Booklets & Forms

You can download all the forms you need. If the form you need is not listed here, contact us via the chat.

Discount Network

  • This map shows discounts near you. To obtain your discount: Scroll Down, Click, and Print the coupon that applies.
  • Select All   /   Deselect All
  • DENTAL NETWORK LISTING PDF
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*All students have access to the discounted providers regardless of the benefit coverage

Coupons

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Submit Your Claims

Step 1

If you havent already

MAKE A PROFILE

here

Need help? Watch this:

Step 2

Fill out online

CLAIM FORMS

here

Need help? Watch this:

Step 3

Click submit,

You are

You can also submit claims

through your Student

Association Mobile App!

Tutorials

1. Website tour

2. Submitting a Claim

3. Filling a Prescription

4. Plan Overview

5. How To Opt-Out

FAQ

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Feedback

If you require assistance with your claim or plan information, please contact pleh or call us at 1-800-315-1108.

This section is for website feedback, not specific questions about your coverage

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