Tri-County Schools Insurance Group offers three comprehensive Vision plans.
To view your personal benefit information, register online at VSP
Forms
HEALTH BENEFITS

For reimbursement complete items 1-11 of the claim form, attach receipt(s) and submit to:
FOR CLAIMS IN CALIFORNIA
Anthem Blue Cross of California
PO Box 60007
Los Angeles, CA 90060-0007
FOR CLAIMS OUTSIDE
OF CALIFORNIA
Anthem Blue Cross/Blue Shield of the state the medical services were performed. If you have questions, call 800-810-BLUE(2583).
If you need the provider reimbursed then also sign item 12 and following the same procedures listed above. One claim form per patient.
PhysMetrics
(formerly ChiroMetrics)
Breast Pump

Prescription Claim Form
Complete the claim form and submit it to:
Claims Department
P.O. Box 52065
Phoenix, AZ 85072-2065
Or fax to Fax: 401-404-6344
** Please include copies of the receipts**