Frequently asked questions

Pharmacare

Information provided here is effective May 1, 2025 based on available information from Manitoba Health.  For current information about Manitoba’s Pharmacare program or if you have additional questions about Pharmacare, visit the Government of Manitoba’s website. (If you do not reside in Manitoba, please visit your provincial health department’s website.)


If you have additional questions about Pharmacare related to your Manitoba Blue Cross plan, please contact our office.

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General Claim Information
Claim History
How do I resolve an Audited claim?

To resolve an Audited claim, use Claim Search to find your claim and submit your receipt(s).

Important: If you prefer to mail your receipt(s), you must include the Reference Number of your audit, which you will find under Claim Details.

General Claim Information
What will happen if I do not resolve an Audited claim?

If you do not submit receipts for an Audited claim, we will be unable to process that claim or any future online claims.

General Claim Information
What is a Queued claim?

Queued means your claim is being held for processing. This has happened because you have a claim in Audit status. When a claim is selected for audit, the system places a temporary hold on all subsequent claims. Once Manitoba Blue Cross receives the requested receipt(s) for your Audited claim, all Queued claims will be released for processing.

General Claim Information
What is insurance fraud or insurance abuse and how does it affect me?

Visit our Insurance Fraud and Abuse page for detailed information regarding insurance fraud and insurance abuse.