OUT Of network forms
We're out of network for the following plans but it is easy to apply for reimbursement for prescription eyeglasses, prescription sunglasses, contact lenses and eye exams. Select your carrier below for details.
Don't see your provider? Contact your insurance company directly for instructions on applying for reimbursement.
1. Fill out claim form
Complete the claim form by clicking on the box below and submit it along with your itemized receipt to the address provided.
2. Attach receipt
We'll give you an itemized receipt with all the codes and prices.
3. Get money back
If your insurance provider has questions, please give us a call! After submitting your claim, you'll typically be reimbursed within a few weeks.
Don't see your provider? Contact your insurance company directly for instructions on applying for reimbursement.
1. Fill out claim form
Complete the claim form by clicking on the box below and submit it along with your itemized receipt to the address provided.
2. Attach receipt
We'll give you an itemized receipt with all the codes and prices.
3. Get money back
If your insurance provider has questions, please give us a call! After submitting your claim, you'll typically be reimbursed within a few weeks.
|
|
|
|
|
|
|
|
