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.
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 been involved in an accident and need to claim under the Accident Policy of your coverage, please email info@studentvip.ca
Find all the details for your Health & Dental Benefits listed in this document.
Find the details of your 365 day travel coverage here.
Students may opt-in eligible dependents, or opt-out online during the designated period. The opt-out and family opt-in is primarily an online only process.
However, if a manual form is needed for accommodation purposes you may contact Student VIP or your Students' Union Office to obtain the appropriate form, and take it to the SU-Desk for processing. Contact Us Here *Please note, you can only submit an opt-in or opt-out request during the period in which you begin your studies:
This form is used for students requesting special authorization for a specific drug to be covered under the plan. 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.
This form can be used for students with a documented allergy, or documented intolerance, to a non-active ingredient found in the generic(s) but not in the brand name drug variant.
Submit exception requests by sending as an "e-Claim" on the Blue Cross Member portal, or by mailing it to Medavie Blue Cross™ at 644 Main St., PO Box 220, Moncton, NB E1C 8L3 or by fax to 1-844-661-2640.
This form is used for students requesting proof of coverage for either a travel visa, applications for government programs or proof for other reasons. *Note that students traveling to Cuba do NOT require a travel letter, your provincial health coverage is sufficient for entering the country.