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OLD - FREQUENTLY ASKED QUESTIONS

Please see below some commonly asked questions about your coverage with Student VIP.



  • Common Insurance Terms
  • General Coverage Questions
  • Drug Coverage
  • Dental Coverage
  • Direct2U Doctors
  • I.M. Well
  • OHIP+
  • Opting In
  • Opting Out
  • Submitting Claims
  • Travel Coverage
  • Contact Us
Insurance terms can be difficult to understand, but that's why we're here to break them down for you.

 

COMMON INSURANCE TERMS

ANESTHESIA

Medical Anesthesia is a field of anesthesia that includes local, sedation and general anesthesia. These are forms of medicine that freeze a spot on the body that requires medical attention to help relieve pain. General and sedation are typically a medical gas that give you the feeling of being asleep before a medical procedure is done so you do not feel pain.

 

BENEFICIARY

A person who may receive payment from your health benefits if you die while covered under an insurance policy.

 

BENEFIT PERIOD

The period of time that an Insured Person is insured (covered) under the insurance policy. Starting from 12:01 a.m. on the effective date of coverage and ending at 12:00 midnight on the termination date.

 

CALENDAR YEAR

The 12-consecutive-month period that begins on January 1 and ends on December 31. Sometimes your insurance policy will indicate that some benefits are in force per calendar year versus policy year.

 

CANASSISTANCE

The emergency assistance provider for the Student VIP Travel Benefits and Student VIP International Student Health Plan. CanAssistance provides travel assistance such as if you are sick and need to find a doctor.

 

CERTIFICATE ID or ID NUMBER

A certification ID or your ID number is your personal identification number for the insurance company to find you under your group policy. Under a Student VIP / Student VIP International plan, a certificate ID and ID number are the same.

 

CLAIM

A claim is when you have paid out of pocket for a service and must submit your expenses to the insurance company to see if they are eligible. A claim can be for medication, dental services, doctor visits, etc. Making a claim does not mean the service will be reimbursed (paid).

 

CO-INSURANCE

If you are covered by another health insurance plan in addition to your Student Benefits (e.g. through a parent's or spouse's employer, or your own employer), you may coordinate the benefits in order to increase your overall coverage, up to 100%.

 

COMMON CARRIER VS CARRIER

Carrier means the insurance provider responsible for processing and paying your claims.

Common Carrrier means a method of transportation such as airplane, bus, train, etc.

 

COORDINATION OF BENEFITS

If you are covered by other extended benefits in addition to your Student Benefits (ex. through a parent's or spouse's employer, or your own employer), you may coordinate the benefits in order to increase your overall coverage, up to 100%.

 

CO-PAY

You pay a portion of the cost of your prescriptions by paying either the same amount each time (e.g. $5) or a percentage of the total cost (e.g. 20%). If you’re paying a percentage, then you’re encouraged to shop around for the best available dispensing fees and ingredient costs.

DEDUCTIBLE

A deductible is an amount you pay for health care services before your health policy begins to pay.

 

DENIAL OF CLAIM

When the service that you have obtained is not eligible (covered) under your insurance policy. This may be because the service is not included in the coverage, you have reached the maximum amount payable for that service, or it relates to a pre-existing condition.

 

DEPENDENT

A person/family member that can be included on the student's health benefits. On the Student VIP benefits, an eligible dependent (family member) is a spouse (husband/wife), common-law partner (live-in partner for at least 2 years), or children.

 

DIAGNOSTIC TEST

A diagnostic test can include an x-ray, a blood test, or other bodily fluid samples. It is an examination to identify a person's area of weakness and strength to determine a condition, illness or even disease. This follows the report of symptoms or other medical test results.

 

DIRECT BILLING

When a practitioner, pharmacy, dental office, doctor office, or hospital sends the bill to the health insurance company for payment. This means the student does not have to pay up front and file a claim for reimbursement.

 

EMERGENCY

Unexpected and unforeseen sickness or injury that requires immediate medical treatment for the relief of pain or suffering which cannot be delayed.

 

EMERGENT CARE CENTRE (also known as an ER)

An emergent care center is a 24 hour/7 day a week service that is at a hospital. It has all of the necessary tools for assessment and care. Emergent care means services provided for a person that, if not provided, would likely result in the need for crisis intervention or hospital evaluation.

 

ENROLLMENT

Enrollment means that you have been signed up for the health insurance benefits either by your school automatically, or having purchased the health benefits on your own.

 

EXCLUSION

A service or expense that is not covered under the insurance policy.

 

EXCURSION

Any type of travel outside of the province that you are attending school. An excursion can be for academic purposes such as study abroad or leisure such as a trip during reading week.

 

EXPLANATION OF BENEFITS (EOB)

An explanation of benefits (commonly referred to as an EOB) is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf. The EOB is not a bill. It simply explains how your benefits were applied to that particular claim. It includes the date you received the service, the amount billed, the amount covered, the amount that the insurance company paid, and any balance you’re responsible for paying the provider.

 

EXTENDED HEALTH BENEFITS

A type of benefit included in health insurance benefits. Extended health benefits usually include paramedical practitioners, medical equipment and supplies, ambulance and more.

 

HEALTH BENEFITS CARD

The card you must show when visiting the pharmacy, dental office, doctor office, or hospital. This card usually has your name and ID on it and the insurance company information so health care providers can directly bill the insurance company.

 

HOME COUNTRY

Home Country means the country that you maintain your permanent residence. For example, if you are a student that has come to Canada from China to study, your home country would be considered China.

 

HOSPITAL vs ON CAMPUS CLINIC vs WALK-IN CLINIC

Hospital - Is an institution that provides medical and surgical treatment and nursing care for sick or injured people. It has enhanced capabilities and can treat illnesses and injuries. They have diagnostic tools and an emergency care center that you can go to in very serious situations 24/7. Hospital should only be used when care is emergent and cannot wait for an appointment.

Campus Health Clinic - Provides care to students right on campus. Similar to a walk in clinic with designated hours of operation. Some clinics can provide mental and physical health care. If there are doctors on site, they can prescribe medication and treatments. Check if your campus clinic is appointment based or walk-in. You can visit one when you are feeling unwell or need a check-up. They are also there to help answer questions related to your health. Services are confidential.

Walk-In Clinic - Accepts patients on a walk-in basis and with no appointment required. You can get advice, assessment and treatment for minor illnesses and injuries. They provide services including diagnosis, prescriptions and referrals. Use a walk-in clinic in a non-urgent situation. Walk-in clinics are not open 24/7.

 

INJURY

Harm or damage to your body.

 

INSURANCE

Coverage that may pay for drug, dental, vision, medical, surgical expenses. Health and Dental benefits are subject to maximums, conditions and limitations and should be reviewed in full before use.

 

INSURANCE PROVIDER

The company responsible for processing and or paying claims, managing the contact centre for coverage questions and claims assistance. The insurance provider is sometimes known as the plan administrator. f

 

INSURED PERSON

The person who is listed as having active coverage under an insurance policy.

 

INVOICE

A document issued by the health care provider that indicates the services you received. This document is needed by the insurance company to review and process claims.

 

MANDATORY PRODUCT SELECTION

MPS, quite simply, pays for the cost of a prescription up to the equivalent generic price.

 

MEDICALLY NECESSARY

Services or supplies provided by a Hospital or Physician, licensed Dentist or another licensed provider that are required to identify or treat an Insured Person’s Sickness or Injury.

 

MENTAL HEALTH

A person's condition in terms of psychological, social and emotional well-being. It affects how we think, feel and act. It also helps determine how we handle scenarios, relationships and other feelings or situations.

 

MONITORED MEDICATION

A Monitored Medication, or controlled substance, is generally a drug or chemical whose manufacture, possession, or use is regulated by a government, such as illicitly used drugs or prescription medications that are designated a Controlled Drug by the Controlled Drug and Substance Act. Examples include Dilaudid, Methadone, Demerol, OxyContin, Percocet, Morphine, Opium, Codeine, Amphetamine (Dexedrine, Adderall), and Methamphetamine. Schedule III – These are substances that can still lead to moderate or low physical dependence and high psychological dependence.

 

MSW

A Master of Social Work - a Master's Degree in the field of Social Work. A provider who has an MSW provides mental health care to individuals such as counselling.

 

OPT-IN

To sign up, register, or enroll in an insurance policy.

 

OPT-OUT

To cancel, withdraw, or leave a health insurance policy. At your school, you are required to have insurance. You may be able to cancel if you have other insurance already in place that is comparable to the school provided insurance before you can cancel.

 

ORIENTATION

It is a session or event where information is provided to students regarding their health benefits, benefits package, service and coverage details. Orientations can be held at different times of the year and students should attend.

 

PARAMEDICAL PRACTITIONER

A type of health care provider that offers care such as a physiotherapist, chiropractor, massage therapist, naturopath, chiropodist, nutritionist, etc.

 

PLAN ADMINISTRATOR

The person that manages or takes care of the health and dental benefits for students. The administrator works with the plan provider (Student VIP International) to make sure the plan meets all the rules. Students can go to their health plan administrator with questions regarding their health coverage.

 

POLICY NUMBER or GROUP NUMBER

A policy number or group number is a way to identify what health insurance policy you are covered under. A policy number is assigned to each insurance policy. Under a Student VIP / Student VIP International plan, a policy number and group number are the same.

 

PRACTITIONER

An individual licensed under Canadian law to provide health services to individuals. Examples include a physician, psychiatrist, dentist, nurse, etc.

 

PRE-EXISTING CONDITION

Any condition known or unknown for which you have already received medical advice or treatment before enrollment on the health insurance benefits. Common pre-existing conditions include diabetes, a heart condition, a broken bone for which you need follow up treatment, etc.

 

PRE-DETERMINATION-MEDICAL

A medical pre-determination is used when you want to confirm if the medical procedure you need to get is covered by your insurance. You have to complete a form and submit it to the insurance company. They will review the form and your policy and send you a letter to confirm if you have coverage for the procedure or not. It is important to do a pre-determination before expensive medical procedures such as surgery, x-rays or if you know you need to be admitted to the hospital.

 

PREFERRED PROVIDER

A health care provider that is part of our network that usually offers a discount for services or direct billing to the insurance company so you do not have to pay the full cost out of pocket.

 

PREMIUM

The price that you pay for your health insurance.

 

PRESCRIPTION

A formal written document issued by a medical professional for a patient to be provided medicine or treatment. A drug prescription is used to get medication from a pharmacy. A prescription is not needed for over the counter health aids.

 

PROVINCIAL HEALTH CARE or GOVERNMENT HEALTH INSURANCE PLAN

The health care coverage Canadians automatically qualify for, to cover visits to the doctor or hospital. International students may qualify for this coverage if certain eligibility is met.

 

PSYCHIATRY/PSYCHIATRIC CARE

A medical specialty for mental health. This medical practice is to diagnose, prevent and treat mental health conditions, illnesses or disorders This includes trouble with mood, behavior, and perception. Psychiatric care can include medical evaluations, care or treatment by a professional.

 

REASONABLE AND CUSTOMARY

Reasonable & Customary limits are the range of usual fees for comparable medical services in a geographical area. Like other benefit providers, Medavie Blue Cross™ uses these limits to determine the maximum eligible amounts for health care services and supplies covered by your benefits. We review reasonable and customary limits on a continual basis and make changes periodically to ensure our allowed amounts are representative of the current standard charges in the health care environment.

 

REIMBURSEMENT

When the claim you or a provider submits for services you have obtained is approved and paid.

 

REPATRIATION

The return of an insured student to their own country or province if they are sick, injured or have died while covered under an insurance policy.

 

SICKNESS

Sudden and unforeseen (unexpected) presence of an illness or disease.

 

STABLE

An existing medical condition that is not worsening and there has been no change in any medication or dosage or usage for the medical condition, and there has been no change in the medical treatment.

 

STUDENT VIP INTERNATIONAL HEALTH PLAN vs. PROVINCIAL HEALTH CARE (GHIP)

The Student VIP International Health Plan and Provincial Health plans provide coverage for physician-related services such as doctor visits, hospital visits, diagnostic testing, etc. The coverages are NOT the same.

 

URGENT CARE CENTRE

An urgent care center is not designated to receive patients who arrive in an ambulance. It can be located in a hospital facility or a building on its own. Some urgent care centers have designated hours of operations. Urgent care is provided for illnesses or injuries which require immediate attention but are not of such seriousness as to require the services of an emergency room/ hospital.

 

DRUG TERMS

BRAND VS GENERIC

Brand - It is a prescription drug that is marketed with a specific brand name by the company that makes it. Brand name drugs are typically more expensive than generic drugs.

Generic - Contain the same active medicinal ingredients as the brand name alternative, and are therefore considered therapeutic equivalents. However, the ingredients that actually combine the active ingredients may differ. For the most part, generic products will perform the same as their brand name counterparts, cost less and can reduce the costs of your health benefits.

 

DISPENSING FEES

A dispensing fee represents the charge for the professional services provided by a pharmacist when dispensing a prescription. The dispensing fee differs from pharmacy to pharmacy. Student VIP is able to offer you student-friendly dispensing fees through some of our partners.

 

DRUG IDENTIFICATION NUMBER (DIN)

A DIN is a number assigned to a specific dosage or drug that tells you if the product has been approved for use and can legally be manufactured and sold in Canada.

 

MONITORED MEDICATION

A Monitored Medication, or controlled substance, is generally a drug or chemical whose manufacture, possession, or use is regulated by a government, such as illicitly used drugs or prescription medications that are designated a Controlled Drug by the Controlled Drug and Substance Act. Examples include Dilaudid, Methadone, Demerol, OxyContin, Percocet, Morphine, Opium, Codeine, Amphetamine (Dexedrine, Adderall), and Methamphetamine. Schedule III – These are substances that can still lead to moderate or low physical dependence and high psychological dependence.

 

OVER THE COUNTER MEDICATION

Also known as (OTC) are health aids or medicine that do not need a prescription. They can be purchased at places like a pharmacy. OTC's can include items like Advil, Tylenol, cold medicine, cough drops, etc.

 

PHARMACY RECEIPT VS STORE RECEIPT

 

A STORE RECEIPTis a slip of paper given in person or sent online that is used to provide a record of sale.

A PHARMACY RECEIPTis a record of sale slip that includes the pharmacy details, prescriber's name (doctor), and the name of the drug or treatment that was prescribed. It can allow you in some cases to claim a reimbursement or see the details of the drug benefits payment details.

 

DENTAL TERMS

ANESTHESIA

Dental Anesthesia is a field of anesthesia that includes not only local anesthetics but sedation and general anesthesia. Local anesthetic freezes the mouth before a procedure is done to help with pain relief.

 

COMPLETE VS RECALL EXAM

A Complete Exam consists of the dentist looking inside your mouth for things that can affect your oral – and overall – health. The complete exam can catch problems early before you see or feel them and when they are easier and less expensive to treat. Some of the problems that dentists can identify include deteriorating fillings, early signs of gum disease or oral cancer, etc.

A Recall Exam is a maintenance exam performed once a year following the initial oral examination. This exam helps to prevent tooth decay, gum disease, and other dental disorders that may have developed during the year. A recall visit typically includes an exam, as well and polishing and scaling.

 

ENDODONTIC

An Endodontist is a dentist who specializes in maintaining teeth through endodontic therapy – procedures, involving the soft inner tissue of the teeth, called the pulp. Endodontists perform a variety of procedures including root canal therapy, endodontic retreatment, treating cracked teeth, and treating dental trauma. Root canal therapy is one of the most common procedures performed by Endodontists.

 

MAJOR RESTORATIVE

Major Restorative Dental Services typically include procedures and treatments that are relatively more complex in nature. Major Restorative Services can include Dental Crowns, Dentures, Bridges, etc.

 

MINOR RESTORATIVE

Minor Restorative Dental Services typically include types of treatments and procedures that are relatively straightforward in nature. Minor Restorative Services can include Composite Fillings, Recementing Dental Crowns, Stainless Steel Crowns, etc.

 

PERIODONTICS

Periodontic dental care ranges from routine treatment of gums to assisting those diagnosed with gum disease, and can include the removal of calcium deposits (plaque, tartar, calculus, and stone) from around the tooth above and below the gum.

 

PRE-DETERMINATION-DENTAL

A dental pre-determination is an estimate of what your dental benefits will cover and what you will be responsible for. Your dental office can submit an outline of the proposed treatment to Medavie Blue Cross™ prior to proceeding with treatment. The predetermination is only an estimate, and does not guarantee the final costs you will be responsible for paying.

 

RADIOGRAPHS

A radiograph (x-ray) helps dentists diagnose and treat dental problems, including cavities, gum disease, infections, and more. Radiographs allow dentists to see inside a tooth and beneath the gums to assess the health of the bone and supporting tissues that hold teeth in place.

 

SCALING

Scaling teeth is part of a routine professional cleaning, and it involves scaling teeth and the gum line to remove plaque and tartar. This is done to keep your teeth and gums healthy.
 

Who is eligible for coverage?

Not all students at Brock are eligible for the Health and Dental Plans.

An undergraduate student must be enrolled in a minimum of 3.0 undergraduate credits(*) for the academic year (September to April), by the fall deadline (September 30th) in order to be charged for the Health Insurance ($146.77) and Dental Plan ($109.40) fees. If an undergraduate student does not meet these criteria, they are not eligible and won't be charged these two fees as part of their tuition. Any opt-In applications/requests received after the September 30th deadline, will not be processed.


If an undergraduate student meets the 3.0 credit minimum AFTER the September 30th deadline, they are able to apply for coverage for the winter term, by the January 31st deadline. These students must see Joanne Matko at the Health & Dental Plan Office to fill out an application and pay the premiums at the time the application is submitted. Any opt-in applications/requests received after the January 31st deadline, will not be processed.
 

*Undergraduate Credits that will be considered for eligibility purposes are:

  • Credits that are taken while being physically on-campus at Brock
  • Credits that are taken online that are granted with a Letter of Permission (LOP) from Brock
  • Fall term co-op students will be automatically enrolled, regardless of the number of credits you're enrolled in for the academic year


**Note: There may be exceptions to eligibility criteria for international/exchange students, students that are registered with the Student Development Centre as a student with a disability and students who are in their final year of study. If you think you fall into any of these three categories, then please contact Joanne Matko (Health & Dental Plan Administrator) to discuss possible options. However, please note the Fall and Winter deadlines are firm and still applicable in these cases.
 

How much does the plan cost?

2019-2020 Fees 

Policy Period: September - August (fall start), January - August (winter start)

Single*: Health $146.77 / Dental $109.40

Family**:

      Extended Health Dental Health & Dental
Family Rate for 1 dependant   TOTAL $153.23 $110.60 $263.83
Family Rate for 2 dependants   TOTAL $293.23 $220.60 $513.83
Family Rate for 3 dependants   TOTAL $438.23 $330.60 $768.83
Family Rate for 4 dependants   TOTAL $588.23 $440.60 $1,028.83
Family Rate for 5+ dependants   TOTAL $733.23 $550.60 $1,283.83


* In most cases, students have been charged the single rates as part of their tuition/ancillary fees.
** Family rates do not include Single rates, students must be enrolled for Single coverage to add family.
 

How can I see an outline of my coverage?

You can find an outline of all of your coverage in the Benefits Brochure, or by clicking here to see an outline of coverage broken down by Drug, Extended Health, Vision, Dental, Travel and Accident coverage. 


How do I know if I am covered by the extended health and dental plan?

Check the breakdown of your annual general fees; if they include the health and dental fees, you are automatically enrolled in the plan. In order to confirm that your coverage has been activated and to confirm the period of coverage, you need to contact us at: 1-888-918-5056.  If your annual general fees do not include the health and dental fees, you can enroll yourself during the month of your annual registration.


What are my coverage effective dates?

The current policy year will run from September 1, 2019 - August 31, 2020.

For Fall enrolments, coverage begins September 1, 2019. Winter enrolments begin January 1, 2020.  All students on the plan will have the same termination date of August 31, 2020. 


Where can I access my Plan Card?

You can download a printable copy of your plan card here, or visit your health plan office for a plastic card.


Where can I find Discounted Service Providers?
Student VIP offers a wide variety of discounted providers. You can use a VIP Preferred Practitioner to save up to 20% on eligible services near your campus or home. To access the full network listing, please utilize our Provider Search Tool. Enter an address, select the type of practitioner, and the area you would like to search. The results will display, with any discount providers highlighted at the top of the search results. To set up an appointment, simply give them a call.
 
If your health service provider is not on the network, please ask them to Contact Us!
Can I still use Student VIP Perks, even if I opt-out of the plan?

Yes! Many Student VIP Perks are available to all Brock Students, regardless of whether or not they are currently covered under the Student Health and Dental plan. 

Do I need to submit a prescription with my claim?

Drug Claims & Vision Appliances

Always require a prescription. 
 

Registered Massage Therapy (RMT) 

Requires a physician's prescription on your first claim submission, each policy year.
 

Orthotics & Orthopedics 

Must be prescribed by an attending physician, orthopedic surgeon, physiatrist, rheumatologist or chiropodist/podiatrist.
 

Hearing Aids 

Must be prescribed by an otorhinolaryngologist or otologist or recommended by an audiologist.

Some travel expenses will also require a receipt.
For more information on this please contact Blue Cross directly at 1-833-867-3468 or brock@medavie.bluecross.ca 

Do students at different campuses have the same coverage?

Yes, students at all campuses will have the same coverage.
 
I am a mature student, at what age will my coverage terminate?

The BUSU plan will provide Health and Dental insurance for those under the age of 99. AD&D and Travel insurance is only available for those under the age of 70.

I'm graduating this year, how can I get coverage after graduation?

If you're graduating this year, you're about to lose the health and dental coverage available to you as a student. If you've already graduated, you may have found provincial government health plans do not fully cover the cost of many health care services, leaving you vulnerable. Grad Perks offers supplemental health and dental plans that can help to fill those gaps and provide you with the protection you need. Click here for more information.
 

How can I see if my medication is covered under my plan?

If you want to know if your drug is eligible for coverage, check out the Eligible Drug Search tool. Just enter in the name of the drug or DIN (drug identification number) and you'll find out if it's eligible under the plan and for Direct2U Prescriptions, as well as if it's a Brand or Generic drug.


What if the only medication that works isn't covered?

In the event that the therapeutic alternatives, which are eligible under the plan, prove to be ineffective for treating your particular condition, it is possible to have a special care approval for your medication.  These approvals are done on a case-by-case basis.  You must complete the Special Authorization Request Form.  You will be notified in writing if your application has been approved or not.


What is the turn-around time for Special Authorization Drug Requests?

Your request will be confidentially reviewed by a health care professional according to the payment criteria established.  When all the required information is received by Blue Cross, the standard turn-around time for Special Authorization decisions is 7 to 10 working days.

What is Direct2U Prescriptions?

Direct2U is a prescription delivery service available to BUSU Health Plan members. This service offers up to 100% coverage for Generic Medications and 80% for Brand Name Medications. For more information please click here.


How do I get a quote for dental work?

If you'd like to see exactly what will be covered for specific dental procedure(s), have your dentist submit a pre-determination, along with your name and student ID #, to Medavie Blue Cross™ via fax at 506-867-4651. Pre-determinations are strongly recommended for extensive dental procedures such as wisdom teeth extractions, crowns, and other major services.


How can I check to see if a dental code is covered?

You can check to see if a dental code on your pre-determination is eligible on the Plan. Login to the Blue Cross Member Portal to find out! Note: this does not say how much is eligible, just if the code itself is eligible on your plan.

Complete vs Recall Exams

A Complete Exam is usually only performed on new patients, or once every five years. This exam consists of the dentist looking inside your mouth for things that can affect your oral – and overall – health. The complete exam can catch problems early before you see or feel them and when they are easier and less expensive to treat. Some of the problems that dentists can identify include deteriorating fillings, early signs of gum disease or oral cancer, etc.

A Recall Exam is your typical dental maintenance exam. This is usually performed once a year following the initial oral examination. This exam helps to prevent tooth decay, gum disease, and other dental disorders that may have developed during the year. A recall visit typically includes an exam, as well and polishing and scaling.
Orthodontic Coverage

Unfortunately the Health & Dental plan does not cover Orthodontic services or supplies. Braces, Invisalign and services related to these items would not be eligible for coverage.

Does Direct2U Doctors provide sick notes?

Yes. However, sick notes will only be issued for completed visits through Direct2U Doctors and are only issued for certain medical conditions and on standard GOeVisit-issued stationery.

Are sick notes issued by Direct2U Doctors valid?

Your institution may have specific requirements for approved medical documentation and, as such, sick notes issued through Direct2U Doctors may not be accepted. Please refer to your institution’s policy on sick notes.

Do I have to create a profile to use the app?

No, you do not have to create a profile to access the app. However, creating a profile will give you access to more features within the app (i.e. Mood Log, Healthy Reminders, etc.). This will allow you to better help keep track of your feelings!

When I call or access the chat, is my information kept confidential?

Aspiria & I.M. Well comply with the PIPEDA guidelines as set forth by the Government of Canada. Counsellors uphold their professional obligation to maintain confidentiality. What is said between the counsellor and the student remains private and confidential.

What happens when I click the “Get Help Now” button?

This button provides you with useful resources tailored to your needs by asking 4 simple questions.

How does OHIP+ affect my coverage?
As of April 1, 2019, the government is changing OHIP+ by providing benefits to only those without private insurance plans. You can find more information regarding OHIP+ and how this affects your coverage here.

Can I add family onto my plan?

Yes, students may enroll their spouse and/or dependent children onto the plan for an additional fee during the opt-in period in which they begin their studies. The following are considered eligible dependents:

Spouse/Common-Law:

The legal spouse of the insured student provided there is no legal separation in effect, or an individual of the same or opposite sex who has been residing with the insured student for a period of at least one (1) year and who has been designated as the spouse/common-law partner of the insured student in the policyholders records for insurance purposes, and is a resident of Canada and has provincial health coverage (or equivalent coverage).

Dependent Child(ren):

Any natural child, step-child or legally adopted child of the insured student, who is under 21 years of age, unmarried and receives full support and maintenance from the insured student, or those over 21, but under 25 years of age, unmarried and receives full support and maintenance from the insured student for reason of full-time attendance at an accredited institute, college, or university in Canada, or receives full support and maintenance from the insured student by reason of mental or physical infirmity, and is a resident of Canada and has provincial health coverage (or equivalent coverage).


When can I add family onto my plan?

You can opt in to family coverage during the period in which you begin your studies.

  • Fall Opt In:  September 1, 2019 - September 30, 2019
  • Winter Opt In:  January 1, 2020 - January 31, 2020
If I already have coverage, can I opt-out of my Student Health & Dental plan?

Yes, if you have comparable alternative coverage you may opt-out of the Student VIP plan during the appropriate opt-out period. You should be aware that your BUSU Student Health & Dental Plan offers benefits specifically designed for students, so you may find it advantageous to remain enrolled on this plan and coordinate your benefits with your existing coverage. 


What is the opt-out process?

If you choose to request an opt-out from the Student VIP plan, you must provide comparable coverage online during the opt-out period.

Note: There are no exceptions or extensions to the opt-out deadline.  If you submit a claim during the opt-out period and have requested to opt-out of the plan your opt-out request will be declined and your fee will not be reversed.


If I opted out and I lose my alternative coverage, can I opt back into the plan?

No. Students are not eligible, under any circumstances, to re-enroll on the plan after opting out. If you are still a full-time eligible student at Brock University the next policy year, you will automatically be re-enrolled September 1.


Examples:

  • If your coverage is through your parents/spouse and their lose their coverage;
  • If you reach the age of maturity as a dependent on your parents plan (i.e. age 21 for some plans, 25 for others)


Please carefully consider your decision to opt-out.
 

When can I opt-out?

You can opt-out of the plan during the opt out period:

  • Fall Opt Out:  September 1, 2019 - September 30, 2019
How do I submit a claim?

The easiest and fastest way to make a claim is via the Medavie Blue Cross™ Portal or the Medavie Blue Cross™ Mobile App. For instructions on how to make a claim, click here.

What is my Group Policy Number and Identification Number?

This information is on your plan card: 
Group Policy #: 0091935000
Identification #: 00 + Your 7-digit student ID number + 00

(Example: If your student number is 1234567, your ID number would be: 00123456700)

How long do I have to submit a claim?
All claims must be submitted to Medavie Blue Cross™ no later than 12 months from the date the expense was incurred. In the event of termination of coverage, claims incurred prior to the termination date must be submitted to Medavie Blue Cross™ within 90 days of the termination date.
How do I register for the Medavie Blue Cross™ portal?

Click here to access the Medavie Blue Cross™ Portal.

Click on the "Register now" link which can be found near the bottom of the log in page. When prompted, choose the card on the lower right, it should look similar to the card you have. Enter your Policy Number, Identification Number, Date of Birth, Email and Password. Once you've registered, you'll receive an email from Medavie Blue Cross™  to activate your account. For more detailed instructions, please click here.

Where can I find claim forms?

If you do not wish to use an online submission method, you can click here to access Health, Dental, Travel and Accident claim forms.

How long does it take for my claim to be processed?

It takes 3-5 business days to process a claim, starting the first business day after submitting.

How can I check on the status of a claim, or obtain my claim history?

You can check the status of current claims and obtain your claim history via the Medavie Blue Cross™ Portal or Mobile App.

 

Medavie Blue Cross™ Portal

Using the Portal, you can check your claim status by clicking the "Statements" top menu bar.  Then select a date range, insured member, line of benefit, and hit "Search". If your claim has already been processed you will also be able to see the explanation of benefits. You can print this information out using the “Print” button at the bottom of the page.


Medavie Blue Cross™ Mobile App

While using the Mobile App, you can check your claim status by simply clicking the "View my claims" top menu bar.

 

Additional Questions:

Any outstanding questions regarding claim status/history can be directed to Medavie Blue Cross™ via the contact information listed below:

How do I coordinate my benefits?

Students with plans through their parents or spouse can coordinate their benefits for increased coverage. To do this, submit first to Student VIP. Once you get your Explanation of Benefits (EOB) and your reimbursement, you can submit the EOB along with your receipts and claim form from your parents' plan for further reimbursement.

Students with plans through their employer must submit to the provider they have had the longest first, then submit to their other plan second.

My reimbursement cheque is stale dated, what do I do?

If your cheque is stale dated within 12 months of the end of the policy period in which your claim was incurred, you can contact Medavie Blue Cross directly to have the cheque reissued. If you are requesting to reissue a stale dated cheque that is beyond 12 months from the end of the policy year in which the claim was incurred, you must contact Student VIP directly. Please note that requests made outside of this timeframe may not be honoured.


How do I get a letter confirming that I have travel coverage?

If you need a letter confirming that you have travel coverage, you can complete a Student VIP Coverage Letter Request. Your request will be reviewed and a letter emailed to you in 3-5 business days.

Who do I contact if I need to use my travel coverage while away?

Within Canada (not your home province) and the United States: 1-800-563-4444

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

Please have the following information ready:

Personal Information
Your name and Student ID
Your Policy Number - 0091935000

Travel Information
Travel dates: departure date and return date (from/to) the home province
Travel destination: City, State/Province (when applicable), Country
Travel purpose

Medical Information
Description of the medical emergency or need (symptoms, circumstances, etc.)
Date of medical emergency or first onset of symptoms

Please contact the Student VIP office with any questions regarding your health and dental plan. If we can't help you, we'll let you know who can! Click below to start a Live Chat with Student VIP, or you can visit the Health Plan Contacts page here to see who else you can speak to.

 

Click here to start a Live Chat with Student VIP now!

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