Student Health and Wellness

Group number: 60867
Certificate Number: Student ID
FAQ
Call Centre: 1-866-586-1010
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Student Health and Wellness! mystudentplan provides health, prescriptions, dental, mental health care plus additional benefits for eligible students.

Opt-Out Applications

Submit your health and/or dental opt-out application before the deadline.

Winter Application Period

December 1^st, 2024 to January 31^st, 2025

Make sure to submit your form by January 31^st as the online form won't be accessible after that date.

Opt-Out Eligibility

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

Opt-Out Eligibility

How to Opt Out

To Opt Out, you must be enrolled in the Student Benefits Plan, meet the Opt-Out eligibility criteria, and complete the online form before the applicable term deadline.

Steps to Opt-Out

Things to consider:

A parents' insurance plan ceases coverage until you turn either 18 or 21, or up to 25 if you are studying full-time at a recognized education institution.
You can coordinate two benefit plans to maximize your coverage, potentially reaching up to 100% coverage! Find out more Coordination of Benefits.
Students with comparable coverage can choose to opt out of the health, dental, or both plans.
Approval of the Student Benefits Plan Opt-Out application will result in the plan fee being refunded according to the school's policy.
NO EXCEPTIONS will be made if the deadline is missed. It is the student's responsibility to pay the plan's mandatory fees, should they miss the applicable opt-out deadline.

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 opt-out form is not accessible at this time.

The fall application period was from August 1^st, 2024 to September 30^th, 2024.

NO EXCEPTIONS are made if the deadline is missed. The student must pay the plan's mandatory fees, should they miss the applicable opt-out deadline.

Winter 2025: The online form will be available on December 1^st, 2024, and the application deadline is January 31^st, 2025. This deadline is only for new or returning students starting their studies in the winter term. Spring-Summer or fall students submitting applications during the winter term will be denied.

Health and Dental Opt-Out Form

Complete all information on the opt-out form and we will process your application as soon as we can.

Student Information

Student ID Number

Email Address

Confirm Email Address

First Name

Last Name

Date of Birth

Date Month Field Date Day Field Date Year Field

Mailing Address

City

Province

Postal Code

Phone Number

Phone Area Number Phone Local Number Phone Digits

Program Name

Program Start Date

Date Month Field Date Day Field Date Year Field

Required Direct Deposit Information

Please enter your financial institution's Transit Number, Institution Number, and Account Number. (*mandatory fields)

** Please do not enter any dashes or spaces **

Transit #

Institution #

Account #

Winter Deadline
Submit your online Family Add-On, Opt-Out, or Opt-In applications by January 31^st, 2025

Benefit Cards
Get your Benefits Card on your Benefits App and use it where direct billing 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 get your refund.

Benefits Plan Office

Email: macewanplan@mystudentplan.ca
Phone: 587-881-2169
Address: SA-109A, 10850-104 Avenue NW SAMU Building.
Edmonton, Alberta T5H 0S5, CA

General Inquiries Line

Monday to Friday
from 6:00am to 6:00pm MST
Phone: 1-866-586-1010

Online applications are now closed

Opt-Out Applications

Winter Application Period

Opt-Out Eligibility

How to Opt Out

The opt-out form is not accessible at this time.

Eligibility Confirmation

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

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

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?

Have you ever opted out of the Student Benefits Plan?

Are you covered by a comparable Health and Dental Plan from parents, spouse, work, government, or band?

Health and Dental Opt-Out Form

Student Information

Required Direct Deposit Information

Benefits Plan Office

General Inquiries Line

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