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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.

 

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 Family Add-On Application

Deadline to add dependents to your Student Benefits Plan

Summer term - July 3rd, 2024

After the deadline, the online form is only available for students who have lifestyle changes.

The fees on the student account cover the student only. You can extend your coverage to your dependents to have the exact same coverage. Additional charges must be paid using a credit card.

The online form is only available for students who have lifestyle changes.

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 new students, (2) when they are returning students on the anniversary of enrolling in the Student Benefits Plan, or (3) when they have a lifestyle change.

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.

Family Add-On Fees:

These are the fees to purchase family coverage, you must pay using a credit card (Visa® or MasterCard®) before the applicable payment deadline.

One dependent Two or more dependents
Health $110.76 Health $110.76
Dental $107.54 Dental $214.24
Health and Dental $218.30 Health and Dental $325.00
  • 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 for 12 months. If you wish to keep your family covered, you must submit a new application before the applicable term 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 credit 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 plan card that the student has. The plan card must have the student's information (Full name and student ID).
  • Family Add-On fees are not automatically renewed every year. If students wish to keep the dependents covered, they must re-apply every 12 months (On the anniversary of adding dependents).
  • 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: uofcalgaryplan@mystudentplan.ca

Eligibility Confirmation

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

Are you a new student who has been assessed the Students' Union Health and Dental Plan fees 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.

Are you a returning student on the anniversary of your enrollment in the Student Benefits Plan, who has been assessed the Students' Union Health and Dental Plan fees on your student account?

The anniversary refers to when you first became eligible for the Student Benefits Plan and were assessed the fees. For instance, if you were first eligible for the Student Benefits Plan in the winter term, your anniversary would happen every winter term.

Are you a student enrolled in the Student Benefits Plan and have a lifestyle change such as getting married, common-law status, or birth/adopting a child?

You may only apply within 30 days of the lifestyle change. After 30 days, your application will be denied.

Are your family members eligible to be added to your Student Benefits Plan?

You can only extend your plan to your spouse or common-law partner and your children. Please check the eligible dependents.

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

Sex
Date of Birth
Phone Number
Program Start Date

SU Benefits Plan Office

Email: uofcalgaryplan@mystudentplan.ca
Phone: 403-220-3906
Address: 2500 University Drive NW
MSC 352
Calgary, Alberta. T2N 1N4

General Inquiries Line

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

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