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Get Vantagecare Retirement Health Savings Plan Reimbursement Request Form

Umentation to VantageCare RHS Plan, c/o Meritain Health, Inc., P.O. Box 30136, Lansing, MI 48909-7611. You may also fax this request with supporting documentation to 888-665-8495 for processing. Each form of documentation must contain the date(s) of service, provider name, provider address, description of treatment, service or supply, amount charged, insurance payments, as well as the name of the claimant. Supporting documentation may consist of: Itemized Bills Explanatio.

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