Group Policy #09510a
International Group Policy #09510a
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Forms and Brochures
Below you will find important form and documents relating to your international health plan. If a form you need is not here, please contact Student VIP International at
i
nfo@studentvip.ca
BROCHURES
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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 find the claim form below:
Opt-Out Forms
Click
here
to access an MSI Opt-Out form.
Click
here
to access a Home Country Opt-Out form.
Opt-In Forms
Click
here
to access a Family Opt-In 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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We are sorry. The opt-out/opt-in period is now closed
We are sorry. The opt-out/opt-in period is now closed
We are sorry. The opt-out/opt-in period is now closed