 07 — Medical Supplies (administered by Medavie BC)
ADP has per-category application forms. Ostomy is a reimbursement grant; other categories are 75% vendor-billed. Contact us for the right form for your device category.
Open in browser — the Government of Alberta serves this as a dynamic Adobe form (cannot be downloaded as a static PDF). Fill and save from the official form viewer, then send us the signed copy.
No match. Use the Universal Intake Form above and we'll route your claim — or call us.
Assignment of Benefits
An Assignment of Benefits (AOB) is a short form you sign that authorizes your insurance provider to pay FinalMedic directly for covered medical supplies. Instead of paying upfront and waiting for reimbursement, you pay only the portion your plan doesn’t cover — if any.
This is a generic bilingual template. We also send you a pre-filled version once we verify your coverage, so you only have to sign.
What the Form Covers
Your name, date of birth, and contact information
Your insurer’s name, policy and group numbers
The cardholder name (if different from the patient)
Authorization for FinalMedic to submit claims and receive payment on your behalf
Your signature (and the cardholder’s, if different)
Frequently Asked Questions
Does every insurer accept an AOB?
Most major Canadian insurers do, but some employer plans require you to pay upfront and submit for reimbursement yourself. We’ll tell you which applies to your plan before you place the order.
Is signing an AOB binding forever?
No. The AOB covers the specific order or prescription period you agree to. You can revoke it in writing at any time for future orders.
What if my insurer denies the claim?
We’ll tell you why and, if we can, help you correct missing documentation. If the denial stands, you’re free to pay the balance yourself or cancel the order with no cost to you.
Can I use an AOB for provincial programs like ADP, AADL, NIHB?
These programs use their own authorization forms rather than a standard AOB. Our team handles that paperwork for you as part of the coverage verification.
How long until my order ships after I sign?
For pre-approved private insurance: typically one to three business days. For programs requiring pre-authorization, it can take longer — we’ll keep you updated.
Ready to Get Started?
Start with a free coverage check and we’ll handle the rest, or call 1-800-295-8579.
Don't see your insurer?
We'll track it down for you
Use our universal intake form — it captures everything any insurer needs. Or call us and our bilingual team will walk you through it.