Reimbursement for covered services You can request the reimbursement of the cost of health services covered by the Health Insurance Plan. The procedure depends on the type of service you have received. Eligible persons To qualify for a reimbursement, you must have been eligible for health insurance on the date when you received the services being claimed. This form is intended for you if you are in one of these situations: You paid for covered services, that is, services that should not have been billed to you.You paid for covered services because you were unable to present a valid Health Insurance Card.You paid for covered services received outside Québec. To find out which services may or may not be billed to you, refer to the following pages: Obtain information on covered servicesProfessionals offering covered servicesKnow which services are covered outside Québec Is your Health Insurance Card valid? To apply for a reimbursement, you must have a valid Health Insurance Card. You must renew your card if it is expired, or replace it if it is damaged, lost or stolen. Request a reimbursement Examples of reimbursable fees You consulted a physician in a CLSC, and they billed you for opening your file and writing a prescription.Your child under the age of 10 visited the dentist and they billed you the cost of a radiography and a filling.You received and paid for covered health care while your Health Insurance Card was expired.You broke your arm during a trip abroad and had to pay for your care.You are pregnant and had to pay for a follow-up during your waiting period. These fees are related to covered services. Therefore, you may apply for a reimbursement. Application for review You can apply for a review of a RAMQ decision. To find out more, refer to the page Request a review of a decision. See also Obtain information on covered servicesProfessionals offering covered servicesKnow which services are covered outside QuébecKnow the eligibility conditions for health insurance
