We are an out-of-network provider with United Health Care, but it’s simply to apply for reimbursement on prescription eyeglasses and prescription sunglasses. 

1) Download the claims form - Medical Claim Form (myuhc.com)

2) Complete the claims form and submit along with your itemised receipt to the address on your medical ID card. 

3) Attach receipt - We will include a receipt with your email confirmation or log into your account to download.

4) If you are eligible, you will typically be fully or partially reimbursed within 2-3 weeks of submitting your claim, depending on your carrier. 

We are an out-of-network provider with Spectera, but it’s simply to apply for reimbursement on prescription eyeglasses and prescription sunglasses.

1) Fill out the claims form - 16787_MWP_xom_Non-NetworkClaimForm.pdf.att (myspectera.com)

2) Complete the claims form and submit along with your itemised receipt: 

Spectera Eyecare Networks

Attn: Claims form

P.O Box 30978

Salt Lake City, UT 84130

Fax: 248-733-6060

4) Attach receipt - We will include a receipt with your email confirmation or log into your account to download.

5) If you are eligible, you will typically be fully or partially reimbursed within 2-3 weeks of submitting your claim, depending on your carrier. 

We are an out-of-network provider with Davis Vision, but it’s simply to apply for reimbursement on prescription eyeglasses and prescription sunglasses. 

1) Fill out the claims form - Davis Vision Direct Reimbursement Claim Form (carefirst.com)

2) Complete the claims form and submit along with your itemised receipt: 

Davis Vision

Attn: Vision Care Processing Unit

P.O Box 1525

Latham, NY 12110

3) Attach receipt - We will include a receipt with your email confirmation or log into your account to download.

4) If you are eligible, you will typically be fully or partially reimbursed within 2-3 weeks of submitting your claim, depending on your carrier. 

We are an out-of-network provider with BCBS FEP Vision, but it’s simply to apply for reimbursement on prescription eyeglasses and prescription sunglasses. 

1) Fill out the claims form at Vision care for federal employees - BCBS FEP Vision

2) Complete the claims form and submit along with your itemised receipt: 

BCBS FEP Vision

P.O Box 2010

Latham, NY 12110-2010

Fax: (518) 220-6555 

Email: fepmemberhelp@davisvision.com

3) Attach receipt - We will include a receipt with your email confirmation or log into your account to download.

4) If you are eligible, you will typically be fully or partially reimbursed within 2-3 weeks of submitting your claim, depending on your carrier. 

We are an out-of-network provider with VSP, but it’s simply to apply for reimbursement on prescription eyeglasses and prescription sunglasses. 

1) Fill out the claim form at VSP.com

2) Log into VSP.com to complete the claim form with your itemised receipt.

3) Submit your claim form online or in the post, depending on the instructions provided by your carrier. 

Vision Service Plan

Attn: Claims Department

P.O Box 385018

Birmingham, AL 35238-5018

4) Attach receipt - We will include a receipt with your email confirmation or log into your account to download.

5) If you are are eligible, you will typically be fully or partially reimbursed within 2-3 weeks of submitting your claim, depending on your carrier. 

We are an out-of-network provider with EyeMed Vision Care, but it’s simply to apply for reimbursement on prescription eyeglasses and prescription sunglasses. 

1) Download the claims form Out of Network Vision Services Claim Form (eyemedvisioncare.com)

2) Complete the claims form and submit along with your itemised receipt to:

First American Administrators

Attn: OON Claims Department

P.O Box 8504

Mason, OH 45040-7111

3) Attach receipt - We will include a receipt with your email confirmation or log into your account to download. 

4) If you are eligible, you will typically be fully or partially reimbursed within 2-3 weeks of submitting your claim, depending on your carrier. 

We are an out-of-network provider with Cigna, but it’s simply to apply for reimbursement on prescription eyeglasses and prescription sunglasses.

1) Download the claims form Cigna Vision Claim Form Fillable

2) Complete the claims form and submit along with your itemised receipt to:

CignaVision

P.O Box 385018

Birmingham, Al 352338-5018

3) Attach receipt - We will include a receipt with your email confirmation or log into your account to download. 

4) If you are eligible, you will typically be fully or partially reimbursed within 2-3 weeks of submitting your claim, depending on your carrier.

We are an out-of-network provider with Humana, but it’s simply to apply for reimbursement on prescription eyeglasses and prescription sunglasses.

1) Fill out your claim form - Microsoft Word - GCA0CD2HH-1210.DOC (compbenefits.com)

2) Complete the claims form and submit along with your itemised receipt to:

Human Vision Care Plan

Attn: OON Claims

P.O Box 14311

Lexington, KY 40512-4311

3) Attach receipt - We will include a receipt with your email confirmation or log into your account to download. 

4) If you are eligible, you will typically be fully or partially reimbursed within 2-3 weeks of submitting your claim, depending on your carrier. 

We are an out-of-network provider with aetna, but it’s simply to apply for reimbursement on prescription eyeglasses and prescription sunglasses. 

1) Fill out your claim form - GC-10 - Vision Benefits – Claim Instructions (aetna.com)

2) Complete the claims form and submit along with your itemised receipt to:

Attn: OON Claims

P.O Box 8504

Mason, OH 45040-7111

oonclaims@eyewearspecialoffers.com

3) Attach receipt - We will include a receipt with your email confirmation or log into your account to download. 

4) If you are eligible, you will typically be fully or partially reimbursed within 2-3 weeks of submitting your claim, depending on your carrier. 

We are an out-of-network provider with Anthem, but it’s simply to apply for reimbursement on prescription eyeglasses and prescription sunglasses.

1) Fill out your claim form - Out of Network Vision Services Claim Form (anthem.com)

2) Complete the claims form and submit along with your itemised receipt to:

Blue View Vision

Attn: OON Claims 

P.O Box 8504

Mason, OH 45040-7111

oonclaims@eyewearspecialoffers.com

3) Attach receipt - We will include a receipt with your email confirmation or log into your account to download. 

4) If you are eligible, you will typically be fully or partially reimbursed within 2-3 weeks of submitting your claim, depending on your carrier.

We are an out-of-network provider with NVA, but it’s simply to apply for reimbursement on prescription eyeglasses and prescription sunglasses.

1) Fill out your claim form

2) Complete the claims form and submit along with your itemised receipt to:

National Vision Administration, L.L.C

P.O Box 2187

Clifton, New Jersey, 07015

Visionclaims@e-nva.com

3) Attach receipt - We will include a receipt with your email confirmation or log into your account to download. 

4) If you are eligible, you will typically be fully or partially reimbursed within 2-3 weeks of submitting your claim, depending on your carrier.