For instructions on how to Make a Claim, please go HERE.
Use this form to claim for Drug, Extended Heath & Vision claims.
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, or request a "Standard Dental Claim Form" in lieu of using this form.
Use this form to set up direct deposit and receive your drug, extended health, and vision claim reimbursements faster. Please email your completed form to brockgsa@medavie.bluecross.ca or mail it in to one of the addresses listed on the form.
Find all the details for your Health & Dental Benefits listed in this document.
This form is used for students requesting special authorization for a specific drug to be covered under the health and dental benefits. For students requesting a CNS Cap Removal, or Monitored Medication Request, please contact Student VIP directly. Note that submission of this form does not guarantee your request will be granted.
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.