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Insurance Reimbursement Forms

Do You Want To Utilize Your Vision Plan With Us?

Please click on your plan link below. It’s easy! Each plan has specific dollar amounts you can receive for prescription eyeglasses, prescription sunglasses, contact lenses and eye exams, no matter where you get them. Currently, we can directly claim for you if you have Eyemed or Vision Service Plan if you let us know that you have these plan prior to your visit.

 

1. Select your plan below.

If your plan is not listed, please contact your plan directly for a form or contact your HR department for more information.

AETNA VISION

ANTHEM BLUE CROSS BLUE SHIELD VISION

CIGNA VISION

DAVIS VISION

EYEMED VISION

HUMANA VISION

MEDICAL EYE SERVICES VISION

NATIONAL VISION ADMINISTRATORS VISION

SPECTERA VISION

UNITED HEALTHCARE VISION PLAN VISION

VISION SERVICE PLAN VISION

 

2. Complete the claim form.

Submit it to the appropriate address, along with any additional information they insruct you to include. If you need a copy of your receipt, please contact us by email, phone or text.

 

3. Get your money back.

After submitting your claim, you will receive the reimbursement directly. Processing times will vary, but it usually it takes about 2+ weeks from when they receive the form.