|
Rates and Applications for Medi-Select Advantage by E.T.F.S.
All of the following forms are in printable PDF format. Please print the applicable forms, complete them, and either fax them or mail them to us at the following coordinates:
Total Health Insurance Services
2802 Sandringham Crescent
Regina SK
S4V 3C9
Phone: 306-546-3470
Fax: 306-546-3472
Cell: 306-591-3733
Toll-Free: 1.877.493.7143
All cheques can be made payable to "Total Health Insurance Services"
Information for Canadians, age 54 and under:
   
Canadians aged 54 and under: Simply fill out the application form and mail or fax it to us. You will be covered for any pre-existing conditions that have been stable for 180 days (90 days for high blood pressure, 365 days for heart conditions). You may also call us for more information or to apply by phone.
Information for Canadians, age 55 and over:
   
Canadians, age 55 and over: Begin by filling out the Medical Questionnaire. It will determine which rate category you fall under. If you answer Yes to any question in Part A or B, please contact us to determine the next steps you can take. You may need to use the following form: Medical Underwriting
If you would like to walk through this process with a sales associate over the phone, please call us at 1.800.360.3234. Our hours are Mon-Fri 8am-9pm and Sat 9am-5pm, Eastern Standard Time (Ontario & Québec time).
|