SAMU - Flex Plan Form

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.

Online Forms

Are you covered by a comparable plan? Do you wish to cover your dependents? Or have you opted out of the plan and wish to be re-enrolled? Eligible Students may submit their online forms.

Health and Dental Flex Plan Application

Deadline to Flex your Student Benefits Plan

Fall term - September 30^th, 2024

After the deadline, the online form will not be available.

Flex Plan Eligibility

There are 2 circumstances in which students enrolled in the Student Health and Dental Plan may flex their plan: (1) when they are starting the fall term, or (2) when they are new students.

Flex Plan Eligibility

How to Flex Your Plan

To flex your plan, you must meet the flex plan eligibility criteria and complete the online form before the applicable deadline.

Steps to Flex Your Plan

Things to consider:

Students can Flex their benefit plan only once during their program. Once their Flex plan is approved, it will remain in effect for a minimum of 2 years.
Student only can apply to go back to the Balanced Plan after the 2-year period. If they do not submit a new Flex Plan application at that time, their flex plan choice will remain in effect for all future terms.
Students choosing to Flex their Benefits must be enrolled in BOTH the Health and the Dental plan.
Approval of the Student Benefits Plan Flex Plan application will result in your plan choice being reflected on your insurance account after 45 days from the start of the term.
NO EXCEPTIONS will be made if the deadline is missed.

Add donotreply@gallivan.ca to your address book. Please do not reply to this email.

Questions? Please contact your Benefit Plan Office: macewanplan@mystudentplan.ca

The winter Flex your Plan deadline is closed.

The winter deadline to apply was January 31^st, 2024. The online Flex your Plan Form is not available at this time. The online form was open from December 1^st, 2023, until January 31^st, 2024.

NO EXCEPTIONS will be made if the deadline is missed.

If you were eligible for the plan for the first time in the winter term and missed the deadline, your next opportunity to apply should be the fall 2024 term.

The online form will be open for all eligible students in the fall term on August 1^st, 2024, and the deadline to apply is September 30^th, 2024.

Eligibility Confirmation

Confirm your eligibility to flex your Student Benefits Plan by completing the following questions.

Are you a new winter student who has been assessed the Health Insurance Fee and the Dental Insurance Fee on your student account?

You can only be assessed the Student Benefits Plan fees if you meet the plan eligibility criteria. Check the Student Benefits Plan Eligibility Criteria.

Yes

No

Have you been assessed the Health Insurance Fee and the Dental Insurance Fee on your student account?

You can only be assessed the Student Benefits Plan fees if you meet the plan eligibility criteria. Check the Student Benefits Plan Eligibility Criteria.

Yes

No

Are you a returning student who has not attended the fall term and has been assessed the Health Insurance Fee and the Dental Insurance Fee on your student account?

Yes

No

Have you ever flexed your Student Benefits Plan?

Yes

No

You meet the eligibility criteria to flex your Student Benefits Plan at this time.

The deadline to submit your health and dental flex application is September 30^th, 2024. After the deadline, the online form will be not available.

Complete the online form below to submit your application. Completing the questionnaire does not mean that your application is approved the Student Benefits Plan Office will confirm your eligibility and process your application.

You must be enrolled in both the Health and Dental Plan to flex your Plan. If you opted out of the Health or Dental Plan, you do not qualify to flex your plan.

You can Flex your benefit plan only once during your program. Once your Flex plan is approved, it will remain in effect for a minimum of 2 years and all future terms unless you would like to go back to the Balanced Plan.

Your flex plan option will not be reflected on your insurance account until 45 days from the official start date of the term.

Once you submit the Flex Your Plan form, you will receive an automated email confirmation. Please keep this email for your records as it is your only proof of submitting a flex plan request.

It appears you do not meet the criteria to flex your plan at this time.

If you have any questions, please initiate a chat by clicking on the right-bottom corner icon or contact the Benefits Plan Office by email at macewanplan@mystudentplan.ca or by phone at 780-497-4675.

It appears you do not meet the criteria to flex your plan at this time.

Students can Flex their benefit plan only once during their program. Once their Flex plan is approved, it will remain in effect for a minimum of 2 years and all future terms unless they would like to go back to the Balanced Plan.

If you have any questions, please initiate a chat by clicking on the right-bottom corner icon or contact the Benefits Plan Office by email at macewanplan@mystudentplan.ca or by phone at 780-497-4675.

Flex your Health and Dental Plan Form

Complete all information on the flex plan form and we will process your application as soon as we can.

Flex myBenefits

Should you choose to Flex your coverage, the selection you make will remain in effect for as long as you are enrolled in the Student Benefit Plan

Balanced Plan

(click for details)

No Action Required

Flex
Drug & Parameds
(click for details)

These are myBenefits

Flex
Vision & Parameds
(click for details)

These are myBenefits

Flex
Dental
(click for details)

These are myBenefits

You can only choose one option

Online Forms Deadline
Submit your online Family Add-On, Opt-Out, or Opt-In applications by January 31^st, 2024

Plan Card Generator
Generate your Plan Card and use it where direct billing to Canada Life is available.

Prescription Search Tool
Find out if your prescription drugs are covered by the student plan.

Plan Claims
Learn more about submitting online or manual claims to Canada Life to get your refund.

SAMU Benefits Plan Office

Email: macewanplan@mystudentplan.ca
Phone: 780-497-4675
Address: 10850 - 104 Avenue NW
SAMU Building - SA-109A
Edmonton, AB. T5H 0S5

General Inquiries Line

Monday to Friday from 6:00am to 5:00pm MST

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

Follow Us!