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RETURN BY MAIL OR FAX TO:
Suffolk County Court Employees
SC CEA, Welfare Fund
Association Welfare Fund
136324 Veterans Memorial Hwy.
Haulage, New York 11788
OPTICAL BENEFIT FORM 2024
(631) 2313983
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How to fill out optical benefit claims
How to fill out optical benefit claims
01
Obtain the optical benefit claim form from your insurance provider
02
Fill in your personal information such as name, policy number, and contact details
03
Provide details of the optical service received, including date of service, provider name, and service description
04
Attach any necessary receipts or documentation to support the claim
05
Double check all information is accurate and complete before submitting the claim
Who needs optical benefit claims?
01
Individuals who have optical insurance coverage and have received optical services
02
Individuals who want to be reimbursed for optical services they have paid for out of pocket
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What is optical benefit claims?
Optical benefit claims refer to claims made by individuals seeking reimbursement for expenses related to optical services, such as vision exams and glasses or contact lenses.
Who is required to file optical benefit claims?
Individuals who have optical insurance coverage and incur expenses for optical services are required to file optical benefit claims in order to receive reimbursement.
How to fill out optical benefit claims?
Optical benefit claims can typically be filled out online or through paper forms provided by the insurance company. The individual will need to provide information such as the date of service, type of service received, and amount paid.
What is the purpose of optical benefit claims?
The purpose of optical benefit claims is to allow individuals to be reimbursed for expenses related to optical services covered by their insurance policy.
What information must be reported on optical benefit claims?
Information such as the date of service, type of service received, provider information, and the amount paid for the service must be reported on optical benefit claims.
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