How to File a Claim

Pediatric Dental and Vision Claims

Pediatric Dental

Most dental professionals in our network should file a claim for you; however, you may need to submit a claim if your dentist is out of the network or will not file a claim for you. If necessary, please complete and submit a dental claim form PDF Icon to request reimbursement for pediatric dental expenses.


Pediatric Vision

Submit an eyewear claim form PDF Icon and your receipt to Assurant Health, if your provider does not submit the claim for you. You will only need to submit this claim form for the eyewear, not the exam.

When visiting Visionworks, they should file a claim for you; however, you may need to submit a claim if you use kidsglasses.com, another provider or if Visionworks will not file your claim. If necessary, please complete and submit this form PDF Icon to request reimbursement for pediatric vision expenses.