The enrollment form is not available.
Student Health Plan
- Waiver Form / MHPA
- Enrollment Form
- Dependent Enrollment Form
- Dependent Qualifying Event Enrollment Form
- Provider Search
- Worldwide Providers &
Travel Assistance - Insurance ID Card
SHIP Premium Assistance for MassHealth Members
Optional Plans
- Dependent Payment Option
- Massachusetts Delta Dental Plans
- VSP Vision Care Plan
- My Student Property Insurance
Additional Information
- Student Health Services
- Health Connector Participant Info
- Insurance Info for Graduating Students and Dependents
Insurance members need their insurance ID card number in order to access their account via Blue Cross Blue Shield's website. If you have not received an insurance card in the mail please call either University Health Plans at 1-800-437-6448 or Blue Cross Blue Shield of Massachusetts at 1-888-753-6615.