Terms and Conditions
Before submitting an online myvirtualdoctor opt-out applications, please read and agree to the following terms and conditions.
Submitting Online Applications
By submitting an online myvirtualdoctor Opt-Out application through the website, the student acknowledges that it is solely their responsibility that the information they are providing is true and correct and that the form has been received by the Student Benefits Plan Office.
Authorization and consent to the use, release, and exchange of said information between the educational institution, the student organization, the plan broker, third-party service providers, and the insurance company(s) to be used solely in connection with the administration of the Student Benefits Plans.
Falsification of any information provided by the student is a serious form of fraud.
Your Information
When submitting the online myvirtualdoctor Opt-Out form through the website, the student may be asked to supply relevant information, without limitation. Your name, Student ID, date of birth, email, and phone number.
You represent and warrant that the information entered is true, correct, and complete.
Deadline
The deadline is the date by which the online myvirtualdoctor Opt-Out form should be submitted. You will not be able to opt out of coverage at any other point during the school year. The date is established by the Institution or Students' Association. The Deadline to submit an online myvirtualdoctor application is 30 days from the official start date of your program.
NO EXCEPTIONS will be made if the deadline is missed and it is The Student's responsibility to pay the myvirtualdoctor fees, should they miss the applicable opt-out deadline.
The Student Benefits Plan Office informs students of the deadline through the Student Benefits Plan website, college or student association website, students’ orientations, emails, newsletters, and social media, among others.
Processing of Applications
After successfully submitting your application, the Student Benefits Plan Office performs verification of the information submitted by the students. The office could take up to 5 business days to process your applications. During this time, the office performs audits and validations of the information received to guarantee that you meet the eligibility criteria set by the Institution or Students' Association.
Submitting an online application does not mean that your application will be automatically approved. After the office performs all verifications, the office could approve, audit, or refuse your application.
The Student Benefits Plan Office does not process any application sent by email, phone call, or in the office. The student must submit the appropriate online form to be considered.
Email Confirmation
You will receive a do not reply email confirmation after you complete and submit the myvirtualdoctor Opt-Out form. Please retain a copy of the email confirmation for your records as it is your ONLY proof that you applied. Add donotreply@gallivan.ca to your address book. Please do not reply to this email.
If you do not receive a confirmation email, please contact the Student Benefits Plan Office before the applicable deadline at ontariotech@mystudentplan.ca
Cancellation
We reserve the right to refuse or cancel your applications at any time for certain reasons including but not limited to:
- Errors in your application.
- Applications submitted after the applicable deadline.
- Change in your eligibility to the plan.
If you wish to cancel your application, you must email the Student Benefits Plan Office at ontariotech@mystudentplan.ca, including the reason for your cancellation within the applicable deadline. After the deadline, the Student Benefits Plan Office has the right to approve or refuse your cancellation request.
myvirtualdoctor Opt-Out Form
Definition:
The Opt-Out form is available for those Students who wishes to decline the myvirtualdoctor coverage.
The student understands that they would have been able to use this program to access virtual primary care services, including appointments with primary practitioners, prescription delivery services, and access for eligible dependents.
The student realizes that they will not be able to rejoin the program until their next enrolment anniversary.
Eligibility Criteria
Only new students or returning students whose anniversary of enrollment is the current month can opt-out of myvirtualdoctor based on their personal choice by the applicable deadline.
Students do not need to provide proof of coverage or the reason to withdraw to the plan, they only need to submit an online myvirtualdoctor Opt-Out form by the applicable deadline.
Opt-Out Result
An approved myvirtualdoctor opt-out applies to the coverage year in which it is submitted, the student is automatically removed from myvirtualdoctor coverage, and the fee will be credited/or refunded according to the school's policy. The student needs to submit an opt-out on each subsequent enrolment anniversary or when the fees are automatically included in the tuition if the student wishes to continue to be opted-out of the Virtual Health Care Plan - myvirtualdoctor.
The student acknowledges that as a result of the opt-out, they forfeit all rights to coverage otherwise available to them under the Virtual Health Care Plan - myvirtualdoctor. The student realizes that they will not be able to rejoin the plan, students will be automatically enrolled each year and they can decide to keep the plan or submit a new opt-out form through the website.
Contact Us
If you have any questions about these terms and conditions, you can contact us by: