Plan Administrator Portal FAQs

Saskatchewan Blue Cross is launching a new Plan Member Portal, mobile apps (Apple & Android), and an enhanced Plan Administrator Portal. This update features an intuitive user interface, streamlined navigation, and new functionality to improve the administration experience. This FAQ provides answers to common questions about the transition, new features, and how to navigate the updated portal.

When do the new portals launch?

• March 4, 2025: Plan Member Portal and Apps

• April 28, 2025: Plan Administrator Portal

Will all plan members receive a new Id card?

Yes, all Saskatchewan Blue Cross members will receive a new member ID Card to support the portal redesign. Plan members must show their new ID Cards at all provider locations starting March 4, 2025, to ensure smooth claims submission experiences. New physical ID cards will not be issued for the current Plan Member Portal and App for new plan members joining your benefits from Monday February 10, 2025. If you require an electronic card, contact your Group Benefits Service Representative. Please be sure to remind new employees they will receive a new card and new portal/app experience effective March 4, 2025.

What can members self-serve when using the portal or app?

This new experience allows plan members to stay in control of their benefits coverage anytime, anywhere. Following registration and log in, plan members can:

• Submit claims: Easily submit claims directly through the portal or app in a matter of minutes. Access your member ID card: View your member ID card anytime and add it to your digital wallet from the app for quick access when you need it most.

• Track your benefits usage: Keep an eye on your remaining benefits balances to better understand and make the most of your coverage.

• Toggle between benefits plans: Have more than one SK Blue Cross plan? You’ll be able to use one account to see all benefits plans for which you are the policyholder.

• Find a Direct Pay Provider near you: Use the built-in practitioner search feature to locate a Direct Pay Provider near you to have claims submitted on your behalf

• Access your plan coverage & more: Find detailed information about your plan coverage, view explanations of paid benefits, review pre-determinations, and much more.

How do plan members access their policy booklet?

Plan Members will have access to their updated policy booklets through their new Member Portal & App from March 4, 2025. These updates reflect the contract amendments we communicated to you in January 2025.

Plan Member Policy Booklets can be found linked from the main login page OR under “Other Documents”, depending upon your plan setup

Do members have to re-register for the member portal and app?

Yes, on March 4, 2025, plan members will need to re-register following the directions provided on the letter with their new ID Card. If they already use the mobile app, please delete the current app.

• NEW MEMBER PORTAL: Visit https://portal.sk.bluecross.ca/MemberPortal/and follow the prompts.

• MOBILE APP: Download the mobile app by searching “SK Blue Cross Member App” in your phone’s app store. The app is available in both the Apple App Store and Google Play store. You may also head to sk.bluecross.ca/app on your mobile device or scan the QR code found on the letter accompanying their new ID card.

Do Plan Administrators need to re-register for the portal?

No, current Plan Administrator access will migrate to your new site located at: https://portal.sk.bluecross.ca/GAP/, and you will receive notification when you can login. You will be prompted to reset your password upon the first login. Please ensure you update any bookmarks you may have saved in your browsers at this first login.

Are there changes to billing dates and cut-offs?

Yes, there are adjustments, and these can be found in the Invoice Calendar once you login to your Plan Administrator portal or view this helpful guide below.

Are invoices accessible in the Plan Administrator portal?

Plan Administrators will receive an email notification when new invoice(s) are posted. Invoices can be found under the Reports & Billings menu.

Invoices will be accessible under the "Invoices" tab starting with the May issuances. Invoices that were manually issued in March/April (ASO) and the combined April/May payable cycle will be available under Other Documents. Historic invoices can be requested by contacting your Group Service Representative.

Dual invoices will be produced where there is a combination of insured and ASO funding types on your plan. You may also see dual invoices for status/non-status plan members to support the inclusion of NIHB eligibility information on plan member ID cards.

Are there changes to reporting?

Yes, the re-designed Plan Administrator Portal boasts enhanced, real-time reporting. Each report has intuitive parameters giving you the flexibility in your report requests while providing a streamlined request process. Refer to your Plan Administrator User Guide or the guide below for information on the self-serve reporting available.

What historical reporting and claims information will be available in the new portals and apps?

• Plan Members: Recent claims history will be available in their new Portal and App experience. Please contact our Member Experience Centre at 1-800-667-6853 if additional support is needed.

• Reporting: Self-serve reporting will include:

  • All active plan members in force as of January 1, 2024

  • LTD claims history on active claims as of June 25, 2024

  • Life, WI, CI and AD&D claims active in 2025

  • Health & Dental claims history as of January 1, 2017

  • HSA & PWA claims history as of January 1, 2017

• Invoices: Please contact your Group Benefits Service representative for access to historic invoices.

How do I access older reporting I can't seem to select in the new system?

Please reach out to your Group Benefits Service Representative for any reporting requirements not available in the Plan Administrator Portal.

Can I still access custom reporting?

Please reach out to your Account Executive or Group Benefits Service Representative for any reporting requirements not available in the Plan Administrator Portal.

Within the user management feature, are changes for access in real-time?

These changes are made in near-real time, ensuring that access and permissions are swiftly updated.

Are member eligibility changes in real-time?

Yes, plan member eligibility changes made through your Plan Administrator Portal are processed in real-time.

Can you still schedule eligibility changes?

Yes, eligibility changes require an effective date of change. There are limits, for example you can backdate and reinstate to a maximum of 6 months. Please reach out to your Group Benefits Service Representative for added support.

Will all historical action log portal activity transition over?

No, the Action Log will capture all portal transactions from April 28, 2025 and on.

Will all group plan reporting be available in real-time?

The vast majority of reports will be available in real-time. Travel claims will not be available through the portal. WR67and LD31 reports update monthly.

Please reach out to your Account Executive or Group Benefits Service Representative for any reporting requirements not available in the Plan Administrator Portal.

Will I be able to see life & disability claims status in the Plan Admin portal?

No, this functionality isn’t available. We will keep you informed as future enhancements are made.

Is employee self-enrollment integrated into the new Plan Admin portal?

Group Electronic Onboarding continues to be available to new group clients. We will keep you informed as future enhancements are made to integrate it into your Plan Administration experience.

Can I use employee self-enrollment for ongoing new employees (beyond initial onboarding?)

No, this functionality isn’t available (yet!). We will keep you informed as future enhancements are made.

Are there any changes to invoice calculations?

Invoice calculations will be monthly, instead of daily

Are there any changes to the proration on HSA or PWA?

HSA and PWA will pro-rate on a monthly basis from April 2025 onwards.

How do members submit claims, and what should we expect in terms of processing time and visibility in their portal?

Claim submission varies depending on the benefit type and submission method. Many common benefits are now eligible for Real-Time Adjudication (RTA) when submitted through the member portal or mobile app, meaning members will see instant status updates on their claims. Claims submitted directly by providers (e.g., pharmacy, dental, physiotherapy) also show up immediately.

However, not all claims process instantly, especially those that involve manual entry, coordination with other plans, or special authorizations.

For a full breakdown of what your members will see and experience depending on the type of claim submitted, click the guide below.

Who do plan members contact for assistance?

We are committed to making this change seamless for your employees! Should they require any assistance during this transition, please have them contact our Member Experience Centre at 1- 800-667-6853.

Who do Plan Administrator contact for assistance?

We are committed to making this change seamless for you! Should you require any assistance during this transition, please contact your Group Benefits Service team at 1-306-667-5861.