Vision Claims
Submission Guidelines
When you visit a Vision Service Plan (VSP) provider, you do not need to fill out a vision claim form (your provider will take care of that for you). However, all vision claims for non-VSP providers should be filed with VSP, following the instructions below:
- Download and print the VSP Claim Form (Adobe Acrobat reader required, click here for free download).
- Fill out the VSP Claim Form completely and send it, along with all itemized receipts, to VSP at the following address:
- Vision Service Plan
- Attn: Out-of-Network Claims
- P.O. Box 997105
- Sacramento, CA 95899-7105