Get Meritain Health Vision Form - Schoolcraft

Filling out the Meritain Health Vision Form - Schoolcraft online is a straightforward process that ensures you receive the vision care benefits you are entitled to. This guide will walk you through each section of the form, providing clear instructions and tips to make the process as smooth as possible.

Follow the steps to complete the Meritain Health Vision Form - Schoolcraft online.

1. Click ‘Get Form’ button to obtain the form and open it in the document editor.
2. Provide your employer's information completely in the designated area for all claims, including your full name, employee ID number, address, and date of birth.
3. Indicate your marital status by selecting from the options provided: single, married, widowed, or divorced.
4. If you are submitting a claim for a dependent, fill in the patient's name, date of birth, and their relationship to you.
5. Answer whether the patient is covered by another employer group plan or retirement plan by selecting ‘Yes’ or ‘No’. If 'Yes', provide the name of the employer.
6. If the patient is a child and married, provide additional information as requested.
7. Sign and date the release authorization, ensuring you do so in the designated area of the form.
8. In the provider section, provide the date of examination, the name, address, and signature of the provider, and any applicable details related to the examination.
9. Complete the charges for the examination, lenses, frames, and any contact lenses, making sure to enter clearly the amounts paid by you as the employee.
10. Review all information for accuracy before saving changes, downloading, or printing the completed form to submit.

Take the next step and fill out your form online today.