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Student Health & Wellness!mystudentplan is a benefits plan for students and can provide coverage for prescription drugs, vision care, dental care, mental health counseling, and more. The plan is designed to supplement provincial health insurance and provide additional access to medical services.

 

Plan Card

Eligible for the Health and Dental plan and want to use your benefits? Your Plan Card allows you direct billing with pharmacies and dental offices.

The Plan Card is an important piece of identification that will ease access to your benefits. All eligible students must complete the Plan Card Registration Form. This multi-purpose card provides your policy information for submission of claims at both the Pharmacy and the Dental Office.

To obtain your Plan Card you must first register for BC Fair Pharmacare. Once your registration is completed simply complete the Plan Card Registration Form.

Please note: if you are not a permanent resident of BC you must still fill out the registration form providing your home province or country in place of the Fair Pharmacare registration number.



Student Information

Gender
Date of Birth
Phone Number
Program Start Date
 
  • British Columbian Students - Please list your BC Fair PharmaCare Number
  • Out of Province Students - Please list your home province
  • International Students - Please list your country of residence
Please indicate how you would like to access your benefits card

Enrolment in the Student Health and Dental plan not guaranteed by submitting this form; The Student must be eligible for the program.

Should you have any questions regarding the enrolment process please contact the KSA Student Benefit Plan Office prior to submitting this form.

I understand the information provided above is required in order to obtain the said pay direct drug card. I hereby authorize and consent to the use, release, and exchange of the above information between the institution, the student organization, the Student Service Co-ordinator, Gallivan & Associates, BCE Emergis Assure Health Division, and the insurance carrier(s) to be used solely in connection with the Student Benefits Plan. I confirm that all the information provided herein is accurate. I also understand that the Student Service Coordinator may need to notify the institution to find out whether or not I have paid for the plan.

KSA Benefits Plan Office

Email: kwantlenplan@mystudentplan.ca
Phone: 604-599-2431
Address: Room G1265
12666-72nd Ave.
Surrey, BC. V3W 2M8

General Inquiries Line

Monday to Friday from 5:00am to 4:00pm PST

Phone: 1-877-746-5566 Ext. 7249