Student Health and Wellness

Plan Number: 330757
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.

Winter Application Period

December 1^th, 2024 to January 15^th, 2025 at 4:00 pm

Make sure to submit your form by January 15^th as the online form will be accessible only to eligible students with lifestyle changes.

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 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.

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 online or by cash, debit, or VISA or Mastercard credit card or a VISA Debit card at the Student Benefit Plan Office before the applicable payment deadline.

One dependent		Two or more dependents
Health	$315.00	Health	$315.00
Dental	$225.00	Dental	$315.00
Health and Dental	$540.00	Health and Dental	$630.00

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 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 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: sahealthplan@rdpolytech.ca

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

The fall application period was from August 1^st, 2024 to September 15^th, 2024.

NO EXCEPTIONS are made if the deadline is missed.

Winter 2025: The online form will be available on December 1^st, 2024, and the application deadline is January 15^th, 2025. This deadline is only for new or returning students starting their studies in the winter term. Fall, Spring or Summer students submitting applications during the winter term will be denied.

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

F

M

U

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

Winter Deadline
Submit your online Family Add-On, Opt-Out, or Opt-In applications by January 15^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: sahealthplan@rdpolytech.ca
Phone: 403-342-3200
Address: Room 2010A, 100 College Blvd.
Red Deer, Alberta T4N 5H5, CA

General Inquiries Line

Monday to Friday
from 6:00am to 5:00pm MST
Phone: 1-877-746-5566

Online applications are now closed

Family Add-On Applications

Winter 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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