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.

Application Deadline

30 days from the official start date of your program

Make sure to submit your form within 30 days from the start date of your program as the applications received after the deadline will be denied. After the deadline, the online form is only available for 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 2 circumstances in which students enrolled in the Student Health and Dental Plan may add dependents: (1) When they are new students or returning students on the anniversary of starting an eligible full-time program, and (2) when they have a lifestyle change.

How to Add Family

To apply 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 deadline.

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 $228 Health $380
Dental $185 Dental $308
Health and Dental $413 Health and Dental $688
  • These are the current family Add-on fees. However, the fees are subject to change without notice.
  • These fees are not included in your tuition, and you will pay them with a VISA or Mastercard credit card or a VISA Debit card on our website if your application is approved.
  • The Family add-on fees cover 12 months of coverage.
  • The Family Add-on are non-refundable.
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. Please check the eligible 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).
  • There is a 45-60-day validation period from the start of the program. During this time, you would have to pay out of pocket for all eligible Health and Dental expenses and keep the receipts. After the enrollment process is complete, you will be able to submit online claims for reimbursement and your Plan Card will be automatically activated.
  • 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.
  • Once you complete the Family add-on form, you will receive an automated email confirmation. Please keep this email for your records as it is your only proof of submitting a family add-on request.

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

Questions? Please contact your Benefit Plan Office: spsahealth@spsa.ca

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