Get Vision Claim Form - Saskatchewan Teachers' Federation

Filling out the Vision Claim Form for the Saskatchewan Teachers' Federation can be a straightforward process when you have clear guidance. This comprehensive guide will walk you through each section of the form, ensuring you provide all necessary information accurately.

Follow the steps to successfully complete the Vision Claim Form.

1. Click ‘Get Form’ button to obtain the Vision Claim Form and open it in your preferred editing tool.
2. Begin with Part I: Member Information, where you will enter your last name, first name, middle initial, home mailing address, date of birth, home phone number, and school phone number. Be sure to fill in every field accurately.
3. Continue to Part II: Claimant Information. Specify your relationship to the plan member (self, spouse, child) and provide the patient’s first name, date of birth, and whether the child is a full-time student. If employed, indicate the number of hours worked per week.
4. In Part III: Co-ordination of Benefits, answer whether any family member is entitled to benefits under another employer group plan. If yes, provide the name of the insured family member, their relationship to you, the name of the insurer, and other relevant details.
5. Proceed to Part IV: Vision Services and Supplies and Provider Statement. This section must be completed by your vision services provider if your receipts do not clearly list the services provided. Enter amounts for services rendered, such as eye examinations and supplies, along with a description of any 'Other' services.
6. Finally, complete Part V: Member Authorization. Sign and date the form, certifying that all information provided is true and complete. Ensure that you keep a copy of the form and receipts for your records.
7. After filling out all sections, save changes, download, print, or share the completed form as needed.

Take a moment to fill out your Vision Claim Form online today for timely processing!