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PLEASE RETURN TO: Reinsured Dental Services Dept. 27H P.O. Box 9005 Benbrook, NY 11563 (516) 3965544/(718) 2047172 www.asonet.com NEW ROCHELLE FEDERATION OF UNITED SCHOOL EMPLOYEES WELFARE FUND HEARING
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The hearing aid claim form is a document used to request reimbursement for the cost of hearing aids.
Individuals who have purchased hearing aids and are seeking reimbursement from their insurance provider or benefit plan are required to file a hearing aid claim form.
To fill out a hearing aid claim form, the individual must provide details about the hearing aids purchased, including the cost and date of purchase, as well as any relevant insurance or benefit plan information.
The purpose of the hearing aid claim form is to request reimbursement for the cost of hearing aids from an insurance provider or benefit plan.
The information that must be reported on a hearing aid claim form includes details about the hearing aids purchased, the cost of the hearing aids, the date of purchase, and any relevant insurance or benefit plan information.
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