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Forms and Documents


Please find important and helpful forms for the VIP International Short Term Health Plan. 



  • POLICY
  • BROCHURES
  • FORMS

Choose one of the brochures below

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Claim Form

If you have paid up front for medical services, you will need to submit a claim 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.


Opt-In Forms

Click here to access a Short Term Coverage application 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 in to 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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