For instructions on how to Make a Claim, please go HERE.


Health Claim Form  ENGLISH
Use this form to claim for Drug, Extended Heath & Vision claims.

Dental Claim Form  ENGLISH
Take this form to your dentist for completion before submission.  Note that we recommend students show their dentist their Health Benefits Card and have the dental office submit their claim electronically.

Direct Deposit Form 
Use this form to set up direct deposit and receive your drug, extended health, and vision claim reimbursements faster. Please mail your completed form to one of the addresses listed on the form.

Travel Claim Form 
If you have returned home from your trip and need to make a claim, please click here for more information.

Accident Claim Form
If you have been involved in an accident and need to claim under the Accident Policy of your coverage, please email info@studentvip.ca.

Health & Dental Benefits Brochure  2025-2026 |  2024-2025
Find all the details for your Health & Dental Benefits listed in this document.

Travel Brochure
Find the details of your 365-day travel coverage here.

Full benefit details can be found on the Alberta Blue Cross® Member Website.

Please visit the Frequently Asked Questions section to learn more about the opt-in/out processes.

Manual opt-in/out forms can be found below:
Family Opt-In 
Opt-Out

Special Authorization Request Form
This form is used for students requesting special authorization for a specific drug to be covered under their benefits. *Note that submission of this form does not guarantee your request will be granted.

Submit exception requests by mailing it to Alberta Blue Cross® at:

10009 108 Street NW
Edmonton, AB
T5J 3C5

or by fax to 1-877-828-4106.

Outbound Travel (Proof of Travel Coverage Leaving Canada)
If you require a Proof of Coverage letter for outbound travel for either a travel visa, applications for government programs or proof for other reasons, please email info@studentvip.ca to request this.