Vision Insurance


Understanding Vision Insurance for Eyewear Purchases

Vision insurance can help reduce the cost of prescription glasses, sunglasses, and replacement lenses. If your plan includes out-of-network benefits,
you can purchase eyewear from Glass Lens Eyewear and submit an itemized
receipt to your insurance provider for reimbursement.

Coverage and reimbursement amounts vary by plan, so we recommend contacting
your vision insurance provider to confirm your benefits before ordering.


Vision Insurance Reimbursement Guide


Out-of-Network Benefits for Glass Lens Eyewear Purchases - Generic Form to Download

Many vision insurance plans allow reimbursement for out-of-network eyewear purchases. If your plan includes out-of-network benefits, you may be eligible to
submit a claim for your Glass Lens Eyewear prescription glasses or sunglasses.

Below are reimbursement instructions for major vision insurance providers.


Advantica

You may request reimbursement from Advantica if your plan includes out-of-network benefits.

Customer Service: 1-866-425-2323

Submit your completed reimbursement form and itemized Glass Lens Eyewear receipt to:

Advantica
Attn: Claims Department
3290 Pine Orchard Lane, Suite C
Ellicott City, MD 21042

Important Note:
Out-of-network reimbursement requests must be submitted within one year from the date of purchase.

DOWNLOAD REIMBURSEMENT FORM


Davis Vision

Davis Vision members may be reimbursed if out-of-network benefits are included in their plan.

Customer Service: 1-800-999-5431

Submit your completed reimbursement form and itemized Glass Lens Eyewear receipt to:

Vision Care Processing Unit
P.O. Box 1525
Latham, NY 12110

Important Note:
Claims must be submitted within 180 days from the date of purchase.

DOWNLOAD REIMBURSEMENT FORM


EyeMed

EyeMed offers reimbursement for out-of-network purchases when benefits apply.

Customer Service: 1-866-439-3633

Submit your completed reimbursement form and itemized Glass Lens Eyewear receipt to:

EyeMed Vision Care
Attn: OON Claims
P.O. Box 8504
Mason, OH 45040-7111

Important Note:
Claims must be submitted within one year from the date of purchase.

DOWNLOAD REIMBURSEMENT FORM


Humana Vision

Humana Vision members may qualify for out-of-network reimbursement.

Customer Service: 1-866-537-0229

Submit your completed reimbursement form and itemized Glass Lens Eyewear receipt to:

Humana Vision Care Plan
Attn: OON Claims
P.O. Box 14311
Lexington, KY 40512-4311

Important Note:
Claims must be submitted within one year from the date of purchase.

DOWNLOAD REIMBURSEMENT FORM


Spectera

Spectera allows out-of-network claims for eligible members.

Customer Service: 1-800-638-3120

Submit your reimbursement request and itemized Glass Lens Eyewear receipt to:

Spectera Claims Department
P.O. Box 30978
Salt Lake City, UT 84130

Fax: 248-733-6060

Important Note:

Claims must include:

  • Subscriber’s name and address
  • Patient’s name and date of birth
  • Subscriber’s ID number

DOWNLOAD REIMBURSEMENT FORM


Superior Vision

Superior Vision offers out-of-network reimbursement with prior authorization.

Customer Service: 1-800-507-3800

Submit your completed reimbursement form and itemized Glass Lens Eyewear receipt to:

Superior Vision Services
Attn: Claims Processing
P.O. Box 967
Rancho Cordova, CA 95741

Fax: 916-852-2277

Important Note:
You must contact Superior Vision first to obtain an authorization number before using out-of-network benefits.

DOWNLOAD REIMBURSEMENT FORM


Vision Benefits of America

Out-of-network reimbursement may be available depending on your plan.

Customer Service: 1-800-432-4966

Submit your completed reimbursement form and itemized Glass Lens Eyewear receipt to:

Vision Benefits of America
300 Weyman Plaza, Suite 400
Pittsburgh, PA 15236-1588

DOWNLOAD REIMBURSEMENT FORM


VSP

VSP members may submit claims for out-of-network eyewear purchases.

Customer Service: 1-800-877-7195

Submit your completed reimbursement form and itemized Glass Lens Eyewear receipt to:

VSP
P.O. Box 997105
Sacramento, CA 95899-7105

DOWNLOAD REIMBURSEMENT FORM


Helpful Tips

  • Always keep your itemized Glass Lens Eyewear receipt
  • Submit claims as soon as possible
  • Coverage amounts vary by plan
  • Contact your insurance provider to confirm eligibility