Mail completed claim form to Vision Care Processing Unit, P - equityleague 2025

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6. Mail completed claim form to: Vision Care Processing Unit, P.O. Box 1525, Latham, NY 12110. 7. The completion and submission of this form does not guarantee eligibility for benefits. Please verify your coverage with your benefits office or call 1-800-999-5431 or visit .davisvision.com.
But, if you go out-of-network, you can submit a claim for reimbursement online from your VSP member account or by contacting VSP Member Services at 800.877.7195 and requesting a claim/reimbursement form. When submitting a claim, youll need: Your completed claim form.
Online: State Disability Insurance (edd.ca.gov/disability). By phone: 1-800-480-3287. By mail: EDD, Disability Insurance, PO Box 989777, West Sacramento, CA 95798-9777. California state government employees covered by SDI should call 1-866-352- 7675.
Claim Your Vision Insurance Select your insurance provider to download claim form, or opt for generic claim form. Print and complete the relevant form. Attach itemized receipt of your prescription glasses. Submit the receipt and form to your insurance company to the specified address found on the form.
Department, P.O. Box 791, Latham, NY 12110, or fax to 1-888-343-3475. Be certain to keep copies of this form, your denial notice, and all documents and correspondence related to this claim.
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