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Claimsecure vision claim form

VISION FORM - ClaimSecure 2025

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4.5 out of 5

69 votes

The document is a Vision Claim Form used by plan members to submit claims for vision-related expenses. It requires personal information about the plan member and their dependents, details of the vision provider, prescription specifics, and expenses incurred. The form also includes sections for coordination of benefits with other insurance plans and requires the member's signature to certify the accuracy of the information provided.

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Versions	Form popularity	Fillable & printable
2009	4.5 Satisfied (69 Votes)
2008	4 Satisfied (43 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I contact ClaimSecure Canada?

If you suspect Fraud, Waste or Abuse of insurance or workplace benefits, please advise the Special Investigations Unit immediately via the following confidential options: Call us at 1-855-583-2843 ext. 2420. Leave an anonymous voicemail at 1-855-583-2843 ext.

Is Canada Life ClaimSecure?

Canada Life acquired ClaimSecure in 2021, substantially enhancing Canada Lifes presence in the third-party administrator (TPA) and third-party payor (TPP) business segments.

How do I submit to ClaimSecure?

Submitting benefit claims through ClaimSecure Login to your ClaimSecure electronic profile (eProfile) at .ClaimSecure.com. Click the eProfile Login link in the upper right of the home page or scroll down to the eProfile login on the home page. ClaimSecure also offers an eProfile app for mobile devices.

What is claim secure in BC?

For over 40 years, ClaimSecureTM has administered drug, health, and dental benefit plans for businesses and unions across Canada. Our team of Benefits professionals puts our clients needs first.