Student Health and Wellness

Plan Number: 161332
Certificate Number: Student ID
FAQ
Canada Life: 1-800-957-9777
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Student Health and Wellness! mystudentplan provides health, prescriptions, dental, mental health care plus additional benefits for eligible students.

Family Add-On Applications

Submit your health and/or dental family add-on application before the deadline.

Fall Application Period

August 1^st to September 26^th, 2025

Make sure to submit your form by September 26^th as the online form won't be accessible after that date.

Your student account fees only cover you. If you wish the same coverage for your dependents, you can purchase additional coverage using a VISA or Mastercard credit card or a VISA Debit card.

Family Add-On Eligibility

There are 3 circumstances in which students enrolled in the Student Health and Dental Plan may add dependents to their plan: (1) when they are starting the fall term, (2) when they are new students, or (3) when they have a lifestyle change.

Family Add-On Eligibility

How to Add Family

To add dependents, you must be enrolled in the Student Benefits Plan, meet the Family Add-On eligibility criteria, and complete the online form before the applicable term deadline.

Steps to Add Dependents

Family Add-On Fees:

These are the fees to purchase family coverage, you must pay using a VISA or Mastercard credit card or a VISA Debit card before the applicable payment deadline.

One Dependent		Two or More Dependents
Health	$165	Health	$165
Dental	$165	Dental	$330
Health and Dental	$330	Health and Dental	$495

These are the current family Add-on fees. However, the fees are subject to change without notice.
The Family Add-on fees are non-refundable and are not automatically renewed.
The Family add-on fees cover your dependents until August 31^st. If you wish to keep your family covered, you must submit a new application before the applicable fall deadline.
The family Add-On fees are not assessed as part of your term fees. If your application is approved, the Benefits Plan Office emails you a link, the payment deadline, and instructions to pay online using a VISA or Mastercard credit card or a VISA Debit card.

Things to consider:

You can only add as a dependent to your Student Benefits Plan your spouse or common-law partner and your children. Parents, grandparents, and siblings do not qualify as dependents.
Your dependents would be covered under your Student Benefits Plan, which means they would be entitled to the benefits you have through your plan.
Each dependent added uses the same Benefits Card that the student has. The Benefits Card must have the student's information (Full name and student ID).
Family Add-On fees are not automatically renewed every fall term. If students wish to keep the dependents covered, they must re-apply every fall.
NO EXCEPTIONS will be made if the application or payment is missed. It is the student's responsibility to check their emails regarding the status of the application or deadlines.

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

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

Main Campus Students - Univeristy of Guelph

Please do not submit this form. If you attend the Main Campus and wish to apply, you must complete the online application on the University of Guelph CSA and GSA (Main Campus) Plan website.

The family add-on form is accessible only to eligible students with lifestyle changes.

The winter application period was from December 1^st, 2024 to January 17^th, 2025.

NO EXCEPTIONS are made if the deadline is missed.

Fall 2025: Online applications will open on August 1^st, 2025, and the deadline is September 26^th, 2025. This deadline applies to all eligible students.

Health and Dental Family Add On Form

Please complete all information on the family add-on 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

Sex

Date of Birth

Date Month Field Date Day Field Date Year Field

Phone Number

Phone Area Number Phone Local Number Phone Digits

Program Name

Program Start Date

Date Month Field Date Day Field Date Year Field

Fall Deadline
Submit your online Family Add-On, Opt-Out, or Opt-In applications by September 26^th, 2025

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 get your refund.

Benefits Plan Office

Email: ridgetownplan@mystudentplan.ca
Phone: 519-674-1500 Extension 63507
Address:Room 128, 120 Main Street East. D.J. Pestell Student Services & Alumni Centre.
Ridgetown, Ontario N0P 2C0, CA

General Inquiries Line

Monday to Friday
from 8:00am to 7:00pm EST
Phone: 1-877-746-5566

Family Add-On applications are now closed

Family Add-On Applications

Fall Application Period

Family Add-On Eligibility

How to Add Family

Family Add-On Fees:

The family add-on form is accessible only to eligible students with lifestyle changes.

Health and Dental Family Add On Form

Student Information

Benefits Plan Office

General Inquiries Line

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