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Pre-Departure Medical Services

For Interim Federal Health Program (IFHP) Pre-Departure Medical Services (PDMS) Providers

New Secure Email Address for Providers Outside of Canada
Important note: users contacting us by email from outside of Canada must use [email protected]

Welcome!

As the Interim Federal Health Program claims administrator, Medavie Blue Cross administers claims submitted by health care providers and institutions that render necessary services to clients eligible for Pre-Departure Medical Services.

For Panel Physicians, Panel Radiologists and Secondary providers not affiliated with the International Organization for Migration (IOM):

Welcome package (PDF, 119 KB)


For Panel Physicians and Panel Radiologists who are affiliated with the International Organization for Migration (IOM):

Welcome package—IOM (PDF, 70 KB)

Medical Services Form (PDF, 43 KB)
Use this claim form for individual claim submissions.

Invoice Summary Form (PDF, 2 MB)
For use by IOM only. To be able to complete this PDF form, you must first download it to your computer.

Prior Approval - Medical Support In Transit (PDF, 178 KB)
Use this claim form for requesting approval as directed in the benefit grid.

Prior Approval Form - Outbreak Management (PDF, 184 KB)
Use this claim form for requesting approval as directed in the benefit grid.

Vaccination Manual (PDF, 1.48 MB)
This manual includes essential information for the International Organization for Migration to provide vaccination services to beneficiaries of the Interim Federal Health Program.

Immunization Consent Form (PDF, 376 KB)
For use by the IOM health care providers only. The form must be signed by all IFHP clients receiving vaccinations before their first immunization appointment.

Immunization Documentation Form (PDF, 320 KB)
For use by IOM health care providers only.

2022
Benefit Grid (PDF, 244 KB)
Reference this for the rules and/or criteria for billing the PDMS program.


2020
Benefit Grid (PDF, 147 KB)
Reference this for the rules and/or criteria for billing the PDMS program.


2019
Benefit Grid (PDF, 119 KB)
Reference this for the rules and/or criteria for billing the PDMS program.


2018
Benefit Grid (PDF, 411 KB)
Reference this for the rules and/or criteria for billing the PDMS program.


2017
Benefit Grid (PDF, 383 KB)
Reference this for the rules and/or criteria for billing the PDMS program.

Contact Us

Use this form to submit inquiries to Medavie Blue Cross on behalf of your clients.

Fill out my online form.