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International Group Policy #99095
Forms and Documents

 

Please find below some useful forms & documents related to your Health Plan.

 
  • POLICY
    •
  • BROCHURES
    •
  • FORMS
    •

View your Health Plan Policy here

Choose one of the brochures below

English |  Arabic  |  Japanese  |  Korean  
 

Click here to see the Top 5 Things you Should Know  
Claim Form

If you have paid up front for medical services, you will need to submit a claim form for review for reimbursement. Please click here to access a claim form. 

Direct Deposit Form

Use this form to have your eligible claim payments deposited into your bank account. You must have a Canadian bank account in order to complete this form. 

Pre-Determination Authorization Form

This form can be completed to confirm eligibility of a claim prior to a student seeking the service. This form can be completed and sent into studentvip@medavie.bluecross.ca. The claims team will review and respond to the student with approval or denial within 48-72 business hours. 


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