A client with an excluded medical condition may be eligible for the medical questionnaire.

Following the health declaration step, the sales portal will indicate the medical conditions for which a medical questionnaire can be offered. Note that the medical questionnaire is not mandatory and that your client can refuse to have it completed by their doctor. If so, the medical condition will remain excluded.

The questionnaire can only be offered when indicated on the sales portal.
The medical questionnaire must be completed by the client’s attending physician.
Professional fees are the client’s responsibility.
No additional costs and no premium to be paid.
Certain medical conditions could be covered following the medical questionnaire assessment.

Clients eligible for the medical questionnaire

Applicable to Emergency Medical Care in the following plans.

Plan	Age	Duration
Individual Package Plans Top-up	55 to 59	18 days and over
Individual Package Plans Top-up	60 and over	All durations
Annual	55 to 59	31, 60, 90, 120, 150, 180 days
Annual	60 and over	4, 8, 17, 31, 60, 90, 120, 150, 180 days

Questionnaire already on file

To check if a medical questionnaire is already in a client’s file, simply enter your client’s postal code.

Important information on the purchase confirmation

If a medical questionnaire has already been issued, you must provide the MQ number indicated in the purchase confirmation to your client.
Your client must write this number on their questionnaire before returning it to us.

Document delivery

If your client chooses to complete the medical questionnaire, it will automatically be included in the documents emailed to your client.
More specifically, your client will receive an email containing instructions for retrieving their documents, including their medical questionnaire.

Where to return the completed questionnaire?

By fax:
1-800-701-1977

Online:
canassistance.com/en/policyholder/depot

By mail:

CanAssistance, Medical Questionnaire
1981 McGill College Avenue, Suite 400 Montreal (Quebec) H3A 2W9

Accepted or refused questionnaire

Accepted questionnaire	Refused questionnaire
Assessed medical conditions that will be accepted by our medical team will be covered. The letter of acceptance will be valid for a period of 12 consecutive months, provided that the health of the client remains unchanged during this period.	Your client will still be able to purchase a travel insurance contract, but the medical conditions under assessment will not be covered. Your client will be covered for any other condition deemed stable and covered under their contract that arises during the trip.