If you need to submit a claim, download the form and choose one of these options:
- Return the completed form via email here, or
- Return the completed form via fax to 855-400-9307, or
- Return the completed form via mail to:
P.O. Box 14389
Baton Rouge, LA 70898-9100
Other vision forms:
Grievance From - Request for review and reconsideration of a submitted claim.
AZ Health Coverage Appeal Information Packet - Important information for our members in Arizona about how to appeal decisions Starmount Life Insurance Company makes about your health coverage.
Special Discounts for Optical Members - Reference for special discounts on optical materials provided by Value Added (VA) and Service Plus (SP) providers in the FirstLook Vision Network.
Hearing Savings Plan Flyer - Learn how you can access savings on hearing instruments and accessories.
For additional forms and documents, visit AlwaysAssist.com.