University Health Insurance Plan (UHIP)

University Health Insurance Plan (UHIP)

1. Have your UHIP Member ID and Policy # available so the MD Connected patient care team can verify your coverage eligibility.
2. Please complete the UHIP claim authorization form provided below and email it to admin@mdconnected.ca.

Guard.Me International Insurance

1. Have your Guard.Me policy card ready so the MD Connected patient care team can verify your coverage eligibility.
2. Please complete the MD Connected authorization form provided below and email it to admin@mdconnected.ca.

MSH International (Intrepid 24/7)

1. When using this service, you or your guardian can call Intrepid 24/7 prior to seeking an appointment, and their customer care team will direct you to a contracted clinic.
2. Intrepid 24/7 will fax over the pre-authorization forms. If the forms have not been received by MD Connected you must call the insurer to fax the Verification of Benefits to us.
3. You or your guardian must present your Intrepid 24/7 policy card upon arrival so that our patient care team can verify that you have eligible coverage and sign the authorization forms.

Blue Cross (IFH Refugee)

1. You must provide one of the below forms. As long as you have coverage, which can be validated by an MD Connected customer care team member, your visit can proceed.
a. A refugee protection claimant document (RPCD) with photo.
b. An interim federal health program certificate (IFHC).