If you've received eye care services (exam, contacts, or glasses) from an out-of-network provider, you may be able to submit a claim to request partial reimbursement. Your benefits will always go further when you select an in-network doctor.
To request reimbursement, complete and print this form, enclose a legible copy of your itemized receipt(s), and send them to the following address. Be sure to keep a copy for your records.
If you’ve seen a VSP network eye doctor or provider, you don’t need to fill out a claim form. The doctor or provider will submit the claim directly to VSP for processing after your appointment. The doctor or provider will discuss any copays or out-of-pocket expenses with …
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Click the button below or go to www.vsp.com to log into your account and complete an Internet form. You. one yet. Still want to mail the form in? Follow the form instructions on the next page. Missing or incomplete information will slow down claims processing. Be reimbursement ready by making sure the following are done: .
Submit this form along with your **itemized receipt to: VSP P.O. Box 997105, Sacramento, CA 95899-7105 IMPORTANT NOTE: Your itemized receipt must include the information shown below with an **. If your receipt does not contain this information your claim cannot be processed and you will need to contact your non-VSP
There are 2 ways to submit an out-of-network claim. Option 1 is the quickest way to submit a claim. Options: 1. Create an account at www.vsp.com a. Go to Benefits & Claims b. Go to Claims & Reimbursement to start a new claim c. Complete the claim form on-line, then print and mail the form to VSP 2. Call VSP Customer Service at 1-800-877-7195 a.
To file a claim for reimbursement, you'll want to submit your purchase information to VSP directly through the VSP member portal. To register, visit VSP's website here and enter the following information for the primary on the policy: Social Security Number; First & last name; Date of birth
VSP network vision providers will submit claims for you. If you visit a non-network provider, you may need to submit a claim online through your account at vsp.com or complete a paper form and mail it to the address listed on the form.
Fill out the form completely and if you're filling it out online, snap a picture of your receipt and attach it to your claim to get your reimbursement faster. If you have receipts for other claims you must complete a separate claim form.