Apply for Health Insurance

Apply for Health Insurance

How to Apply:

  1. Download the insurance form above
  2. Print the form
  3. Complete the health questionnaire
  4. Attach a void check (or copy of a void check)
  5. If Applying for Assured Access, Medavie Blue Cross will require 12 months claims history from your existing group insurer or a signature on the application from your family physician.
  6. If applying for Medavie Blue Cross Non Medical Life Insurance, a cheque for the first month’s premium is required.
  7. If applying for Blue Cross Travel Insurance once quote sheet is received, we will tailor a quote and contact you with details ( Credit Card Information on this form is not mandatory to request a quote)
  8. Scan and email the form to
    OR Mail to: 18 Willow Lofts, Suite 201 Truro, Nova Scotia B2N 4Z4
    OR Fax: (902) 893-6126

MacLellan & Moffatt Health Insurance prides itself on their level of service. Don’t hesitate to contact us directly to help in the application process, or to get more information on our Blue Cross insurance products.