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 Plan Card and have the dental office submit their claim electronically, or request a "Standard Dental Claim Form" in lieu of using this 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.
Claim forms change depending on your province of residence. For medical claims abroad (doctor visits, hospital visits, x-rays, lab work, etc.) please complete a Travel Claim Form Request and the proper claim form will be emailed to you. For trip cancellation or interruption please complete this form. The attending physician form found here must also be completed if your trip cancellation or interruption is due to medical reasons. For baggage claims, please complete this form.
If you have paid up front for medical services, you will need to submit a claim for review for reimbursement.
Full benefit details can be found on the Blue Cross Portal
Top 5 things you should know about your plan.
Know the difference between your DSU Health Plan and DSU International Student Health (Medical) Plan.
Use this form if you are a student who has been charged the Fees on your tuition and wish to opt-in family members, or if you are a student who has not been charged the fee on their tuition, and wish to enrol yourself and/or family members. Note you may do this ONLINE as well. Note: opt-ins can only be submitted during the enrollment period in which your studies first begin each policy year. More information about enrollment can be found on the Frequently Asked Questions page.
Click here to access an MSI Opt-Out form. Clike here to access a Private Insurance Opt-Out form. Private opt-outs are only eligible during the appropriate opt-out period. Click here to access an Exchange Student Opt-Out form. Students at Dalhousie on Exchange should reach out to the Health Plan Office within their first week of arrival to opt-out from their health plan.