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  1. You don’t need to fill out a claim form when you see a VSP network eye doctor or provider. 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 you during your appointment.

  2. VSP Member Reimbursement Form. To request reimbursement, complete this form (in blue or black ink), 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. VSP PO Box 385018 Birmingham, AL 35238-0518.

  3. Claims and Reimbursement. Have you seen an In-Network or Out-of-Network provider? Contact Member Services at 800.877.7195 for help submitting a claim online or by mail. You don’t need to fill out a claim form when you see a VSP network eye doctor or provider.

  4. Submit an Out-of-Network Claim. 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.

  5. REQUEST FOR REIMBURSEMENT. Saw an out-of-network doctor? We are here to help. If you have out-of-network benefits, these are your options: Online. It's the way to go. It's secure, you can. check on claim. status, get paid faster, and save on paper. Click the button below or go to www.vsp.com to log into your account and complete an Internet form.

  6. Out-Of-Network Reimbursement Form. 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 **.

  7. VSP Member Reimbursement Form To request reimbursement, complete this form (in blue or black ink), enclose a legible copy of your itemized receipt(s), and send them to the following address.

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