Dental insurance plans for students attending Massachusetts colleges and universities and their dependents.
Vision insurance plan for students attending colleges and universities and their dependents.
Your card will be sent to the address provided on this form. Please allow 7 - 14 business days to receive your new card.
An asterisk * denotes a required field.
For waiver, enrollment, eligibility, general benefit questions or plan issues
contact University Health Plans at 833-251-1124.
For specific benefit or claims questions
contact Blue Cross Blue Shield of Massachusetts at 888-753-6615.