For Students

• Medical Report Forms
  • Student Medical Report Form
• Non-Institute Visiting Student Forms
  • NIV Student Enrollment Form
• Health plans
  • A Student’s Guide to Health Insurance and Healthcare at MIT Medical
  • Blue Care Elect MIT Student Health Insurance Plan (SHIP) Summary of Benefits 2022-23
  • Summary of Benefits and Coverage
  • Schedule of Pediatric Dental Benefits
  • Other documents:
    • MIT Student Health Insurance Plan (SHIP) policies
    • Blue Cross Blue Shield subscriber claim form
    • Express Scripts claim form
    • Spousal Equivalent form — Students
    • Health Care Provider Report, Return from Medical Leave of Absence
    • Vaccine Exemption form
    • MIT Influenza (Flu) Vaccine Exemption Request
    • MIT COVID-19 (SARS-CoV-2) Vaccine Exemption Request