Group Accident Claims
Group Hospital Fixed Indemnity Claims
Critical Illness Benefit Claims
Gap HCI Claims
Group Term Life Claims
Short Term Medical Claims
Select Claim Form Type below to Download Claim Forms
Look at your ID Card & Member Guide for the correct carrier to download. Unsure which claim form to use?Call us at 866.438.4274 and we can help you.
Note: There are no claim forms to complete when you visit a VSP participating doctor.