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Claim Forms

Download a Claim Form

Participating dentists will submit your claim for you. However, if you choose a nonparticipating dentist, download and submit our claim form.

You or your dentist should send your claims to:

PO Box 17250
Indianapolis, IN 46217
Attn: Claims Department

Your VSP Doctor will submit claims on your behalf. To submit an Out-Of-Network claim, visit:

To obtain or submit your life and disability claim:

Phone: 844-368-6485, Option #2