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At Vision Insurance Plan of America we work hard to make sure you have contact with us when you need it and how you want it. That is why we are now offering this convenient way of processing your claims and eligibility queries on the web, it's fast and easy and you can expect the same fast turnaround as before.

Claims Query
Patient's Name
Patient's ID Number
Member's Name(if Different)
Member's ID(if Different)
Provider Name
Provider Location
E-mail address
Date of service

 

Eligibility Query
Patient's Name
Patient's ID Number
Member's Name(if Different)
Member's ID(if Different)
E-mail address
Date of service

 

Request for More Information
First name
Last name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Phone
FAX
E-mail
Date Proposal Required:
Total Number Of Employees
Full Time Part Time

Healthcare Provider

Anniversary:

Status:

 Funding
Do you currently have vision care ? Yes  No

If yes, who is provider

Anniversary:  

What type of program would best suit your needs?

Funding (Choose One):

Voluntary       Fixed Fee
Employer Paid   
Other

Employer Contribution:

%

Choose Plan Frequency (check one for each)

Exam:

12 Months    24 Months

Lenses:

12 Months    24 Months   

Frame:

12 Months    24 Months

Co-payment: (enter amount)

Exam Materials