Prescription Drug, Extended Health Care (EHC), or Vision Claim:

To submit a claim manually for an expense for Prescription Drugs, Extended Health (i.e. practitioner appointment, medical equipment & supplies, orthotics, etc.), or Vision you can follow this process:

1. Download and complete the Health Claim Form
2. Attach copies of your receipts
3. Submit your claim to Alberta Blue Cross® via mail at:

Alberta Blue Cross^®
Health Services
10009 108 Street NW
Edmonton, AB
T5J 3C5

Mailed claims can take up to 10 business days to process due to mail time.

Dental Claims:

To submit a dental claim manually, please follow one of the processes below:
 

Using Standard Dental Claim Form from Dental Office:

1. Complete Part 1 if not already completed by your dental office
      Do not sign the assignment of benefits section or the claim will not be processed correctly.
2. Complete Part 2 - Employee/Plan Member Section
      Group Policy #: 23710
      Employer: Ambrose Students Council
      Name of Insuring Agency or Plan: Alberta Blue Cross^®
      Certificate #: Your 6-Digit Student Number + "-01" 
      Ex.  If your student number is 123456, then your Certificate number is 123456-01 
3. Complete Part 3 - Patient Information
      Relationship to Employee/Plan Member: Self (unless for dependent)
4. Complete Remaining Questions
    

Completing Form using Student VIP or Alberta Blue Cross Dental Claim Form:

1. Give Student VIP Dental Claim Form to dental office for completion
      Do Not sign the assignment of benefits section or the claim will not be processed correctly.
2. Complete Part 3 - Patient Information
      Relationship to Employee/Plan Member: Self (unless for dependent)
3. Complete Remaining Questions

How to submit your claim form:

Mail:
Alberta Blue Cross®
Health Services
10009 108 Street NW
Edmonton, AB
T5J 3C5
 

Your travel coverage is provided by Medavie Blue Cross™. Your Travel policy number is 92670.

If you are currently outside of Canada, or your province of residence:

Please contact CanAssistance directly via one of the following phone numbers:

In Canada & the United States: 1-800-563-4444

Anywhere else in the world (call collect): 1-506-854-2222

If you have returned home from your trip and need to make a claim:

Please ensure that you have clear copies of all receipts and treatment information.

For medical claims abroad (doctor visits, hospital visits, x-rays, lab work, etc.), please complete the Travel Claim Form and submit as requested.

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.
 

For more information about submitting travel claim forms please visit the Canassistance website here

What is an Accident?

An accident means a sudden, unforeseen, fortuitous event caused by a bodily injury resulting directly or independently of all other causes from an accident which is caused by external, violent and visible means and sustained while an Insured Person is covered under this policy. Injury must result within a 365-day period after the date of the accident.

Accident claims will first be considered under your Extended Health or Dental benefits, any balances will then be considered under the Student Accident benefits.

Expenses for accidents will be considered if: 

• Within 30 days from the date of the accident the student obtains medical treatment in Canada
• Expenses are recommended by a legally qualified physician or dentist
• Expenses are incurred in Canada
• Expenses are incurred within 52 weeks of the date of the accident causing injury

Please email info@studentvip.ca for any claims regarding Accident Coverage.