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".
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. Full benefit details can be found on the Medavie Blue Cross Portal.
Students are encouraged to use the online platform to submit any opt-in/out requests to their benefits during the term in which they begin their studies.
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: Opt-In Opt-Out
Submit exception requests by sending as an "e-Claim" on the Medavie Blue Cross Portal, or by mailing it to Medavie Blue Cross at: Medavie Blue Cross 644 Main St. PO Box 220 Moncton, NB E1C 8L3
or by fax to 1-844-661-2640.