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International Group Policy #92655
Forms and Documents

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 info@studentvip.ca
  • POLICY
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  • BROCHURES
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  • FORMS
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Click here to view your policy.

Choose one of the brochures below

English  |  Spanish   

Click here to see the Top 5 Things you Should Know  

Click here to see the Companion Plan Rack Card 
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-Out Forms

Click here to access an MSI 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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