Medavie Blue Cross is the University's insurer for Extended Health and Dental Care Benefits.
Mobile App
Take us with you! You have our card in your wallet—now you can take us with you on your smartphone, too. Our new mobile app ensures you have fast and reliable access to your benefit information – anytime, anywhere.
Our mobile app gives you access to all of your benefit information at your fingertips and services to make accessing those benefits easier.
Top five uses for the app:
You can find the Medavie Blue Cross app at: https://www.medaviebc.ca/en/members/medavie-mobile
Health care benefits are designed to help pay for most medical and hospital expenses that an employee and/or their family may incur.
Health Care Program.
Dental Care Program
Blue Cross Coverage Details
Effective Date
Effective April 1, 2017 if an employee participates in the health care program, health care coverage becomes effective on the first day of the month following the date of employment by the University, or if evidence of insurability is required, the date it is approved by the insurer.
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Eligibility
Effective April 1, 2017, the Health & Dental Care benefit is mandatory unless proof of other coverage is provided. “Employee" shall mean a person who is employed on the full-time staff of the employer and is a resident in Canada, excluding Faculty and Professional Librarians. An employee shall be deemed to be on the full-time staff of the employer if customary employment with the employer is for 30 or more hours per week, excluding any eligible employee not covered on or prior to March 1, 1981. With respect to part-time employees, employee shall mean a person who is employed for a minimum of 17.5 hours per week.
Effective October 1, 2021, contract employees are eligible for group health and dental benefits as defined under the full-time employees' contract. Employees must meet the minimum required hours stated in the contract to be eligible for coverage.
Dependent Registration
Click here to access the Dependent Registration Form. If your dependent child who is unmarried, unemployed and is greater than 20 years of age and less than 26 years of age and is attending University/College on a full-time basis for the upcoming academic year, please complete the Registration Card available through Human Resources and forward to Human Resources. The student's name, date of birth, and name of the school, college or university attended will be required.
If you have more than one dependent to register, please complete a separate form for each student dependent.
The term "spouse" shall mean a person of the opposite or same sex who is legally married to the employee, or has continuously resided with the employee for not less than one full year having been represented as members of a conjugal relationship (common law). In the event of divorce, legal separation, or discontinuance of cohabitation (“common law” spouse), the employee may elect to continue membership of the former spouse or to provide notice to Medavie Blue Cross to terminate coverage for the Spouse. Medavie Blue Cross will at no time provide coverage for more than one spouse under the same policy.
Unmarried, unemployed children 21 years of age or older qualify, if they are dependent upon the covered employee by reason of a mental or physical disability and became totally disabled prior to attaining age 21, and who have been continuously disabled since that time. Unmarried, unemployed children who became totally disabled while attending an accredited educational institution, college or university on a full-time basis prior to their attaining age 26 and have been continuously so disabled since that time shall also qualify as a Dependent.
Dependent coverage begins for an employee's eligible dependents on the same date as the employee's coverage, or as soon as they become eligible dependents if added later, provided that dependent benefits were applied for within 31 days of their becoming eligible. New babies may be added to the plan within 12 months of date of birth otherwise, if coverage is not applied for within this 31-day period, evidence of health on the dependents may have to be submitted and approved before coverage begins.
Where applicable, be sure to report any changes in dependent status to Human Resources within 31 days of the change so that the appropriate coverage may be obtained.
Evidence of Insurability
Evidence of insurability is required if:
Coordination of Benefits
Coordination of Benefits Within the Program If any of the benefits claimed are payable under more than one section of an employee's health care programs, an employee's claim will be assessed under the program that will provide the employee with the greatest benefit.
Coordination of Benefits With Another Program Benefits under this program are co-ordinated with similar benefits, which may be available to an employee under another benefit program.
Claims for services an employee has received:
Claims for services an employee's spouse has received:
Claims for services a dependent has received:
Total reimbursement from all programs will not exceed the actual expense incurred.
For more details on Coordination of Benefits contact Medavie Blue Cross.
How To Claim
In order to quickly process claims, send receipt of payment along with the following information:
The following procedures should be followed in the event of a health claim:
All Health benefits are on a reimbursement basis unless otherwise specified. Claims must be submitted within four months of receiving services or supplies.
For claims, on a direct payment basis, the subscriber or dependent should first determine if the "provider of services" is a participating or non-participating member under the program. After this, one of the procedures below should be followed:
(a) Participating Provider: the subscriber's identification card should be shown and the provider will arrange to bill the insurer directly,
or
(b) Non-Participating Provider: the subscriber must pay the provider, obtain an official receipt and submit this to the insurer for payment. The subscriber should also arrange for the completion of the appropriate claim forms, which are available from the employee's employer or the provider of services, or by contacting Blue Cross. For drug claims on a reimbursement basis, receipts must indicate the following information for each prescription item:
Claim Reimbursement Options
Option I: Mail Claim: Submit claims through the mail. Cheques are mailed to the address indicated below. Once processed reimbursed claims are mailed to an employee's home address. Medavie Blue Cross Attention Claims P.O. Box 2200Halifax, NS B3J 3C6 1-800-667-4511
Option II: Direct Deposit: Direct deposit provides employees with a quick and convenient option for claims reimbursement. With this option, claims are submitted through the mail, once processed claims will be reimbursed directly to an employee's bank account within (2) bank days. A follow-up explanation of benefits will be mailed to an employee's home address, advising that payment has been deposited into their respective bank account.
Direct Deposit Form
Blue Cross goes Paper Free for Direct Deposit!
When Insurance Terminates
Insurance terminates in the event of:
Note : In the event an employee is absent from work due to sickness, injury, layoff or approved leave of absence, insurance coverage may continue, subject to payment of premiums. Additional details are available at Human Resources.
Medavie Blue Cross Contact Information
Web Site Address: www.medavie.bluecross.ca University's Group Policy Number: 04841-000 Customer Information Centre: 1-800-667-4511 Customer Inquiries: inquiry@medavie.bluecross.ca
Cardholder Site
The Cardholder Site provides cardholders (employees) with ease and convenience on accessing pertinent benefit plan information. To access the cardholder site, please click here
There are a variety of options available on the Cardholder Site: First-time Access to the Cardholder Site For cardholders who want access to detailed information relating to their benefits plan design.
Coverage Inquiry Detailed information about your current Blue Cross benefit plan. Member Statements - Claims history for you and your dependents - Record of payments issued to you and/or your service provider Forms: Printable versions of many generic Medavie Blue Cross claims forms Glossary: Definitions of common insurance industry terminology
First-time Access to the Cardholder Site
Create a Medavie Blue Cross/Maple Account
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