All Pacific Blue Cross Plans contain an exclusion that prohibits us from paying claims that are related to any automobile injuries.
ICBC Accident benefits are available to most British Columbians who have suffered injuries in an automobile accident, regardless of who is at fault. Because these are excluded on your PBC plan, you must make a claim to ICBC to have your injury-related expenses paid with respect to extended health benefits and wage loss. We recommend that you engage legal advice to help you through the ICBC claims and settlement process.
We recognize that these claims can take a long time to settle. We do not want your recovery to be delayed because you are waiting for payment from ICBC.
Our solution has been to build a provision into all PBC plans that allows us to advance funds for claims that would have been eligible expenses if they were not part of an automobile accident.
Part of this contract provision to advance funds is the Reimbursement Agreement. In order for us to be permitted to advance funds for eligible expenses, we must have a completed and signed Reimbursement Agreement in place.
These advanced funds must be reimbursed to us for the full amount claimed, regardless of the amount and terms of any settlement received.
Claims arising from auto related injuries are excluded from your plan. If your ICBC case has been closed, and you are still experiencing symptoms of your related injuries, the related claims will not be eligible for reimbursement.
Please ensure that your settlement from ICBC includes consideration for future claims that may be related to your injuries.
Our Customer Service Representatives are available for your calls from Monday to Friday from 8:00 am to 4:30 pm. Alternately, you can drop by our customer service centre at 4250 Canada Way, Burnaby between the hours of 8:30am and 4:00pm, Monday through Friday. We are here to help.