Get Canada Claimsecure Vision Form 2008-2025

Filling out the Canada Claimsecure Vision Form online can streamline the process of submitting your vision care claims efficiently. This guide provides you with detailed, step-by-step instructions to ensure that you complete the form accurately and promptly.

Follow the steps to complete your vision claim form with ease.

1. Click ‘Get Form’ button to access the form and open it in your designated editing tool.
2. Begin by entering your group or employer information in the corresponding field. Ensure you include your full name, group number, date of birth, and certificate number.
3. Proceed to fill out your address details. Provide your street address, city, province, and postal code. Ensure all fields are correctly filled to avoid processing delays.
4. Identify your vision provider by entering their name and address information. This includes the street, city, province, and postal code, along with their phone number.
5. Select your language preference by marking either English or French.
6. If you are claiming for dependents, complete the relevant section by entering their personal information, such as name, date of birth, and relationship to you. If applicable, provide details for dependent children aged 21 or over regarding their status as full-time students.
7. Enter the details of the prescription, including the specifications for both the right and left eyes. Indicate whether the submission is for new or old prescriptions and select any applicable options for prescription types.
8. Itemize your vision expenses in the designated area. Ensure that you attach original receipts for all expenses incurred and list the dates of these services.
9. Answer the questions regarding other health benefits and insurance plans to determine if other coverage applies. Complete the necessary details and check the corresponding option for coordination of benefits.
10. Review the certification section thoroughly. Ensure all information is accurate and complete before signing and dating the form.
11. Finally, save your changes, print, or share the completed form as necessary, and submit it to the appropriate ClaimSecure address or according to their outlined submission procedures.

Take the next step and complete your Canada Claimsecure Vision Form online today.